Section Summary
- A single physical examination may substantially underestimate fluctuating HS.
- A concise longitudinal history should cover recurrence, locations, drainage, pain, function, and prior treatment response.
- Patient-reported burden can change the interpretation of an apparently limited examination.
- Sensitive, nonjudgmental language improves disclosure and helps repair mistrust created by prior dismissive care.
- Validated patient-reported measures can support consistent follow-up but do not replace a focused conversation.
| Key Takeaway: The examination shows what HS looks like today. The patient’s history shows what HS is doing over time and what it is doing to the patient. |