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The American Journal of Medicine Aug 2015
Topics: Humans; Physical Examination
PubMed: 26210457
DOI: 10.1016/j.amjmed.2015.03.010 -
The American Journal of Medicine May 2017
Topics: Cost-Benefit Analysis; Humans; Physical Examination; Primary Health Care
PubMed: 28159601
DOI: 10.1016/j.amjmed.2016.12.036 -
Critical Care (London, England) Nov 2020
Topics: Brain Death; Humans; Physical Examination
PubMed: 33208181
DOI: 10.1186/s13054-020-03376-6 -
Heart (British Cardiac Society) Sep 2003
Topics: Echocardiography, Doppler; Forecasting; Heart Auscultation; Heart Diseases; Humans; Physical Examination; Stethoscopes
PubMed: 12922991
DOI: 10.1136/heart.89.9.971 -
Journal of Paediatrics and Child Health Dec 2014
Topics: Child; Heart; Heart Diseases; Humans; Physical Examination; Practice Guidelines as Topic
PubMed: 25440160
DOI: 10.1111/jpc.12780 -
Hand Clinics May 2003Musicians are special patients and this fact has to find expression in the history taking and examination of musicians. The consulting hand surgeon has to develop a... (Review)
Review
Musicians are special patients and this fact has to find expression in the history taking and examination of musicians. The consulting hand surgeon has to develop a consistent concept of history taking and examination that respects all the specific facets of the musician's environment and techniques, besides and beyond the usual hand surgical standards. There has to be an emphasis on exhaustive examination of subtle technical and ergonomic details, which in many cases reveals the pathogenic origin or source of the musician's complaint. From this can be delivered the clues for establishing the specific solutions and therapy concepts, whereas the standard hand surgical concepts might be misleading.
Topics: Biomechanical Phenomena; Hand; Hand Injuries; Humans; Medical History Taking; Music; Occupational Diseases; Physical Examination; Physician-Patient Relations; Task Performance and Analysis
PubMed: 12852664
DOI: 10.1016/s0749-0712(02)00097-5 -
Nederlands Tijdschrift Voor Geneeskunde May 2001In a patient with a high a priori risk of peripheral vascular disease, the positive predictive value of an abnormal physical diagnostic examination is high. In patients... (Review)
Review
In a patient with a high a priori risk of peripheral vascular disease, the positive predictive value of an abnormal physical diagnostic examination is high. In patients with a low prior probability of peripheral vascular disease, the physical examination makes little contribution to the diagnosis or exclusion of arterial insufficiency. For this purpose the ankle-brachial systolic pressure index is preferable. Peripheral arterial disease is unlikely when this index is normal. However, a low ankle-brachial index necessitates further investigations to determine possible arterial insufficiency in the lower extremities.
Topics: Ankle; Arm; Blood Pressure Determination; Diagnosis, Differential; History, 20th Century; Humans; Peripheral Vascular Diseases; Physical Examination; Predictive Value of Tests; Systole; Thromboangiitis Obliterans
PubMed: 11387864
DOI: No ID Found -
Atencion Primaria Jun 2002
Comparative Study
Topics: Bayes Theorem; Facial Expression; Facies; Family Practice; Female; Humans; Male; Medical History Taking; Physical Examination; Physician-Patient Relations; Surveys and Questionnaires
PubMed: 12106578
DOI: 10.1016/s0212-6567(02)78961-0 -
Primary Care Dec 1980In attempting to evaluate the usefulness of the screening physical examination, it is necessary to remember that these recommendations are for asymptomatic individuals....
In attempting to evaluate the usefulness of the screening physical examination, it is necessary to remember that these recommendations are for asymptomatic individuals. When specific symptoms are present they need to be evaluated using physical examination and laboratory techniques that are appropriate to diagnosis. Although some of the same examination techniques are applicable for diagnostic evaluation, the goals, techniques, and interpretation of results are frequently different. One must also be aware of the past history of the patient, which may suggest specific risk factors even in the absence of current symptoms. A past history of breast cancer, for instance, might increase the intensity and scope of the physical examination. A history of alcohol consumption might turn an optimal mouth and throat examination into a diligent search. Additional elements of the physical examination may be pertinent to special high-risk groups. For instance, a mental status examination might be part of the routine examination for the elderly. Finally, it is important to remember that the findings on routine physical examination may themselves alter what should be done during the rest of the examination. For example, the finding of high blood pressure requires a search for arterial narrowing, coarctation, and renal bruits. Positive findings on a screening physical examination must always be supplemented by physical examination techniques designed for specific diagnosis. The recommended elements for a screening physical examination are an attempt to assemble reasonable conclusions based on current clinical use. They do not deal with the question of how frequently routine screening should be done. These recommendations need to be adjusted to the needs and views of each individual physician. One cannot help but be impressed by the medical, social, economic, and technical advantages of the physical examination. Although not a perfect technology, it serves important clinical functions in diagnosis and screening for the 1980s. The physical examination, like the human memory, will not be displaced easily even in this era of the C.A.T. scan, the radioimmunoassay, or the nuclear angiogram.
Topics: Humans; Medical History Taking; Physical Examination; Physician-Patient Relations; Technology
PubMed: 6908086
DOI: No ID Found -
Polish Archives of Internal Medicine Dec 2019At its most fundamental level, the clinical encounter between a patient and their doctor seeks to solve a mystery. Clinicians uncover clues through the history, physical...
At its most fundamental level, the clinical encounter between a patient and their doctor seeks to solve a mystery. Clinicians uncover clues through the history, physical examination, and ancillary tests to arrive at a diagnosis and develop a management plan. Despite advances in technology, the majority of clinical diagnoses are still reached through the history and physical examination without the use of laboratory and imaging tests. However, in the modern American hospital, clinicians spend as little as 12% of their time in direct contact with patients and their families. This has led to a decline in clinical examination skills and contributes to diagnostic error. There is a growing movement to return clinicians and trainees back to the bedside. In 2017, we formed the Society of Bedside Medicine to encourage innovation, education, and research on the role of the clinical encounter in 21st century medicine. Over the last 3 years, we have embraced the following 6 strategies to reinvigorate the practice of the clinical examination: 1) be present with the patient; 2) practice an evidence‑based approach to the physical exam; 3) create opportunities for intentional practice of the physical exam; 4) recognize the power of the physical examination beyond diagnosis; 5) use point‑of‑care technology to aid in diagnosis and reinforce skills; and 6) seek and provide specific feedback on physical examination skills. By employing these strategies in both teaching and practice, clinicians can maximize the value of time spent with patients and renew the importance of the clinical examination in 21st century practice.
Topics: Diagnostic Techniques and Procedures; Forecasting; Humans; Medical History Taking; Physical Examination; Poland; Practice Guidelines as Topic
PubMed: 31777402
DOI: 10.20452/pamw.15073