Polyclinic. A physical examination, medical examination, or clinical examination

Август 9, 2022

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Polyclinic. A physical examination, medical examination, or clinical examination

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2. A physical examination, medical examination, or clinical examination is the process by which a doctor investigates
3. A physical examination may be provided under health insurance cover, required of new insurance customers, or
4. Comprehensive physical exams of this type are also known as executive physicals, and typically include laboratory
5. While elective physical exams have become more elaborate, in routine use physical exams have become less
6. Although providers have varying approaches as to the sequence of body parts, a systematic examination generally
7. With the clues obtained during the history and physical examination the healthcare provider can now formulate
8. While the format of examination as listed below is largely as taught and expected of students,
9. A complete physical examination includes evaluation of general patient appearance and specific organ systems. It is
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Слайд 2

A physical examination, medical examination, or clinical examination is the process

by which a doctor investigates the body of a patient for signs of disease. It generally follows the taking of the medical history — an account of the symptoms as experienced by the patient. Together with the medical history, the physical examination aids in determining the correct diagnosis and devising the treatment plan.

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A physical examination may be provided under health insurance cover,

required of new insurance customers, or stipulated as a condition of employment. In the United States, physicals are also marketed to patients as a one-stop health review, avoiding the inconvenience of attending multiple appointments with different healthcare providers

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Comprehensive physical exams of this type are also known as

executive physicals, and typically include laboratory tests, chest x-rays, pulmonary function testing, audiograms, full body CAT scanning, EKGs, heart stress tests, vascular age tests, urinalysis, and mammograms or prostate exams depending on gender. The executive physical format was developed from the 1970s by the Mayo Clinic and is now offered by other health providers, including Johns Hopkins University, EliteHealth and Mount Sinai in New York City.

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While elective physical exams have become more elaborate, in routine use

physical exams have become less complete. This has led to editorials in medical journals about the importance of an adequate physical examination. In addition to the possibility of identifying signs of illness, it has been described as a ritual that plays a significant role in the doctor-patient relationship. Physicians at Stanford University medical school have introduced a set of 25 key physical examination skills that were felt to be useful.

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Although providers have varying approaches as to the sequence of body

parts, a systematic examination generally starts at the head and finishes at the extremities. After the main organ systems have been investigated by inspection, palpation, percussion, and auscultation, specific tests may follow or specific tests when a particular disease is suspected.

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With the clues obtained during the history and physical examination the

healthcare provider can now formulate a differential diagnosis, a list of potential causes of the symptoms. Specific diagnostic tests generally confirm the cause, or shed light on other, previously overlooked, causes.

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While the format of examination as listed below is largely

as taught and expected of students, a specialist will focus on their particular field and the nature of the problem described by the patient. Hence a cardiologist will not in routine practice undertake neurological parts of the examination other than noting that the patient is able to use all four limbs on entering the consultation room and during the consultation become aware of their hearing, eyesight and speech.

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A complete physical examination includes evaluation of general patient appearance and

specific organ systems. It is recorded in the medical record in a standard layout which facilitates others later reading the notes. In practice the vital signs of temperature examination, pulse and blood pressure are usually measured first.