tailieunhanh - Chapter 001. The Practice of Medicine (Part 2)

Physical Examination The purpose of the physical examination is to identify the physical signs of disease. The significance of these objective indications of disease is enhanced when they confirm a functional or structural change already suggested by the patient's history. At times, however, the physical signs may be the only evidence of disease. The physical examination should be performed methodically and thoroughly, with consideration for the patient's comfort and modesty. Although attention is often directed by the history to the diseased organ or part of the body, the examination of a new patient must extend from head to toe in an. | Chapter 001. The Practice of Medicine Part 2 Physical Examination The purpose of the physical examination is to identify the physical signs of disease. The significance of these objective indications of disease is enhanced when they confirm a functional or structural change already suggested by the patient s history. At times however the physical signs may be the only evidence of disease. The physical examination should be performed methodically and thoroughly with consideration for the patient s comfort and modesty. Although attention is often directed by the history to the diseased organ or part of the body the examination of a new patient must extend from head to toe in an objective search for abnormalities. Unless the physical examination is systematic and performed in a consistent manner from patient to patient important segments may be inadvertently omitted. The results of the examination like the details of the history should be recorded at the time they are elicited not hours later when they are subject to the distortions of memory. Skill in physical diagnosis is acquired with experience but it is not merely technique that determines success in eliciting signs of disease. The detection of a few scattered petechiae a faint diastolic murmur or a small mass in the abdomen is not a question of keener eyes and ears or more sensitive fingers but of a mind alert to these findings. Because physical findings can change with time the physical examination should be repeated as frequently as the clinical situation warrants. Because a large number of highly sensitive diagnostic tests are available particularly imaging techniques it may be tempting to put less emphasis on the physical examination. Indeed many patients are seen for the first time after a series of diagnostic tests have already been performed and the results known. This should not deter the physician from performing a thorough physical examination since clinical findings are often present that have escaped

• Y học thường thức
• The Practice of Medicine
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu học ngành y
• Harrisons Internal Medicine
• Principles and practice aviation medicine
• Aviation medicine
• International standards and requirements
• Physiology and radiation
• Clinical aviation medicine
• Phychology of passengers
• Ophthalmology for the medical examiner
• Ear nose and throat medicine and dentistry
• Neurology for the aeromedical examiner
• Simpson’s forensic medicine
• Forensic medicine
• Principles of forensic practice
• The ethics of medical practice
• The medical aspects of death
• Injury in infancy
• The Practice of Genetics
• Clinical Medicine
• tài liệu y khoa
• harrison interal medicine
• Pain Medicine
• Alternative Medicine
• Pain Management
• Pain Perception
• Musculoskeletal Pain
• Therapeutic Techniques
• Pediatric critical care medicine
• Care of the critically ill or injured child
• The practice of pediatric critical care medicine
• The science of pediatric critical care medicine
• Palliative care in the PICU
• Controversies and considerations
• Basic science
• The pathophysiology of global ischemia
• Cardiac arrest
• The science and practice of resuscitation medicine
• Intracellular signaling during myocardial ischemia
• Resuscitation research
• Reperfusion injury in cardiac arrest
• Cardiopulmonary resuscitation
• Postresuscitation disease and its care
• Special resuscitation circumstances
• Special issues in resuscitation
• Electrical injuries
• Natural causes
• Regional injuries
• Forensic practice
• Medical practice
• The appearance
• The body after death
• Thrombotic thrombocytopenic purpura
• Acute kidney injury
• Current practice guidelines
• Inpatient medicine
• Vertebral osteomyelitis
• Valvular heart disease
• Infective endocarditis
• Venous thromboembolism
• Peripheral arterial disease
• Idiopathic pulmonary fibrosis