Establish rapport
• Introduce
Introduce
yourself
Substance Marital
abuse status
Tobacco
ETOH
use
Physical Exam
• CHF
• e.g • *JVD, crackles,
• “8 x 10 cm round murmur, gallops,
area of Focus hepatojugular
reflex, peripheral
Does not erythematous,
warm skin on
detailed edema, cough,
include medial aspect of RT description reduce tolerance to
Interpretation leg “ physical activity ,etc
• Instead of of findings • Explanation ,seek
• “cellulitis on medial consent
aspect of RT leg” • Keep privacy
• Chaperone.
Neurologic and MSE
Eye
Verbal
Motor
Start always inspecting. Make a
mental picture of what you see
Auscultate the 4 quadrants ,living the
last where it hurts
Percussion up to down and side to
side. Move your head closer to
register the sounds produced by your
tapping
Palpate the last
Lab studies and others
Adequately
Appropriate Timely
reported e.g
labs for HPI reported
EKG intervals
History and Physical Examination (Current Clinical Strategies) and it was written by Paul D. Chan, MDTate P; The
Doctor's Communication Handbook (5th ed.), Radcliffe Publishing, 2003.
Illustrated Textbook of Paediatrics (4th ed) 2011
Lecture Notes in Emergency Medicine (4th ed) 2012
Reilly BM. Physical examination in the care of medical inpatients: an observational study. Lancet.
2003;362(9390):1100-1105. [Context Link]
Rathe R. The complete physical. Am Fam Physician. 2003;68(7):1439, 1443-1444. [Context Link]
Stanford medicine 2010 special report. The healing hand: putting the physical back in the physical exam.
http://www.abrahamverthese.com/.../s_t_a_n_f_o_r_d___m_e_d_i_c_i_n_e.pdf. [Context Link]
AAFP News Now. AAFP releases second choosing wisely list of tests, procedures that physicians, patients should
question. http://www.aafp.org/news-now/health-of-the-public.html. [Context Link