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History-Taking and Physical Examination 1 Rationale. The ability to obtain an accurate medical history and carefully perform a physical examination is fundamental... 2 Prerequisite. Introductory (required pre-clinical) course in physical diagnosis. 3 Specific Learning Objectives. More ...
History-Taking and Physical Examination 1 Rationale. The ability to obtain an accurate medical history and carefully perform a physical examination is fundamental to providing comprehensive care to adult patients. 2 Prerequisite. Introductory (required pre-clinical) course in physical diagnosis. 3 Specific Learning Objectives
The optimal selection of diagnostic tests, choice of treatment, and use of subspecialists, as well as the physician’s relationship and rapport with patients, all depend on well developed history-taking and physical-diagnosis skills.
perform a physical examination for a patient in a logical, organized, respectful, and thorough manner, giving attention to the patient’s general appearance, vital signs, and pertinent body regions. adapt the scope and focus of the history and physical exam appropriately to the medical situation and the time available.
perform a physical examination for a patient in a logical, organized, respectful, and thorough manner, giving attention to the patient’s general appearance, vital signs, and pertinent body regions.
the four methods of physical examination (inspection, palpation, percussion, and auscultation), including where and when to use them, their purposes, and the findings they elicit. the physiologic mechanisms that explain key findings in the history and physical exam.
obtain, whenever necessary, supplemental historical information from other sources, such as significant others or previous physicians. demonstrate proper hygienic practices whenever examining a patient. position the patient and self properly for each part of the physical examination.
Skills: Each student should be able to: use language appropriate for each patient. use non-verbal techniques to facilitate communication and pursue relevant inquiry. elicit the patient’s chief complaint as well as a complete list of the patient’s concerns.