The physical examination

The Physical Examination

Physical examination is the process of evaluating objective anatomic findings through the use of observation, palpation, percussion, and auscultation . The information obtained must be thoughtfully integrated with the patient's history and pathophysiology. Moreover, it is a unique situation in which both patient and physician understand that the interaction is intended to be diagnostic and ther...

The Skin Physical Examination

Among the many aspects of the physical examination, the diagnosis of skin disorders requires a unique approach. It demands the diagnostician’s ability not only to observe and interpret but also to use new language – the language of the dermatologist. The purpose of this handout is to give you the tools to perform a thorough dermatologic history and examination, to use a new set of terms to desc...

Physical examination of the wrist.

Physical examination of the wrist requires knowledge of wrist anatomy and pathology to make a diagnosis or narrow the differential diagnosis. Symptoms are provoked by palpation and signs are produced by manipulation. Negative findings elsewhere in the wrist are important. Final diagnosis may require diagnostic imaging. By having all three methods of assessment agree one is assured of correct di...

Wither the cardiac physical examination?

Empowering Physical Examination

The estimation of central venous pressure (CVP) by inspection of the neck veins is regarded as a quintessential example of effective bedside cardiovascular examination because it is virtually cost-free and requires minimal time and no equipment. In the upright position, venous drainage from the head occurs primarily through the vertebral veins, allowing the jugular vein to act as a manometer, “...