Several recent studies have described a deterioration in physical examination skills among modern physicians. Reasons hypothesized for this change are improvements in technology and time constraints. Poor physical exam skills are a noteworthy threat to patient safety as they can lead to incorrect as well as missed diagnoses, causing delays in timely implementation of life-saving treatments. Her...

background: final exam is one of evaluation methods of students. we can utilize indexes such as difficulty index and discrimination index in order to analyze each test questions or to determine questions taxonomy. however, these methods have inter- testing look and do not consider the relationship between various tests results. inter correlation between final exam score and the average indirect...

Recurrent cervical symptoms frequently occur after cervical disc replacement and fusion. To date, no algorithm for the diagnostic assessment of these symptoms has been established. We present a case report and review of the literature to illustrate the need for interdisciplinary diagnostics in recurrent cervicobrachialgia without pathological cervical imaging. The hospital chart, medical histor...

OBJECTIVE To establish clinical and diagnostic findings of malaria and acute viral hepatitis in children, stressing similarities and differences, so as to enhance the sensitivity of early malaria diagnosis in childhood. METHODS Two groups were studied, each including 30 children between 2 and 10 years of age. The patients presented either primary malaria infection or acute viral hepatitis, co...

Case Description- A 5-year old male German shepherd weighting 28 kg with the history of falling from the third floor 9 month previous was referred to the Small Animal Hospital. Clinical Findings- In clinical examination roughness and thickness of the skin of the palmar surface of both forelimbs were felt. The animal was using his palmar plane of both forelimbs to walk without any signs of pain ...

BACKGROUND Low-back pain with leg pain (sciatica) may be caused by a herniated intervertebral disc exerting pressure on the nerve root. Most patients will respond to conservative treatment, but in carefully selected patients, surgical discectomy may provide faster relief of symptoms. Primary care clinicians use patient history and physical examination to evaluate the likelihood of disc herniati...

Clinical pattern recognition is a series of applications dedicated to anatomical areas of the body including the hip/thigh, knee, ankle/foot and lumbar spine. It enumerates numerous clinical presentations of different disease processes with associated physical exam findings. It offers a variety of manual and therapeutic exercises for treating these conditions. This review focuses on the hip and...

Here are our meditation on the art of attracting, keeping, and helping patients. It contains some sections including “Be professional”, “Be reassuring”, “Be confident”, “Be informative”, “Be smart” and “Be responsive”.

Modern healthcare faces the challenges of rising costs, increasing expectations of patients and changing disease patterns. Physicians practise medicine in an era of easy availability and access to a plethora of modern and sometimes expensive diagnostic aids. The powerful utility of clinical skills cannot be underestimated nor lost. The physician has a powerful platform to encourage the rational...