Ebook A textbook of practical physiology (8th edition): Part 2
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Ebook A textbook of practical physiology (8th edition): Part 2
SectionClinical Examination"Illnesses are experiments of nature witnessed at the bedside"Outline for History Taking andGeneral Physical ExaminationSTU Ebook A textbook of practical physiology (8th edition): Part 2UDENT OBJECTIVESThe chief objectives of Introducing precllnlcal students to the art and science of clinical examination of a patient are to impress upon the students the following points:1Clinical medicine is essentially a matter of communication between the doctor and the worried and anxious patien Ebook A textbook of practical physiology (8th edition): Part 2t. However, a fresh student starting clinical work Is likely to be somewhat apprehensive and uncertain when first approaching a patient. And this unceEbook A textbook of practical physiology (8th edition): Part 2
rtainly is least likely to generate a bond of confidence in the patient.2The students get a chance to ■‘clinically examine"' their work partners, an oSectionClinical Examination"Illnesses are experiments of nature witnessed at the bedside"Outline for History Taking andGeneral Physical ExaminationSTU Ebook A textbook of practical physiology (8th edition): Part 2of the happy results of increased physiological knowledge lies in that many of the signs, symptoms, and tests which were previously empirical can now be rationally explained. This has Increased the reliance that can be placed on clinical evidence while interpreting laboratory tests.4The methods of c Ebook A textbook of practical physiology (8th edition): Part 2linical examination may appear to vary somewhat from clinician to clinician, but whatever method you follow you must adhere to It.5The value of accuraEbook A textbook of practical physiology (8th edition): Part 2
te history taking (interrogation of the patient) and general physical examination cannot be overemphasized. They train the beginner In the habit of thSectionClinical Examination"Illnesses are experiments of nature witnessed at the bedside"Outline for History Taking andGeneral Physical ExaminationSTU Ebook A textbook of practical physiology (8th edition): Part 2 patients you will see in your clinical training.CLINICAL EXAMINATIONThe word 'patient' Is derived from the Latin 'patiens' meaning sufferance or forbearance. The overall purpose of clinical practice is to relieve the suffering of the patients.Most medical encounters with the patients will begin in Ebook A textbook of practical physiology (8th edition): Part 2the outdoor clinic, and clinical examination begins the moment the patient is seen by the doctor. It is important to establish lines of communicationEbook A textbook of practical physiology (8th edition): Part 2
(verbal as well as nonverbal) as soon as possible and to make the patient relaxed and comfortable.There are two basic steps in clinical examination ofSectionClinical Examination"Illnesses are experiments of nature witnessed at the bedside"Outline for History Taking andGeneral Physical ExaminationSTU Ebook A textbook of practical physiology (8th edition): Part 2ination. It is an orderly examination for evaluation of the patient's body and its functions. It includes the non-invaslve methods (see below), along with measurement of vital signs. It has two components"A.General Physical ExaminationB.Systemic Physical Examination.I. HISTORY TAKINGHistory taking, Ebook A textbook of practical physiology (8th edition): Part 2though considered easy and tedious by a new medical student, is perhaps the most important and skilled part of clinical examination.A.General InterrogEbook A textbook of practical physiology (8th edition): Part 2
ation1Personal History. It includes name, age, marital status, occupation (Including type of work), education, financial condition, dependents, and adSectionClinical Examination"Illnesses are experiments of nature witnessed at the bedside"Outline for History Taking andGeneral Physical ExaminationSTU Ebook A textbook of practical physiology (8th edition): Part 2Complaints. These are the primary reason for seeking medical help. Allow the patient to tell his chief presenting complaints in his/her own words. Note them in chronological order. All symptoms are not of equal diagnostic importance. Usually there is/are one (or two) symptoms that trouble the patien Ebook A textbook of practical physiology (8th edition): Part 2t more than others.4History of Previous Illnesses, Accidents, Operations. These should be recorded.5History of Present Illness. Its mode of origin andEbook A textbook of practical physiology (8th edition): Part 2
when it began. Did it start slowly or suddenly? The order in which the symptoms appeared and how they have progressed. Ask for any treatment receivedSectionClinical Examination"Illnesses are experiments of nature witnessed at the bedside"Outline for History Taking andGeneral Physical ExaminationSTU Ebook A textbook of practical physiology (8th edition): Part 2gationThis should follow general interrogation described above. It is only with experience that the student will learn which body system appears to be involved, and what Is essential to ask and what to leave out.Special interrogation includes: asking questions about the particular system (e.g. respi Ebook A textbook of practical physiology (8th edition): Part 2ratory, circulatory, etc.) that appears to be involved in the disease process. Leading questions may have to be asked.II. PHYSICAL EXAMINATIONConditioEbook A textbook of practical physiology (8th edition): Part 2
ns for a Satisfactory Physical Examination.SectionClinical Examination"Illnesses are experiments of nature witnessed at the bedside"Outline for History Taking andGeneral Physical ExaminationSTUSectionClinical Examination"Illnesses are experiments of nature witnessed at the bedside"Outline for History Taking andGeneral Physical ExaminationSTUGọi ngay
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