Book ReviewA Guide to Physical Examination and History Taking

1988 ◽  
Vol 318 (3) ◽  
pp. 193-194
Author(s):  
Curtis Prout
Keyword(s):  
Physical Examination ◽  
History Taking

scholarly journals Intestinal Obstruction following Ingestion of Metallic Instruments in a Psychiatric Patient

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Oscar Kivike ◽  
Israel Soko ◽  
David Mgaya ◽  
Frank Sandi
Keyword(s):  
Physical Examination ◽  
Intestinal Obstruction ◽  
Female Patient ◽  
Psychiatric Patient ◽  
Psychiatric Patients ◽  
Abdominal Distension ◽  
History Taking ◽  
Proximal Intestine ◽  
Psychotic Features

Pica among psychiatric patients has been well documented. We report a 25-year-old female patient who presented with abdominal distension for one week. She is a known psychiatric patient for 5 years. Through history taking, physical examination, and investigations, the patient was found to have psychotic features and features of intestinal obstruction. Surgery was done by opening the abdomen and then the stomach. The stomach, together with the proximal intestine, was found to be filled with metallic instruments weighing 780 mg. The diagnosis of a metalophagia type of pica was reached. All instruments were removed and the patient did well postoperatively.

scholarly journals “Trividh Pariksha-Ayurvedic and Modern Perspective.”

2020 ◽  
Vol 4 (05) ◽  
Author(s):  
Dubey Shivanikumari Rajesh
Keyword(s):  
Physical Examination ◽  
Modern Medicine ◽  
History Taking ◽  
Important Place ◽  
Different Types ◽  
Factual Data ◽  
Radiological Examinations ◽  
Or History ◽  
Modern Perspective

The term Pariksha is used for the Examinations done on patient for appropriate diagnosis. The prime duty of any Physician is to diagnose the ailment of the patient. The diagnosis cannot be done just on basis of one type of examination. In Ayurveda different types of examinations have been mentioned which were and still are useful in diagnosing the various diseases in patients. Two basic processes. 1) Interrogation or history taking or anamnesis , 2)Physical examination [1]and at present time pathological and radiological examinations are the basic requirements  by which factual data of the diseases are collected. Ayurveda has mentioned in detail about the various Parikshas which have been categorized in Trividh , Panchvidh, Shadvidh , Ashtavidha Pariksha have been mentioned. Here Trividh Pariksha –Darshan, Sparshan and Prashna and its all aspects will be discussed in perspective of both Ayurveda and Modern medicine. These basic methods which are practiced today, with modern terminologies have one of the important place in Ayurvedic Nidan (diagnosis).

scholarly journals Diagnostic accuracy of history taking, physical examination and imaging for phalangeal, metacarpal and carpal fractures: a systematic review update.

2019 ◽  
Author(s):  
Patrick Krastman ◽  
Nina M. Mathijssen ◽  
Sita M.A. Bierma-Zeinstra ◽  
Gerald Kraan ◽  
Jos Runhaar
Keyword(s):  
Physical Examination ◽  
Diagnostic Accuracy ◽  
Predictive Value ◽  
Scaphoid Fracture ◽  
Radiological Examination ◽  
Supporting Evidence ◽  
History Taking ◽  
Wrist Fractures ◽  
Scaphoid Fractures ◽  
Work Up

Abstract Background The standard diagnostic work-up for hand and wrist fractures consists of history taking, physical examination and imaging if needed, but the supporting evidence for this work-up is limited. The purpose of this study was to systematically examine the diagnostic accuracy of tests for hand and wrist fractures. Methods A systematic search for relevant studies was performed. Methodological quality was assessed and sensitivity (Se), specificity (Sp), accuracy, positive predictive value (PPV) and negative predictive value (NPV) were extracted from the eligible studies. Results Of the 35 eligible studies, one described the diagnostic accuracy of history taking for hand and wrist fractures. Physical examination with or without radiological examination for diagnosing scaphoid fractures (five studies) showed Se, Sp, accuracy, PPV and NPV ranging from 15-100%, 13-98%, 55-73%, 14-73% and 75-100%, respectively. Physical examination with radiological examination for diagnosing other carpal bone fractures (one study) showed a Se of 100%, with the exception of the triquetrum (75%). Physical examination for diagnosing phalangeal and metacarpal fractures (one study) showed Se, Sp, accuracy, PPV and NPV ranging from 26-55%, 13-89%, 45-76%, 41-77% and 63-75%, respectively. Imaging modalities of scaphoid fractures showed predominantly low values for PPV and the highest values for Sp and NPV (24 studies). Magnetic Resonance Imaging (MRI), Computed Tomography (CT), Ultrasonography (US) and Bone Scintigraphy (BS) were comparable in diagnostic accuracy for diagnosing a scaphoid fracture, with an accuracy ranging from 85-100%, 79-100%, 49-100% and 86-97%, respectively. Imaging for metacarpal and finger fractures showed Se, Sp, accuracy, PPV and NPV ranging from 73-100%, 78-100%, 70-100%, 79-100% and 70-100%, respectively. Conclusions Only one study was found on the diagnostic accuracy of history taking for hand and wrist fractures in the current review. Physical examination was of moderate use for diagnosing a scaphoid fracture and of limited use for diagnosing phalangeal, metacarpal and remaining carpal fractures. MRI, CT and BS were found to be moderately accurate for the definitive diagnosis of clinically suspected carpal fractures.

scholarly journals Clinical history-taking and physical examination in medical practice in Africa: still relevant?

2016 ◽  
Vol 57 (6) ◽  
pp. 605-607 ◽  
Author(s):  
Ayo Oyedokun ◽  
Davies Adeloye ◽  
Olanrewaju Balogun
Keyword(s):  
Physical Examination ◽  
Medical Practice ◽  
Clinical History ◽  
History Taking

History taking and physical examination

1991 ◽  
pp. 4-14 ◽  
Author(s):  
Martin Kaltenbach ◽  
Ronald E. Vlietstra
Keyword(s):  
Physical Examination ◽  
History Taking

Ophthalmology

2011 ◽  
Author(s):  
Pawan Gupta
Keyword(s):  
Physical Examination ◽  
Junior Doctor ◽  
Visual Fields ◽  
History Taking ◽  
Eye Injuries ◽  
Upper Eyelid ◽  
Loss Of Vision ◽  
Eye Problems ◽  
Patient Will ◽  
The Common

Approximately 2% of ED attendances comprise patients with eye complaints. Most of the time this group of patients is seen by a junior doctor with very little training in thorough and relevant history taking and examination. The majority of such eye problems can be treated in the ED without requiring any intervention from an ophthalmologist. But a few may require immediate action and subsequent referral to the on-call ophthalmologist. Most of the emergencies require a standard approach to history taking followed by an examination, although some (acid or alkali burns) may need immediate treatment, which is given while the assessment is being done. In ophthalmology, the history will help indicate the part of the eyes to focus on during the physical examination. The following points should be covered in the history: • Associated trauma • Pain versus irritation • Photophobia • Discharge—colour, quantity and consistency • Loss of vision • Pattern and speed of onset of symptoms • Any past eye problems in the same or the other eye. During the physical examination always measure VA separately for each eye by using Snellen’s chart and document your findings. If the patient wears glasses, these should be kept on during the test. The examination should also include a good look at the eyelids (both from outside and inside), conjunctivae, cornea, pupils and their size and reaction, visual fields, eye movements, and ophthalmoscopy. Do not forget to evert the upper eyelid with the help of a cotton bud as tiny foreign bodies often hide underneath it and their removal will immediate relieve the symptoms—the patient will be very grateful! Patients with potentially serious pathology requiring immediate ophthalmology referral include those with: • Sudden loss of vision • New reduction in VA • Acute red and painful eye (suspect acute glaucoma) • Penetrating eye injuries • Chemical burns to the eye • Suspected iritis, herpes zoster infection, and orbital cellulitis (referral on the same day). The questions in this chapter cover the common eye emergencies and a few uncommon but serious pathologies.

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