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

Assessing the patient: History taking and clinical examination

2020 ◽  
pp. 289-306
Keyword(s):  
Physical Examination ◽  
Medical History ◽  
Clinical Examination ◽  
Clinical History ◽  
Accurate Diagnosis ◽  
The Body ◽  
History Taking ◽  
Patient History

History taking and examining the patient are essential to making an accurate diagnosis. A thorough medical history is key to the first step towards a diagnosis and will inform the examination and determine appropriate investigations. A clinical history taking can guide the practitioner to a diagnosis whereas examination and investigations merely confirm or refute that considered diagnosis. This chapter covers all aspects of assessing the musculoskeletal nursing patient. It starts by guiding the reader through the essentials of a good consultation and history taking, alongside practical questions to ask and how to conduct general examinations. It then goes on to cover examinations for each part of the body, including the general principles of joint examinations and the physical examination of gait, arms, legs, and spine (GALS).

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 DECLINE OF CLINICAL ART AND TECNOLOGICAL MEDICINE BOOM

2021 ◽  
pp. 123-133
Author(s):  
José Antonio Rodríguez Montes
Keyword(s):  
Physical Examination ◽  
Medical History ◽  
Medical Practice ◽  
New Technologies ◽  
Clinical Skills ◽  
Treatment Plan ◽  
Correct Diagnosis ◽  
Bedside Teaching ◽  
The Past

Currently there is a consensus that the clinical art have been greatly deteriorating during the past 50 years. This problem has raised worldwide attention through as increase in publications, courses, symposia and congress. The erosion of bedside teaching and the consequent decline of clinical skills, notably wrongfull and inadequate use of new technologies. At as result, it becomes difficult if not impossible obtain an appropiate collection of the synptoms sufferick for the sick. Together with the medical history, the physical examination is mandatory for the correct diagnosis and developing the treatment plan. In this paper, the decline of clinical art is exposed and how this ancient heritage of medical practice can be recovered.

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.

History taking and physical examination

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