The Science of the Art of the Clinical Examination

摘要: Our first moments with a patient are packed visual, auditory, and tactile information that determines both the effectiveness costs of our subsequent care. Of all diagnoses ever will be made, most made during history, rest physical examination. For example, Crombie 1 documented 88% in primary care were established by end brief history some subroutine Similarly, Sandler 2 found 56% patients general medical clinic had been assigned correct their this figure rose to 73% Even when referred See also pp 2638 2645. specialty centers after exhaustive workups elsewhere, attention is appropriately refocused on clinical examination: patient's "story" Indeed,