The Slim Book of Health Pearls: The Complete Medical Examination

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Sheldon Cohen M.D. M.D.. The Slim Book of Health Pearls: The Complete Medical Examination

CHAPTER 1. Introduction

CHAPTER 2. The Medical History

Introduction

History Acquisition Methods

Biographical Data

CLINICAL EXAMPLES

Chief Complaint. Patient’s own words or medical clarification

Tabulate complaints separately

Duration

CLINICAL EXAMPLES

Present Illness. Introduction

Duration

Nature of the symptoms:

CLINICAL EXAMPLES

Past History. Introduction

Allergies

Acute infectious diseases

Immunizations

Past Medical History

Past Surgical History

Past Traumatic History

Medications

Other Drug Use

Obstetric History

Sexual History

CLINICAL EXAMPLES

Family History. Definition

Heritable illnesses

How used

What it can’t do

The future

CLINICAL EXAMPLES

Habits. Sleeping

Insomnia

Narcolepsy

Restless Leg Syndrome

Nutrition

Exercise

Hobbies

Tobacco

Alcohol

Caffeine

CLINICAL EXAMPLES

Social History

CLINICAL EXAMPLES

System Review. Introduction

Skin including nails and hair. Skin

Nails

Hair

CLINICAL EXAMPLES

Breasts

CLINICAL EXAMPLES

Eyes

CLINICAL EXAMPLES

Ears

CLINICAL EXAMPLES

Nose

CLINICAL EXAMPLES

Mouth

CLINICAL EXAMPLES

Throat

CLINICAL EXAMPLES

Cardiovascular

CLINICAL EXAMPLES

Pulmonary

CLINICAL EXAMPLES

Gastrointestinal

CLINICAL EXAMPLES

Genitourinary

CLINICAL EXAMPLES

Gynecological

CLINICAL EXAMPLES

Endocrine

CLINICAL EXAMPLES

Hematological

CLINICAL EXAMPLES

Allergic/Immunologic

CLINICAL EXAMPLES

Musculoskeletal

CLINICAL EXAMPLES

Neurologic

Cranial nerves:

Motor system:

Sensory system:

Autonomic nervous system:

CLINICAL EXAMPLES

Psychiatric

CLINICAL EXAMPLE

Medical History Summary

CHAPTER 3. The Physical examination

Introduction

Vital Signs

CLINICAL EXAMPLES

Skin, Hair and Nails. Skin

Hair

Nails

CLINICAL EXAMPLES

Head

CLINICAL EXAMPLES

Eyes

CLINICAL EXAMPLES

Ears

CLINICAL EXAMPLES

Nose and sinuses

CLINICAL EXAMPLES

Mouth and Throat

CLINICAL EXAMPLES

Lymphatic System

CLINICAL EXAMPLES

Cardiovascular

CLINICAL EXAMPLES

Pulmonary

CLINICAL EXAMPLES

Gastrointestinal

CLINICAL EXAMPLES

Genitourinary

CLINICAL EXAMPLES

Gynecological

CLINICAL EXAMPLES

Musculoskeletal

CLINICAL EXAMPLES

Neurological

CLINICAL EXAMPLES

CHAPTER 4. Laboratory Data. Introduction

Neutrophils

Eosinophils

Basophils

Lymphocytes

Monocytes

Hematocrit

Hemoglobin

Red blood cell indices

3. Platelets

Blood smear:

A complete urinalysis includes:

Blood Urea Nitrogen (BUN)

Creatinine

Uric acid

Electrolytes

Chloride

Potassium

Bicarbonate (CO2)

Calcium

Phosphorus

Bilirubin

SGOT (AST)

SGPT (ALT)

LDH

Alkaline phosphatase (ALP)

Total protein

Total Cholesterol

Triglyceride

In summary

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A complete medical examination includes a:

Medical history

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(1) Patients expect a complete medical examination.

(2) Physicians have had numerous experiences where the performance of the complete medical examination has elicited unexpected critical findings.

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