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Exam (elaborations)

History & Physical Examination (2025) Actual Exam Questions and Answers A+ Graded

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To stress on the importance of good communication with patients to appreciate their problem To familiarize the student with correct terminology to describe &record normal &abnormal findings To demonstrate history & physical examination are clinical techniques to reach at diagnosis To inoculate in the students the importance of adopting a systematic approach in history taking & doing PE 1/3/2021 DR. SISAY T. INTRODUCTION •The word 'patient' is derived from the Latin patiens, meaning sufferance or forbearance. •The overall purpose of medical practice is to relieve suffering. •In order to achieve this purpose, -it is important to make a diagnosis, -to know how to approach treatment, and -to design an appropriate scheme of management for each patient. •Clinical methods -the skills doctors use to diagnose and treat disease -Are acquired during lifetime of medical work. -Are acquired by a combination of study and experience -There is always something new to learn. •There are two main steps to making a diagnosis: -1. To establish the clinical features by history and examination - this represents the clinical database -2. To interpret the clinical database in terms of disordered function and potential causative pathologies, -whether physical, mental, social, or a combination of these •Your ability to gather a sensitive and nuanced history and to perform a thorough and accurate examination -deepens your patient relationships, focuses your patient assessment, and sets the direction of your clinical thinking. •The quality of your history and physical examination -governs your next steps with the patient and guides your choices from the initially bewildering array of secondary testing and technology. •the essential elements of clinical care: -empathic listening; -the ability to interview patients of all ages, moods, and backgrounds; -the techniques for examining the different body systems; and, -finally, the process of clinical reasoning. •Your experience with history taking and physical examination will grow and expand, •and the steps of clinical reasoning will soon begin with the first moments of the patient encounter: •identifying problem symptoms and abnormal findings; •linking findings to an underlying process of pathophysiology or psychopathology; •and establishing and testing a set of explanatory hypotheses. Clinical Assessment •A road map to clinical proficiency three critical areas: -the health history, -the physical examination, and -the written record, or"write-up." Ability required of a physician •Non cognitive abilities - attitudes &habits - interpersonal skills - motor & technical skills •Intellectual abilities - knowledge - organization - synthesis - clinical judgment 1/3/2021 DR. SISAY T. Qualities of the ideal physician •First &most humane •Constantly observant •Uses a systematic approach •Knows& understands basic principles •Uses reasons in all his actions •Aware of the limitation of his own knowledge & knowledge in general •Respect the information comes from the patient •Is a perpetual student Preparation •Setting •Privacy •Establish a comfortable relaxed quite &friendly environment •Patient & doctor should site one meter apart •Avoid having patients full-face across a desk •Time 5 to 10 minutes for repeat visit, for first longer •Appearance -behave & dress naturally 1/3/2021 DR. SISAY T.

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Institution
History & Physical
Course
History & Physical

Content preview

, An Overview of
. .




. HistoryTakingandPhysical
. . .




Examination
Dr.SisayTesfaye(MD,Ass.proof
. . . . .



Internal medicine, June 2025.)
. . . .

, GENERAL OBJECTIVES .




 To stress on the importance of good communication
. . . . . . .



with patients to appreciate their problem
. . . . . .




 To familiarize the student with correct terminology to
. . . . . . .



describe &record normal &abnormal findings
. . . . .




 Todemonstratehistory &physical examinationare
. . . . . .



clinical techniques to reach at diagnosis
. . . . . .




 To inoculate in the students the importance of
. . . . . . .



adopting a systematic approach in history taking &
. . . . . . . .



doing PE
. .

, INTRODUCTION

• The word 'patient' is derived from the Latin
. . . . . . .



patiens, meaning sufferance or forbearance.
. . . .




• The overall purpose of medical practice is to
. . . . . . .



relieve suffering.
. .




• In order to achieve this purpose,
. . . . .



– it is important to make a diagnosis,
. . . . . .



– to know how to approach treatment, and
. . . . . .



– to design an appropriate scheme of management
. . . . . .


for each patient.
. . .

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Institution
History & Physical
Course
History & Physical

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Uploaded on
July 3, 2025
Number of pages
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Written in
2024/2025
Type
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