PHYSICAL EXAMINATION:

 


In an era of increasingly sophisticated testing, the

physical examination (or ‘laying on of hands’) is not

only about tradition—physical examination remains

a key element in the diagnostic and healing process.

Patients expect to be examined and this strengthens the

doctor–patient relationship.1,2 Even more importantly,

failing to examine remains a common reason avoidable

errors are made.1,2 You must learn to become an expert

in physical examination.

Students beginning their training in physical

examination will be surprised at the formal way this

examination is taught and performed.3,4 There are,

however, a number of reasons for this formal approach.

The first is that it ensures the examination is thorough

and that important signs are not overlooked because

of a haphazard method.5 The second is that the most

convenient methods of examining patients in bed, and

for particular conditions in various other postures, have

evolved with time. By convention, patients are usually

examined from the right side of the bed, even though

this may be more convenient only for right-handed

people. When students learn this, they often feel safer

huddling on the left side of the bed with their colleagues

in tutorial groups, but many tutors are aware of this

strategy, particularly when they notice all students

standing as far away from the right side of the bed as

possible.

It should be pointed out here that there is only

limited evidence-based information concerning the

validity of clinical signs. Many parts of the physical

examination are performed as a matter of tradition.

As students develop their examination skills, experience

and new evidence-based data will help them to refine

their use of examination techniques. We have included

information about the established usefulness of signs

where it is available, but have also included signs that

students will be expected to know about despite their

unproven value.

This formal approach to the physical examination

leads to the examination of the parts of the body

by body system. For example, examination of the

cardiovascular system, which includes the heart and

all the major accessible blood vessels, begins with

positioning the patient correctly. This is followed by

a quick general inspection and then, rather surprisingly

for the uninitiated, seemingly prolonged study of

the patient’s fingernails. From there, a set series of

manoeuvres brings the doctor to the heart. This type

of approach applies to all major systems, and is designed

to discover peripheral signs of disease in the system

under scrutiny. The attention of the examining doctor

is directed particularly towards those systems identified

in the history as possibly being diseased, but of course

proper physical examination requires that all the systems

be examined.

The danger of a systematic approach is that time

is not taken to stand back and look at the patient’s

general appearance, which may give many clues to

the diagnosis. Doctors must be observant, like a

detective (Conan Doyle based his character Sherlock

Holmes on an outstanding Scottish surgeon).6 Taking

the time to make an appraisal of the patient’s general

appearance, including the face, hands and body, conveys

the impression to the patient (and to the examiners)

that the doctor or student is interested in the person

as much as the disease. This general appraisal usually

occurs at the bedside when patients are in hospital,

but for patients seen in the consulting room it should

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