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    How to perform a better physical exam

    There is a trend in internal medicine to get away from doing complete physical examinations on each visit, with a minimalistic approach to a healthy patient.1 I am not prepared to go that far just yet, but I have modified my examination in many ways over the years. Here are some gems I have unearthed.


    1. Krogsbøll LT, Jørgensen KJ, Grønhøj Larsen C, Gøtzche PC. General health checks in adults for reducing morbidity and mortality from disease: Cochrane systematic review and meta-analysis. BMJ. 2012;345:e7191.

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      I am glad there is somebody that still believes on physical exams. I was trained to do a good physical exam always and then decide which tests to perform. Also, a good history is essential! It seems to me that nowadays is all backwards. Even as an adult I have been in situations that a physician ordered an CT scan before laying a hand on me. My congratulations to Dr. Farber.


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