Problem focused physical exam

In your Primary Care Practicum, you will rarely see your preceptors perform a comprehensive exam like the one you’ll learn in Immersion. They are much more likely to perform an exam focused on the one or two organ systems most relevant to the reason the patient is being seen. This problem focused exam is used to answer specific clinical questions about the patient you are seeing.

Examples of clinical questions Problem focused exam
Is my patient with heart failure on enough water pills (diuretics)?
  • Measure jugular venous pressure
  • Auscultate heart and lungs
  • Look for leg edema
Is my pediatric patient developing as expected?
  • Developmental milestones
Is my patient with diabetes developing complications?
  • Fundoscopic exam for retinopathy
  • Sensory testing for neuropathy
  • Foot exam
Does my patient’s back pain have a serious cause?
  • Temperature
  • Complete back exam
  • Lower extremity neurologic exam

As you learn about each organ system in your Foundations Blocks, we will teach you new exam maneuvers that can help you answer specific clinical questions. You will also learn how to focus and how to expand your exam based on your patient’s chief concern and the clinical setting

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The Foundations of Clinical Medicine Copyright © by Karen McDonough. All Rights Reserved.