Diagnostic Procedures Black Hole in Galaxy NGC 4261

Clinical / Physical Examination

The physical assessment of a patient utilizes inspection, palpation, percussion, auscultation, olfaction and adjunctive techniques. Following documentation of the physical examination, radiographic examination, laboratory examination, and adjunctive procedures an assessment (diagnosis) is formulated for the patient. A treatment plan is then developed relative to the diagnosis. The traditional physical examination is outlined as follows:


	General Appearance - (height, weight, demeanor, posture, gait, and odor) 
	VS - vital signs (blood pressure, temperature, respiratory rate, pulse)
	Head
	Eyes
	Ears
	Nose
	Throat
	Dental
	Mouth
	Face
	Neck
	Chest
		heart
		lungs
	Abdomen
	Back
	Genitalia/Rectal
	Extremities
	Skin
	Neuro
	

Weed's problem-oriented medical record is an alternative approach that list established diagnoses as well as unexplained findings as either active or inactive in a problem list. The problems are numbered and given a title. Subsequent patient information is entered into the record relative to the number to which it belongs. A progress note for a given problem is outlined as follows:


	Subjective: (data)
	Objective: (data)
	Assessment:
	Plan:

Email comments or suggestions to:
steven@occ-uky.campus.mci.net

Steven R. Tucker DMD, PSC
909 Scherm Rd
Owensboro, KY 42301
phone: 1-502-926-4107
fax: 1-502-926-4166
url: http://www.srt-psc.com

Last Modified: July 6, 1997

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