TY  - CHAP
M1  - Book, Section
TI  - Chapter 1. History and Physical Examination: Art and Science
A1  - Fitzgerald, Faith T.
A2  - Henderson, Mark C.
A2  - Tierney, Lawrence M.
A2  - Smetana, Gerald W.
PY  - 2012
T2  - The Patient History: An Evidence-Based Approach to Differential Diagnosis, 2e
AB  - The  medical  history  and  physical  examination  are  not  separate  entities,  but  necessarily  continually  enrich  one  another  at  every  point.  The  patient's  history  leads  the  skilled  doctor,  even  as  he  or  she  is  eliciting  it,  to  think  of  “things  to  look  for”  on  physical  examination,  and  physical  findings—some  of  which  are  immediately  obvious  when  one  first  meets  the  patient—stimulate  further  historical  questions.  This  fluid  oscillation,  the  ongoing  back-and-forth  between  these  two  pillars  of  diagnosis,  is,  perhaps,  the  most  difficult  thing  for  students  of  medicine  to  grasp  because  it  is  learned  only  by  evaluating  real  patients.  Standardized  patients  do  not  have  “true”  physical  findings  that  match  the  history  or  may  have  physical  signs  not  “in  the  script.”  The  techniques  and  some  findings  of  physical  examination  can  be  described  in  books,  seen  on  video,  heard  on  audio,  and  demonstrated  on  simulacra  or  on  well  people,  but  the  essential  clues  given  by  the  physical  findings  in  subsequent  real  patients,  and  their  intertwining  relationship  with  the  history,  cannot.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=56850001
ER  -