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So, if the physical exam was developed because the good ol' doctors didn't have the same advanced tools and technologies that we have now, then what's the point of teaching the physical exam today?
More commonly, the physical exam can provide not a diagnosis but an essential clue to direct further testing—a shortcut to the right answer. Ordering a slew of studies to evaluate a patient might get you the answer eventually, but time is often short in the care of a very sick patient. In many cases a careful exam can focus the search and help the physician find the problem faster. Where such an advantage would be most helpful, naturally, is among those patients who are critically ill. But even here—maybe especially here—the physical exam is becoming as obsolete as the doctor’s black bag.
The sicker the patient, the greater the temptation to skip the fundamentals—like the physical examination—and to rely on the available technology to provide us with answers. It’s a temptation that can sometimes prove fatal
- Every patient tells a story
The sicker the patient, the greater the temptation to skip the fundamentals—like the physical examination—and to rely on the available technology to provide us with answers. It’s a temptation that can sometimes prove fatal
- Every patient tells a story
Dr. Irwin Braverman, a professor of dermatology for over fifty years, had long been frustrated by the difficulty students had in describing findings of the skin. It might have been a knowledge deficit—easily remedied with books, pictures, and tests. But Braverman suspected that what his students principally lacked was the skill of close observation. Too often they wanted to cut straight to the answer without paying attention to the details that took them there.
- Every patient tells a story
- Every patient tells a story
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In case you wanted to try this on some paintings, I suggest these:
One last note:
using only concrete descriptive terms. If you think a character looks sad, figure out what you are seeing that makes you think that and describe it. If you think that the picture suggests a certain place or class, describe the details that lead you to that conclusion.
using only concrete descriptive terms. If you think a character looks sad, figure out what you are seeing that makes you think that and describe it. If you think that the picture suggests a certain place or class, describe the details that lead you to that conclusion.
Also, If you wanna play this game of deduction, I'll be happy to hear about what you saw in these paintings 🍻
Good intentions will always be pleaded for every assumption of authority. It is hardly too strong to say that the Constitution was made to guard the people against the dangers of good intentions.
- Daniel Webster
- Daniel Webster