Professional Documents
Culture Documents
BIBLIOGRAPHY
● MEDICAL SEMIOTICS by MirelaTomescu-
Bordejevic
● Bate's guide to physical examination
● http://meded.ucsd.edu/clinicalmed/introduction.htm
● The Merck manual
http://www.merckmanuals.com/home/index.html
● Harrison's Priciples of Internal Medicine
● Cecil Textbook of Medicine
● http://www.learnerstv.com/medical.php (video
courses)
DEFINITION
= The science of the symptoms and signs of
diseases
SYMPTOM
● any sensation that is experienced by a patient
and is associated with a particular disease
● it is subjective
SIGN
● any abnormality, such as a change in
appearance, observed by the physician when
evaluating a patient, which indicates a
disease process
● It is objective
-SYMPTOMS: headache, nausea,
itching
● IDENTIFYING DATA
● CHIEF COMPLAINT(S)
● PAST PERSONAL HISTORY
● FAMILY HISTORY
● LIVING AND WORKING (SOCIAL HISTORY)
● HISTORY OF THE PRESENT ILLNESS
IDENTIFYING DATA
● Age, gender, occupation, marital status
● 2. MEDICAL
- CHILDHOOD ILLNESSES: measles, rubella,
whooping cough, chicken pox, rheumatic fever,
polio, etc
- ADULT ILLNESSES (medical, surgical,
psychiatric)
FAMILY HISTORY
● SPECIFIC ILLNESSES IN FAMILY (siblings,
parents, grandparents, children, grandchildren)
● SOURCE OF STRESS
HISTORY OF THE PRESENT
ILLNESS
● AMPLIFIES THE CHIEF COMPLAINT
(describes each symptom in detail)
● ALLERGIES
THE SEVEN ATTRIBUTES OF A
SYMPTOM
● LOCATION + RADIATION
● QUALITY
● SEVERITY
● TIMING (onset, duration, frequency)
● SITUATIONS IN WHICH SYMPTOM OCCURS
● REMITTING OR EXACERBATING FACTORS
● ASSOCIATED MANIFESTATIONS
PHYSICAL EXAMINATION
- THE COMPREHENSIVE EXAMINATION OF
THE BODY SYSTEMS
4 TOOLS:
● INSPECTION
● PALPATION (feeling with the hands)
● PERCUSSION
● AUSCULTATION (listening with a stethoscope)
!!! WASH YOUR HANDS !!!