Physical Examination

Wash your hands preferably before touching the patient or beginning the physical examination.

Tell the patient when you are going to begin the physical exam. Describe the manoeuvres either before or as you do them. Do a focused examination based on the patient's complaint, symptoms, and history. Perform physical examination manoeuvres correctly and expect that there will be positive physical findings in some instances. Some may be simulated, but you should accept them as real and factor them into your evolving differential diagnosis. The testing area of the CSA Centre consists of a series of examination rooms equipped with standard examination tables, commonly-used diagnostic instruments (blood pressure cuffs, otoscopes, and ophthalmoscopes), latex gloves, sinks, and paper towels.

Be considerate of the patients and always keep them comfortable and properly draped as you perform the physical examination. Always use patient gowns and drapes appropriately to maintain patient modesty and comfort, but never examine through the gown. Never perform rectal, pelvic, genitourinary, or female breast examinations.

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