Physical Exam

Abstract

The physical examination is an important tool for a clinician in the evaluation and subsequent care of a patient. The process of gathering information on the physical and mental state of a patient is key in determining the differential diagnosis and allows for the use of directed, rather than universal, laboratory studies. The physical examination is a necessary skill for psychiatrists and ED physicians in order to prevent physical illness from going undetected in patients that present with concern for psychiatric ailments. With the evolution of medicine, medical knowledge and discovery increased exponentially but the base of the physical examination remained the same: a discipline rooted in the astute use of the five senses. Evaluation of the psychiatric patient takes an eye for detail, patience and a curious mind.

The physical examination begins as soon as you walk into the patient’s room. Key information can be ascertained even before the clinician begins talking to the patient.