Looking for signs of disease through check-ups

The physical/medical/clinical examination (more popularly known as a “check-up” or “medical”) is the process by which a doctor investigates the body of a patient for signs of disease: ‘symptoms’ are what the patient volunteers, while ‘signs’ are what the healthcare provider detects by examination.

The healthcare provider uses the senses of sight, hearing, touch, and sometimes smell; e.g., in infection, uremia/uraemia (a term used to loosely describe the illness accompanying kidney failure (also called renal failure), in particular the nitrogenous waste products associated with the failure of this organ), diabetic ketoacidosis (a potentially life-threatening complication in patients with diabetes mellitus). Taste has been made redundant by the availability of modern lab tests.

Four actions are taught as the basis of physical examination: inspection, which in medicine, is the through and unhurried visualization of the client; palpation (feel), used as part of a physical examination in which an object is felt (usually with hands of a healthcare practitioner) to determine its size, shape, firmness, or location; percussion (tap to determine resonance characteristics), a method to determine the underlying structure, and is used in clinical examinations to assess the condition of the thorax or abdomen; and auscultation (listen), or the term for listening to the internal sounds of the body, usually using a stethoscope. This order may be modified depending on the main focus of the examination (e.g., a joint may be examined by simply “look, feel, move.” Having this set order is an educational tool that encourages practitioners to be systematic in their approach and refrain from using tools such as the stethoscope--an acoustic medical device for auscultation, or listening to the internal sounds of an animal or human body--before they have fully evaluated the other modalities).

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