Diagnostic Tests and Procedures in Medical Examinations

Diagnostic Tests and Procedures

Scanning and Recording (Tests Diagnosed Tics)

Clinical History is the initial interview with the doctor, where a thorough and systematic interrogation is conducted about the patient's history, current state, and finally completed with a physical exam and follow-up on their evolution.

All information is documented to form the clinical history, including surgical operations and procedures performed.

The clinical history comprises the following parts:

1. Interrogation or Amnesis
2. Physical Examination
3. Tracking the Evolution of the Patient

1. Interrogation (Amnesis)

Personal History (of the patient): Name, age, marital status, address, etc.

Family History (Clinical): Information about relatives, including their health status, diseases, and causes of death.

Personal History (from childhood): Immunizations, allergies, interventions, etc.

Present Illness: Addressing three key questions:

1. What is the problem?
2. Since when has it been present?
3. What do they attribute it to?

Data Collection: Researching signs and symptoms that may indicate pathology.

2. Physical Examination

Observing signs and symptoms to guide the diagnosis. The physical examination includes:

1. Inspection
2. Palpation
3. Percussion
4. Auscultation

Inspection: Observing the patient, analyzing their age, morphological and functional alterations.

Palpation: Using one or both hands to palpate different body parts to locate potential pain points or organic abnormalities (e.g., the size of some organs).

Percussion: Striking different parts or areas of the body with fingers to produce different sounds.

• Dull sound: When percussing areas that have no air.
• Tympanic sound: Results from vibration and air, heard in the stomach and intestine.

Auscultation: Listening to physiological or pathological sounds within the body, important for exploring lung and heart sounds, intestinal sounds, and the fetus during gestation.