Bates' pocket guide to physical examination and history by Lynn S Bickley; Peter G Szilagyi; Barbara Bates

By Lynn S Bickley; Peter G Szilagyi; Barbara Bates

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Learn to apply these principles to your clinical findings and the tests you order. ● Displaying clinical data. To use these principles, it is important to display the data in the 2 × 2 format diagrammed on page 32. Always using this format will ensure the accuracy of your calculations of sensitivity, specificity, and predictive value. P RINCIPLES OF T EST S ELECTION AND U SE Reliability: The reproducibility of a measurement. It indicates how well repeated measurements of the same relatively stable phenomenon will give the same result, also known as precision.

No church or other organizational support. , works 9:00 to 5:30, eats dinner alone. Exercise and diet. Gets little exercise. Diet high in carbohydrates. Safety measures. Uses seat belt regularly. Uses sunblock. Medications kept in an unlocked medicine cabinet. Cleaning solutions in unlocked cabinet below sink. Mr. N’s shotgun and box of shells in unlocked closet upstairs. Review of Systems General. *Has gained about 10 lbs in the past 4 years. Skin. No rashes or other changes. Head, Eyes, Ears, Nose, Throat (HEENT).

Because we bring our own values, assumptions, and biases to every encounter, we must look inward to clarify how our expectations and reactions may affect what we hear and how we behave. Self-reflection brings a deepening personal awareness to our work with patients and is one of the most rewarding aspects of providing patient care. ● Review your clinical behavior and appearance. Consciously or not, you send messages through your behavior. Posture, gestures, eye contact, and tone of voice all can express interest, attention, acceptance, and understanding.

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