The Physical Examination
There is no correct sequence of performing a physical examination. It is important for all doctors to develop their own approach. By so doing the clinician will reduce the risk of making mistakes. The time-honoured sequence of physical examination is:
1. inspection
2. palpa I ion
3. percussion
4. auscultation.
These have to be integrated into the examination and can be altered as deemed necessary. For example, it may be advisable to listen in bowel sounds before palpating die abdomen.
Although the tendency is to teach the techniques of physical examination system by system, in practice these require to be integrated because this approach is less tiring to the patient.
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