What is a clinical examination?

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Clinical examination is the first examination of all medical examination and treatment processes. Clinical examination helps doctors determine the initial disease status, orienting to appoint appropriate paraclinical tests from which to diagnose the disease.

1. What is a clinical examination?


Clinical examination is the first examination of all medical examination and treatment processes. The doctor will directly examine the patient through the basic clinical skills of seeing, touching, typing, listening,... to detect abnormal signs of the organs in the body. Clinical examination helps doctors find out factors that affect the patient's health status such as age, medical history, living environment, occupation, alcoholism, smoking... determine the initial disease status, orient to appoint appropriate paraclinical tests from which to diagnose the disease.
Clinical examination is also a key part of periodical general health checkups. Physical examination is a good time for you to discuss your health problems with your doctor, such as informing your doctor about unusual symptoms that appear during this time that make you feel uncomfortable and worried; Any allergies to food, to medications you've had recently, etc. You can also discuss with your doctor what vaccines you should get, lifestyle and dietary changes you should make. to prevent diseases.

Khám lâm sàng là hoạt động khám đầu tiên của tất cả quy trình khám chữa bệnh
Khám lâm sàng là hoạt động khám đầu tiên của tất cả quy trình khám chữa bệnh

2. How does the clinical examination take place?


The physical exam during a general physical exam will usually go like this:
Your doctor will ask you questions about your medical history, including drug allergies, food allergies, previous surgeries done, the symptoms are being experienced. The doctor may also ask about your lifestyle such as exercise, smoking or drinking, etc. You will also be checked for fitness indicators such as height, weight, BMI, heart rate. , breathing rate, body temperature,... The doctor will begin a general examination of the body parts to detect abnormal signs. Your doctor may ask you to sit or stand to facilitate the examination. Next, the doctor may ask you to lie down, to observe, touch to check the size, position, hardness, softness of the liver, spleen, kidney,... The doctor will use a stethoscope. to listen to the lungs when you take a deep breath, listen to bowel movements, listen to the large arteries in the abdomen such as the aorta, renal artery, iliac artery,... The doctor also uses headphones to listen to the heart, through aus The doctor can assess the function of the heart, the valves of the heart, etc. The doctor can use his fingers or use a device called a percussion, which is used to knock on organs. This technique helps the doctor to discover the abnormal appearance of gas and liquid in the organs, determine the size of the liver, spleen, etc. After clinical examination, if abnormalities are detected in an organ In case of any disease in the body, the doctor will assign specific paraclinical tests for the suspected pathology or prescribe imaging techniques such as ultrasound, X-ray, computed tomography, .. .to confirm the diagnosis.

Bác sĩ sẽ hỏi bạn các câu hỏi liên quan đến tiền sử bệnh
Bác sĩ sẽ hỏi bạn các câu hỏi liên quan đến tiền sử bệnh

3. Clinical and subclinical examination


Paraclinical examination includes many testing and imaging techniques, helping to effectively support doctors in diagnosis and treatment. Some commonly performed paraclinical techniques such as:
Blood tests include many different tests such as blood count test, blood biochemical test, blood glucose test, blood cholesterol, uric acid, inflammation test hepatitis B, hepatitis C, ... to detect diseases of blood, kidney, urinary, liver, blood pressure, cardiovascular, diabetes,... Test of urine parameters helps to detect kidney-urinary, genitourinary diseases,... X-ray: is a method of using high radiation X-rays to penetrate soft tissues and fluid components in the body to create images. X-ray is indicated to diagnose many diseases, especially lung, bone, and cardiovascular diseases. Ultrasound: is a technique that uses ultrasound waves to build and reconstruct images of structures inside the body. Ultrasound can be used to examine many organs such as the abdomen, pelvis, mammary glands, thyroid, blood vessels,... Computed tomography (CT) scan: is a technique that uses X-rays to scan an area of ​​the body. body in cross-section combined with computer processing to produce two-dimensional or three-dimensional images of the part to be taken. Computed tomography is widely used to detect tumors, abscesses, abnormalities in parts of the body, in addition, CT scans also help guide surgery, radiation therapy and follow-up after surgery. . During the general physical examination, the routine laboratory techniques are:
Blood count test Blood biochemistry test Cardiopulmonary X-ray However, during the clinical examination, if the doctor detect abnormal signs, suspect pathology in the organs, the doctor will order more tests to confirm the diagnosis. For example, if a person has an increased blood pressure, an irregular heartbeat, the doctor may order a blood cholesterol test, a blood sugar test, an echocardiogram, etc. In addition, at each age Tests are also needed to screen for common conditions. Like women after the age of 40, it is recommended to have tests, mammograms to screen for breast cancer; bone density test to assess the risk of osteoporosis. Both men and women over age 50 should be screened for colorectal cancer. If there is a family history of the disease, screening should be done earlier.

Siêu âm là tái tạo hình ảnh cấu trúc bên trong cơ thể giúp chẩn đoán bệnh
Siêu âm là tái tạo hình ảnh cấu trúc bên trong cơ thể giúp chẩn đoán bệnh

Thus, in general health examination, doctors always coordinate between clinical examination and subclinical examination. Clinical examination includes vision, hearing, percussion, and palpation combined with careful history and symptoms. Subclinical examination by performing tests and imaging techniques will show indicators and images of organs in the body. Combining clinical and paraclinical examinations in a periodical general health check-up, the doctor will accurately determine the health status of the person who comes for the examination, helping to detect the disease condition or the risks that may cause disease in the future. future for timely treatment and intervention.
Vinmec Health System has long been famous for its modern facilities, outstanding standards, high quality human resources, and is performed by well-trained experts and doctors in the industry. both at home and abroad. Besides, to meet the needs of examination, treatment, diagnosis and prevention of diseases, Vinmec now also deploys many convenient medical services that are satisfied by many customers.
Accordingly, Vinmec International General Hospital has been and continues to invest in renovating modern equipment, at the same time applying science, technology, and the latest medical treatments to treatment. Therefore, Vinmec International General Hospital is considered as an international standard medical care address in Vietnam.
Currently, Vinmec is implementing a lot of periodic health checkup packages suitable for each age, gender and individual needs of customers with very favorable price policy, including:
General health checkup package Work permit- issue work permit Child health check-up package Standard general health check-up package Special general health check-up package VIP general health check-up package Diamond general health checkup package Advantages when At Vinmec, customers will be directly examined by highly qualified and experienced doctors, and will be screened and screened by a system of modern equipment to help diagnose. the best current machines such as PET/CT, MRI, CT 640, the world's leading advanced ultrasound system, international standard laboratory system,... After a general examination, if any abnormalities are detected diseases, customers can use services from other specialties at the hospital with outstanding treatment quality.
Reference source: healthline.com

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