Evidence Based Clinical Exam by Dr. Steven Peitzman with contributions by Drs. Hong, Lamoreux, Sandella, and Ziring

Intro

Pulmonary

Abdominal
Cardiac
Knee
Hand-Elbow

Introduction to the clinical examination

Pulmonary Percussion, Auscultation (Fremitus?)

Auscultation, Percussion, Palpation, Special tests

(Ultrasound)

Inspection, apex beat, auscultation, and draping the female patient

Inspection, palpation, exam in supinal and in sitting position

Inspection, Palpation, and ROM of Hand - Wrist - Elbow - Shoulder

 
exam questions
exam questions
exam questions
exam questions
 


Shoulder
Back Pain
Breast
Pelvis
Presentation
ROS
Oral Presentation

100% watched
Discussion and role-modeling of the shoulder-exam The focused examination of the patient with low back pain Role-modeling and discussion of the breast exam Explanation and demonstration of the pelvic exam Role-modeling how to present a patient to the attending. A complete Review of Systems (ROS)
 
interactive shoulder exam
exam questions
exam questions
Video by UT Health Science Center    

Videos especially made for 1st year medical students

Vital Signs and Pulmonary Exam HEENT Exam Abdominal Exam Complete Physical Exam head to toe
taking the blood pressure
cardio vascular exam
musculo skeletal exam
neuro exam
by Dr. Pam Duke by Dr. Pam Duke by Dr. Pam Duke by Dr. Pam Duke

Additional videos for 1st year medical students

Cardiac 1
Cardiac 2

Pulmonary 1

Pulmonary 2

Abdominal 1
Abdominal 2
ENT
Vital Signs

INSPECTION

AUSCULTATION

AUSCULTATION

RALES

INSPECTION

PALPATION

ENT

VITAL SIGNS


Most Common Errors in the Clinical Exam SP training on the cardio-vascular exam SP training on the musculo-skeletal exam SP training on the neurologic exam
by Dr. Steven Peitzman by Drs. Baronowsky and Peitzman by Drs. Baronowsky and Peitzman by Drs. Baronowsky and Peitzman

example of vertical gaze
example of pitting edema

     

Modules from the GEM (gender and ethnics in medicine) project

Cardio-Vascular Health

Mental Health

Oral Health
GI Health
GEM cardiovascular
GEM mental/div>
GEM oral
GEM gastroenterology

Drs Núñez and Lee discuss Cardio-vascular Health issues related to Gender, Ethnicity, and more...

Drs Schindler and Yeh discuss Mental Health issues related to Gender, Ethnicity, and more...

Drs Cohen and Yeh discuss Oral Health issues related to Gender, Ethnicity, Age and more...

Drs Frank and Yeh discuss GI Health issues related to Gender, Ethnicity, Age and more...

Other resources:

External sites

Site with many auscultation examples (heart, lung, abdomen) and quizzes:
http://www.practicalclinicalskills.com/

Checking the vital signs
UCSD School of Medicine: http://meded.ucsd.edu/clinicalmed/vital.htm

Substance Use

The Clinical Assessment of Substance Use Disorders by Barbara Schindler et al., Drexel University College of Medicine and National Institute on Drug Abuse NIDA
http://webcampus.med.drexel.edu/NIDA/

Drug Abuse in Women by Barbara Schindler, Drexel University College of Medicine
webcampus.med.drexel.edu/skills/

Head and Neck

The neurologic testing of the cranial nerves
University of Berne, CH: webcampus.med.drexel.edu/skills/

The Ocular Fundus
University of Berne, CH: piripirei.net/OcularFundus/

The Vienna Opthalmic Case Studies
University of Vienna, A: www.meduniwien.ac.at/augen/englisch/steps.htm

Eye Movement Simulator
UC Davis School of Medicine: http://cim.ucdavis.edu/eyes/version15/eyesim.html

The HEENT exam
University of Virginia: www.med-ed.virginia.edu/courses/pom1/videos/HEENT.cfm

Chest

The chest exam
University of Virginia: www.med-ed.virginia.edu/courses/pom1/videos/chest.cfm

Lung-sounds: http://www.rale.ca/Recordings.htm

Cardivascular

The cardiac exam
University of Virginia: www.med-ed.virginia.edu/courses/pom1/videos/cardiac.cfm

Heart sounds and murmurs: http://www.practicalclinicalskills.com/ an http://www.blaufuss.org/

The Auscultation Assistant
UCLA, USA: www.med.ucla.edu/wilkes/inex.htm

Musculoskeletal

The upper extremities exam
University of Virginia: www.med-ed.virginia.edu/courses/pom1/videos/upextremities.cfm

The lower extremities exam
University of Virginia: www.med-ed.virginia.edu/courses/pom1/videos/lowextrem.cfm

Abdomen

Abdominal exam
University of Virginia: www.med-ed.virginia.edu/courses/pom1/videos/abdomen.cfm

Basic abdominal examination
St. George's University, UK: www.elu.sgul.ac.uk/cso/

The neurologic exam of the torso
University of Berne, CH: webcampus.med.drexel.edu/skills/

Ultrasound of the abdomen
Goettingen University Medical School, D: webcampus.med.drexel.edu/skills/

Pelvis, Genitals and Rectum

Pelvic Exam Video by the UT Health Science Center in San Antonio

The NYU virtual pelvic trainer
edinfo.med.nyu.edu/mvp/vpt/

The rectal exam
University of Goettingen, D: webcampus.med.drexel.edu/skills/

The examination of a hernia
University of Goettingen, D: webcampus.med.drexel.edu/skills/

CNS Functions

The NeuroLogic Exam: an anatomical approach
Universities of Utah & Nebraska: library.med.utah.edu/neurologicexam/html/home_exam.html

The PediNeurologicExam
Universities of Utah & Nebraska: library.med.utah.edu/pedineurologicexam/html/home_exam.html

The Neurologic Exam
University of Toronto, CA:http://neuroexam.med.utoronto.ca

The gait exam
University of Berne, CH: webcampus.med.drexel.edu/skills/

The exam of the equilibrium
University of Berne, CH: webcampus.med.drexel.edu/skills/

The headache interview: webcampus.med.drexel.edu/interactive/headache/


This site was developed by Christof Daetwyler MD at Drexel University College of Medicine