It is well known that advances in scientific medicine have occasionally threatened to displace the history and physical examination in the evaluation of the patient. However, we usually discover that technologic advances serve to make the physical examination more rational and provide new understanding or objective documentation of long- appreciated physical finding

Palpation and percussion usually follow inspection in the examination of the other body systems a Following inspection, the examiner should perform auscultation of the abdomen

Five Ways of GI Bleeding Hematemesis: vomitting of blood of altered blood coffee grounds) indicates bleeding proximal to ligament of Treitz Melena: Tarry stool. Altered (black) blood per rectum(>60ml) Hematochezia: Bright red or maroon rectal bleeding implies bleeding beyond

Respiratory Function Test Spirolmetry Airway resistance compliance Diffusion capacity measure CO Exercise respiratory function test

Significance General condition comprehension Confirm history information Specific sign collection for the diagnosis of certain disease infers certain accessory examines Grossly preclude some certain disorders Contribute a relation between the physician and the patient

Definition of pain A signal of disease Unpleasant sensation localized to a part of the body Penetrating or tissue destructive process stabbing burning twisting tearing squeezing Bodily or emotional reaction

Auscultation normal breath sound vesicular breath sound bronchial breath sound bronchovesicular breath sound

CONTENT Definition of hematuria Etiology Clinical feature Differential diagnosis Laboratory tests Accompanied symptoms

Definition Frequent micturition: voiding at frequent intervals, due to a sense of bladder fullness Normal: 3-5 times in the day time 0-1 time in the night 200-400ml each time

Respiratory Function Test Spirolmetry Airway resistance compliance Diffusion capacity measure CO Exercise respiratory function test