1) The clinical exam receives a lot of flak everyday but we forget one very simple thing.
Many investigations like the USG or echo are highly operator dependent.
Many investigations like the USG or echo are highly operator dependent.
2) Secondly, the cornerstone of all investigations is basically clinical correlation.
Imaging or lab findings by themselves are not to be taken too seriously --> without a clear clinical issue.
This is what we have been taught and it works!
Imaging or lab findings by themselves are not to be taken too seriously --> without a clear clinical issue.
This is what we have been taught and it works!
3) This is important for all residents.
Don't order investigations blindly without understanding the reasoning and defining a clinical question that needs to be answered.
You need concordance btw all three --> hx, findings and labs!
Don't order investigations blindly without understanding the reasoning and defining a clinical question that needs to be answered.
You need concordance btw all three --> hx, findings and labs!
4) The art and science of clinical decision making is not well taight in most Indian residencies.
Its usually an ad hoc affair with little scientific depth.
I can recommend this resource for the beginner.
#MedTwitter
#diagnosticreasoning
#clinicalcorrelation
Its usually an ad hoc affair with little scientific depth.
I can recommend this resource for the beginner.
#MedTwitter
#diagnosticreasoning
#clinicalcorrelation
*taught
5) But we must remember that the Indian medical education system places undue emphasis on certain physical exam findings especially in the context of exams.
I find that meaningless.
I find that meaningless.
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