Ladies & gentleman of the jury, I present...the nursing documentation. Physical examination. A physical examination, medical examination, or clinical examination (more popularly known as a check-up or medical) is the process by which a medical professional investigates the body of a patient for signs of disease. It generally follows the taking of the medical history — an account of the symptoms as experienced by the patient.
Together with the medical history, the physical examination aids in determining the correct diagnosis and devising the treatment plan. This data then becomes part of the medical record. A Cochrane Collaboration meta-study found that routine annual physicals did not measurably reduce the risk of illness or death, and conversely, could lead to over-diagnosis and over-treatment. Medical uses[edit] A physical examination may be provided under health insurance cover, required of new insurance customers, or stipulated as a condition of employment (in this case, it is called pre employment medical clearance). Format and interpretation[edit] Example[edit]
North Carolina Board of Nursing. Insurance Options available through NSO. Eastern Area Health Education Center. Medical Terminology, DiSC Profile & Training Resources by Corexcel. Accreditation, Health Care, Certification | Joint Commission. Www.learningextpim.com.