Physical exams
Independent physical exam of a patient: vital signs and the findings the doctor observes segment by segment. It does not depend on the medical anamnesis.
Physical exploration
| Field | Description |
|---|---|
| General aspect | |
| Head | |
| Neck | |
| Chest | |
| Cardiovascular | |
| Respiratory | |
| Abdomen | |
| Urinary / Genitals | |
| Bones / Muscle | |
| Skin and annexes | |
| Neurological | |
| Psychological/Psychiatric | |
| Ophthalmologic | |
| Otorhinolaryngological (ENT) | |
| Observations | Information about look, skull, eyes, neck, chest, abdomen, genitals, others |
Analysis
| Field | Description |
|---|---|
| Analysis | Free-text conclusion of the doctor based on the anamnesis and the physical exam |
| Diagnostic | |
| Plan | Plan and treatment: medical treatment, referral or procedures |
Actions
| Action | Description |
|---|---|
| Download PDF |
Physical exams It has the following related modules and may be of interest to you:
- Treatment plan
- Diagnoses
- Images and files
- Imágenes privadas
- Patients
- Public Patients
- Prognosis
- Medical Formulas
- Medical records
- Diagnostics
- Physical exams
- Informed consent templates
- Informed consents
- Public Informed Consents
- Evolutions
- Public Evolutions
- Medical disabilities
- Public medical disabilities
- Medical certifications
- Public medical certifications
- Custom Histories
- Custom Histories 1
- Custom Histories 2
- Custom Histories 3
- Public Custom Histories
- Public Custom Histories 1
- Public Custom Histories 2
- Public Custom Histories 3
- Emergencies
- Hospitalizations
- Medicines Dispensation
- Others services
- Other Services
- Patient recommendation templates
- Patient recommendations
- Clinical field templates
- Clinical field evaluation settings