The Physical Exam

Chronic Pain Conditions, Sunday Thoughts for Monday Morning, Therapies & Treatments
by: Dr. Michael A. Castillo I have a medical pet peeve lately, physicians relying on MRIs and EMG to make diagnoses, without performing a physical exam. Medicine is an honor to have a career in because you get to touch people physically and emotionally. It comes with a great deal of responsibility. I am getting more referrals where a patient hasn’t been physically examined. The patient tells me what is wrong in the history because the MRI says so. The proper order is History, Physical Examination, and then Tests (MRI, X-rays, Nerve Tests, et al) to create a diagnosis. A mentor once said, “Don’t order a test if it is not going to change what you are going to do, and know what you are going to do with the…
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