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Old 04-20-2014
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Default "Focused" physical examination - meaning?!?!

I am very confused about the "focused" physical examination! For example: in an obvious orthopedic case such as plantar fasciitis, why do I have to listen to one's heart and lungs?! (This is one of the cases in First Aid) Why isn't a joint + neuro exam in the lower extremities enough for such a case? According to me, this should count as a "focused" physical examination!

Now, let's say I am wrong and that in an obvious orthopedic case you should actually listen to the heart and lungs too. Then... Why do the authors of the same First Aid book think that in the case of back pain due to sprained muscle/disk herniation examination of the back and neurological examination of the lower extremities is enough? If you should do a CV and chest exam for plantar fasciitis, why shouldn't you do it in a herniated disk too?

It seems to me that the physical exam checklist in First Aid is kind of random!
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Old 04-23-2014
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That FA is outdated.. And I agree with you, in muskuloskeletal focus the PE only in MSK (one joint above and below, Inspection, palpation, ROM) and distal neurovascular function (pulse, sensation, active motor, reflex). In my exam I only had the time to do just that and I passed. Didn't do any heart/lung for that kind of cases.
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JLY7 (04-23-2014)


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