Reprint requests to Henderson General Division, Room 408; McMaster Clinic, 711 Concession St, Hamilton, Ontario, Canada L8V 1C3 (Dr Sackett).
Our first moments with a patient are packed with visual, auditory, and tactile information that determines both the effectiveness and the costs of our subsequent care. Of all the diagnoses that ever will be made, most are made during the history, and most of the rest during the physical examination. For example, Crombie1 documented that 88% of diagnoses in primary care were established by the end of a brief history and some subroutine of the physical examination. Similarly, Sandler2 found that 56% of patients in a general medical clinic had been assigned correct diagnoses by the end of their history, and that this figure rose to 73% by the end of their physical examination. Even when patients are referred to
See also pp 2638 and 2645. specialty centers after exhaustive workups elsewhere, attention is appropriately refocused on the clinical examination: the patient's "story" and the physical examination. Indeed,
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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