A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination – including blood pressure, pulse, body temperature, body weight, body height; further:
- Inspection (viewing).
- Skin and mucous membranes [due tosymptom: allergies (55% of cases)]
- Pharynx (throat) [sore throat (85% of cases)]
- Lymph node stations [pressure painful lymph nodes (80% of cases)]
- Auscultation (listening) of the heart [due tosymptoms: tachycardia (heartbeat too fast: > 100 beats per minute) (10% of cases); chest pain (chest pain) (5% of cases)]
- Auscultation of the lungs
- Palpation (palpation) of the abdomen (abdomen) (pressure pain?, knocking pain?, coughing pain?, defensive tension?, hernial orifices?, kidney bearing knocking pain?) [due tosymptom: abdominal pain (40% of cases)]
- Inspection (viewing).
- Neurological examination [due todifferential diagnoses:
- Encephalomyelitis – inflammation of the brain (encephalitis) and spinal cord (myelitis).
- Fibromyalgia (fibromyalgia syndrome) – syndrome that can lead to chronic pain (at least 3 months) in several regions of the body.
- Sleep apnea syndrome – cessation of breathing during sleep, leading to fatigue during the day until falling asleep]
- Psychiatric examination [due todifferential diagnoses:
- Hypochondria – mental illness in which the individual suffers from great fears of having a serious illness, but it cannot be proven.
- Psychoses – mental disorder with temporary loss of reality.
- Overexertion syndrome]
- Health Check
Square brackets [ ] indicate possible pathological (pathological) physical findings.
