Dictation Transcription

Medical Reports And The Foreign Language Of Medicine by Connie LimonTechniques used by physicians to gather data for a diagnosis consists of two procedures known as:* History Examination * Physical ExaminationCombined, these two make the physician report of "history and physical examination." The history portion is the patient's own description of his or her experiences, observations, symptoms or complaints of illness.

The physical examination consists of a process whereby the physician seeks and observes objective changes and abnormalities, which are the signs of illness.In a typical case, a skillfully obtained history provides a larger number of diagnostic clues that are more useful and specific than the actual physician's physical examination.