While the patients history may provide clues to an underlying diagnosis a thorough physical exam can offer key evidence for pruning the cause list which narrows the diagnostic workup and can ultimately lead to an accurate diagnosis within a shorter time span 5 in an observational study regarding the impact of the physical exam on diagnosis and subsequent treatment reilly noted that in 26 of patients a skilled physical exam provided a pivotal finding that changed the patients . During the course of the history you will gather a wealth of information on the patients education and social background and to a lesser extent there will be physical signs to pick up examination needs to be as focused as history try to learn and apply good technique quite simply good technique is more likely to give a correct result than poor technique the yield from examining systems that are not obviously relevant is too low to justify in such limited time. Physical diagnosis the history and examination of the patient condition is good shipped with usps media mail