Estudio descriptivo sobre patrones de exploración física de una muestra de médicos españoles / Descriptive study about physical examination patterns of a Spanish physician’s sample

Fundamento y objetivo. Describimos el esquema básico de exploración física (EF) general y los patrones exploratorios por especialidades. Comparamos la EF realizada por internistas y médicos de familia. Pacientes y métodos. Estudio transversal sobre la EF rutinaria realizada por una muestra de médicos españoles. Se analizaron mediante una tabla de frecuencias las 76 maniobras encuestadas y obtuvimos patrones de exploración general y por especialidades. Se ha realizado un análisis comparativo de las maniobras más utilizadas por internistas y médicos de familia. Resultados. Contestaron un total de 131 médicos de 140 encuestados (93,5%) que correspondían a: Medicina Interna (48,1%), Medicina de Familia y General (32,1%), otras especialidades (19,8%), con una media de edad de 37,8 años (intervalo de confianza al 95% [IC 95%]: 36,3-39,4) y una experiencia media de 11,9 años (IC 95%: 10,4-13,5). El patrón de exploración general, utilizado por más del 70% de los médicos encuestados, incluía las maniobras relativas a la exploración general, aparato respiratorio, cardiocirculatorio, gastrointestinal y la exploración neurológica. En comparación con los médicos de familia, los internistas exploran con más frecuencia el peso, la temperatura, la frecuencia cardíaca, presión arterial, exploración del cuello, ingurgitación yugular, aparato respiratorio, exploración abdominal y sistema linfático (p < 0,05). Los médicos de familia realizan más frecuentemente la otoscopia e inspección de nariz, tabique y cornetes (p < 0,05). Conclusiones. La EF es una herramienta flexible que el médico adapta a sus necesidades en función de la especialidad que desarrolla. Los internistas son los médicos que realizan una exploración más completa en comparación con los médicos de familia y otros especialistas (AU)

Background and objetives. We describe the basic scheme of physical examination (PE) and the patterns of PE by specialties. We compare items explored by internists and family physicians. Patients and method. A cross-sectional study on the routine physical examination made by a Spanish physician's sample. Seventy-six maneuvres were analysed by a table of frequencies obtaining physical examination patterns by specialties. Results. A total of 131 physicians of 140 answered the questionnaire (93.5%). They corresponded to Internal Medicine (48.1%), Family and General Medicine (32.1%), other specialties (19.8%). Average age of responders was 37.8 years (Confidence Interval [CI] 95%: 36.3-39.4) and years of experience average were 11.9 (CI 95%: 10.4-13.5). The pattern of general examination used by more than 70% of the physicians surveyed includes maneuvres related to the general examination, respiratory, cardio-circulatory, gastro-intestinal and neurological systems examination. Internists explore weight, temperature, cardiac rate, arterial pressure, neck, jugular ingurgitation, respiratory, abdominal and lymphatic system more often than family physicians (p < 0.05). Family physicians perform otoscopy and nose, conches and nasal septum inspection more often than internists (p < 0.05). Conclusions. PE is a flexible tool physicians adapt to their needs based on the specialty they have. Internists are the specialists who make a more exhaustive physical examination compared with family physicians and other specialists (AU)

[Descriptive study about physical examination patterns of a Spanish physician's sample]. / Estudio descriptivo sobre patrones de exploración física de una muestra de médicos españoles.

BACKGROUND AND OBJECTIVES: We describe the basic scheme of physical examination (PE) and the patterns of PE by specialties. We compare items explored by internists and family physicians. PATIENTS AND METHOD: A cross-sectional study on the routine physical examination made by a Spanish physician's sample. Seventy-six maneuvres were analysed by a table of frequencies obtaining physical examination patterns by specialties. RESULTS: A total of 131 physicians of 140 answered the questionnaire (93.5%). They corresponded to Internal Medicine (48.1%), Family and General Medicine (32.1%), other specialties (19.8%). Average age of responders was 37.8 years (Confidence Interval [CI] 95%: 36.3-39.4) and years of experience average were 11.9 (CI 95%: 10.4-13.5). The pattern of general examination used by more than 70% of the physicians surveyed includes maneuvres related to the general examination, respiratory, cardio-circulatory, gastro-intestinal and neurological systems examination. Internists explore weight, temperature, cardiac rate, arterial pressure, neck, jugular ingurgitation, respiratory, abdominal and lymphatic system more often than family physicians (p<0.05). Family physicians perform otoscopy and nose, conches and nasal septum inspection more often than internists (p<0.05). CONCLUSIONS: PE is a flexible tool physicians adapt to their needs based on the specialty they have. Internists are the specialists who make a more exhaustive physical examination compared with family physicians and other specialists.

Paciente con ductopenia idiopática del adulto / Patient with adult idiopathic ductopenia

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Paciente con ductopenia idiopática del adulto / Patient with adult idiopathic ductopenia

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