The value of examination in the diagnosis of internal diseases

“Of course, Hippocrates was a genius doctor for his time. Well, and we, after all, since then have gone so far that ... we can not even look. " There are the most serious reasons to fear that doctors and in particular therapists (in the mass) hold just such a view. The facts speak for this. We have to constantly observe how they go directly from the anamnesis, for example, to auscultation. One would think that they make an examination while questioning the patient, as, for example, advises Zakharyin. But it turns out that this is not the case either. Changes in the appearance of patients, and sometimes very pronounced, elude their attention, and, thus, do not appear at all in the construction and discussion of the conclusion. Meanwhile, such neglect of the examination is extremely harmful to the diagnosis. I am well aware of several cases when a severe anemia was observed when a pregnant tube was ruptured. Moreover, several doctors looked at one of the patients. And they were quite surprised when, after some time, they learned that the patient had been sent for surgery. In another such case, there was an embarrassing circumstance in the form of vomiting, which B-Naya associated with the allegedly poor-quality sausage.