373:
487:
42:
157:
462:. A small amount of low-quality evidence in medical research supports this idea. Furthermore, the cost of staff health insurance will be lower. However, certain exams or tests that are requested by employers, such as a baseline low back x-ray, should not be performed, according to the American College of Occupational and Environmental Medicine. Reasons for this include the legality and medical necessity of the test as well as the inability of such testing to predict future problems, the radiation exposure to the worker, and the cost of the exam.
581:
737:
1085:, the history and physical remain indispensable steps in evaluating any patient. Before the 19th century, the history and physical examination were nearly the only diagnostic tools the physician had, which explains why tactile skill and ingenious appreciation in the exam were so highly valued in the definition of what made for a good physician. Even as late as 1890, the world had no
690:
other than noting that the patient is able to use all four limbs on entering the consultation room and during the consultation become aware of their hearing, eyesight, and speech. Likewise an orthopaedic surgeon will examine the affected joint, but may only briefly check the heart sounds and chest to ensure that there is not likely to be any contraindication to surgery raised by the
532:, or any other cause, and could not be proved to affect the patient's likelihood of being admitted to the hospital, becoming disabled, missing work, or needing additional office visits. The study found no effect on the risk of illness, but did find evidence suggesting that patients subject to routine physicals were diagnosed with
748:
While elective physical exams have become more elaborate, in routine use physical exams have become less complete. This has led to editorials in medical journals about the importance of an adequate physical examination. Physicians at
Stanford University medical school have introduced a set of 25 key
689:
While the format of examination as listed below is largely as taught and expected of students, a specialist will focus on their particular field and the nature of the problem described by the patient. Hence a cardiologist will not in routine practice undertake neurological parts of the examination
559:
that plays a significant role in the doctor-patient relationship that will provide benefits in other medical encounters. When a physical exam is expected by the patient but is not performed by the provider, patients may express concern for the lack of depth of investigation into their illness, the
540:
at a higher rate than those who were not. Its authors noted that studies often failed to consider or report possible harmful outcomes (such as unwarranted anxiety or unnecessary follow-up procedures), and concluded that routine health checks were "unlikely to be beneficial" in regards to lowering
1120:
In many
Western societies, a physical exam is required to participate in extracurricular sporting activities. During the physical examination, the doctor will examine the genitals, including the penis and testicles. The doctor may ask the teenager to cough while examining the scrotum.
348:
Some employers require a mandatory health checkup before hiring a candidate, even though it is now well known that some of the components of the prophylactic annual visit may actually cause harm. For example, lab tests and exams that are performed on healthy patients (as opposed to people with
407:
The roots of the periodic medical examination are not entirely clear. They have been referenced as early as 1671. They have also been advocated for since the 1920s. Some authors point to pleads from the 19th and early 20th century for the early detection of diseases like
384:
The lack of good evidence contrasts with population surveys showing that the general public is fond of these examinations, especially when they are free of charge. Despite guidelines recommending against routine annual examinations, many family physicians perform them. A
398:
The routine physical is commonly performed in the United States and Japan, whereas the practice varies among South East Asia and mainland
European countries. In Japan it is required by law for regular working employees to have a health check once a year.
503:
Physical examinations are performed in most healthcare encounters. For example, a physical examination is performed when a patient visits complaining of flu-like symptoms. These diagnostic examinations usually focus on the patient's chief complaint.
389:
healthcare system has been suggested to promote this practice. An alternative would be to tailor the screening interval to the age, sex, medical conditions and risk factors of each patient. This means choosing between a wide variety of tests.
349:
symptoms or known illnesses) are statistically more likely to be "false positives"—that is, when test results suggest a problem that does not exist. Disadvantages cited include the time and money that could be saved by targeted screening (
1373:
Hayward RS, Steinberg EP, Ford DE, Roizen MF, Roach KW (May 1991). "Preventive care guidelines: 1991. American
College of Physicians. Canadian Task Force on the Periodic Health Examination. United States Preventive Services Task Force".
458:. Some employers believe that by only hiring workers whose physical examination results pass certain exclusionary criteria, their employees collectively will have fewer absences due to sickness, fewer workplace injuries, and less
372:
345:, disease detection, and intermediate end points such a blood pressure or cholesterol, are inconclusive. A recent study found that the examination is associated with increased participation in cancer screening.
1876:
Frame PS, Carlson SJ (February 1975). "A critical review of periodic health screening using specific screening criteria. Part 1: Selected diseases of respiratory, cardiovascular, and central nervous systems".
486:
1105:
need to remain vigilant in appreciating the continuing need for physical examination and effectively teaching the skills to perform it; this call is ongoing, as the 21st-century literature shows.
311:
and over-treatment; however, this article does not conclude that being in regular communication with a doctor is not important, simply that an actual physical examination may not be necessary.
2877:
2321:
478:. In the United States, physicals are also marketed to patients as a one-stop health review, avoiding the inconvenience of attending multiple appointments with different healthcare providers.
369:) and harm, or even death, resulting from unnecessary testing to detect or confirm, often non-existent, medical problems or while performing routine procedures as a followup after screening.
1760:
Prochazka AV, Lundahl K, Pearson W, Oboler SK, Anderson RJ (June 2005). "Support of evidence-based guidelines for the annual physical examination: a survey of primary care providers".
420:. Several studies have been performed before current evidence-based recommendation for screening were formulated, limiting the applicability of these studies to current-day practice.
1338:"Periodic health examination: a guide for designing individualized preventive health care in the asymptomatic patients. Medical Practice Committee, American College of Physicians".
1631:
1325:
US Preventive
Services Task Force. Guide to Clinical Preventive Services: Report of the Preventive Services Task Force 2nd ed. Baltimore, Md: Williams & Wilkins; 1996.
41:
1688:
2234:
2870:
1449:
Screening for Lipid
Disorders in Adults, Topic Page. June 2008. U.S. Preventive Services Task Force. Agency for Healthcare Research and Quality, Rockville, MD.
956:
Checking the fingers for clubbing and cyanosis is sometimes considered part of the pulmonary exam, because it closely involves oxygenation. Examinations of the
299:
Although annual medical examinations are a routine practice in several countries, examinations performed on an asymptomatic patient are poorly supported by
337:) and less patient worry. Evidence supports several of these individual screening interventions. The effects of annual check-ups on overall costs, patient
314:
Some notable general health organisations recommend against annual examinations, and propose a frequency adapted to age and previous examination results (
2863:
1487:
Screening for
Cervical Cancer, Topic Page. January 2003. U.S. Preventive Services Task Force. Agency for Healthcare Research and Quality, Rockville, MD.
329:
of studies until
September 2006 concluded that the examination does result in better delivery of some other screening interventions (such as Pap smears,
1468:
Screening for
Colorectal Cancer, Topic Page. July 2002. U.S. Preventive Services Task Force. Agency for Healthcare Research and Quality, Rockville, MD.
2540:
1717:
Oboler SK, Prochazka AV, Gonzales R, Xu S, Anderson RJ (May 2002). "Public expectations and attitudes for annual physical examinations and testing".
2325:
1939:
1556:
887:
If "CV" is used instead of "heart", peripheral pulses are sometimes included in this section (otherwise, they may be in the extremities section)
2406:"2,500 executives flock to Rochester, Minn., for a deluxe, soup-to-nuts physical at the Mayo clinic. Our man went for a tune-up to find out why"
1799:
57:
454:
are screening tests which judge the suitability of a worker for hire based on the results of their physical examination. This is also called
416:
and related commercial influences seems to have promoted the examination, whereas this practice has been subject to controversy in the age of
2582:
1972:
1250:
366:
3323:
1101:
as we know it today. Ever since this peak of the importance of the physical examination, reviewers have warned that clinical practice and
140:
followed by an examination based on the reported symptoms. Together, the medical history and the physical examination help to determine a
1190:
Boulware LE, Marinopoulos S, Phillips KA, et al. (February 2007). "Systematic review: the value of the periodic health evaluation".
654:
and includes evaluation of general patient appearance and specific organ systems. After the main organ systems have been investigated by
249:
to identify normal versus abnormal findings. These are reported to the primary care provider. If necessary, the patient may be sent to a
3341:
3264:
622:). Taste has been made redundant by the availability of modern lab tests. Four actions are taught as the basis of physical examination:
2353:
Occupational medicine practice guidelines : evaluation and management of common health problems and functional recovery in workers
1121:
Although this can be embarrassing for an adolescent male, it is necessary to help evaluate the presence of inguinal hernias or tumors.
2360:
3252:
3163:
2694:
307:
meta-study found that routine annual physicals did not measurably reduce the risk of illness or death, and conversely, could lead to
322:
recommends a cancer-related health check-up annually in men and women older than 40, and every three years for those older than 20.
3336:
2355:(3rd ed.). Elk Grove Village, IL: American College of Occupational and Environmental Medicine. pp. 336, 373, 376–377.
729:) generally confirm the cause, or shed light on other, previously overlooked, causes. The physical exam is then recorded in the
3285:
3145:
1841:
Lawrence RS, Mickalide AD (April 1987). "Preventive services in clinical practice: designing the periodic health examination".
909:
679:
1696:
646:
Although providers have varying approaches as to the sequence of body parts, a systematic examination generally starts at the
2911:
842:"Nontender, CTA bilat" Chest expansion test, normal breathing with little effort, absence of wheezing, rhonchi and crackles.
568:
By extension, the term "health check" is also used for routing checks on the working of equipment or business operations or
512:
General health checks, including physical examinations performed when the patient reported no health concerns, often include
1491:
1472:
1453:
3399:
3389:
2238:
2730:
2405:
2096:
Davis AB (1981). "Life insurance and the physical examination: a chapter in the rise of
American medical technology".
1114:
550:
156:
1034:
exam. To give another example, a neurological related complaint might be evaluated with a specific test, such as the
931:
tenderness". "NBS" stands for "normal bowel sounds"; alternatives might include "hypoactive BS" or "hyperactive BS".
3394:
3132:
870:
2556:
3404:
3259:
3247:
2948:
2943:
1142:
377:
242:
2845:
2812:
3239:
699:
64:
1062:: if the presenting sore was white and appeared to go beyond the depth of the skin, it was to be treated as a
912:
may be included in the abdominal section if there is no back section. More detailed examinations may report "+
614:. The healthcare provider uses the senses of sight, hearing, touch, and sometimes smell (e.g., in infection,
3331:
3114:
836:
599:
443:, heart stress tests, vascular age tests, urinalysis, and mammograms or prostate exams depending on gender.
417:
362:
319:
300:
2379:
3368:
3303:
2436:
1827:
1663:
722:
695:
580:
304:
3175:
3024:
892:
663:
655:
631:
623:
619:
475:
230:
2427:
Verghese A, Brady E, Kapur CC, Horwitz RI (October 2011). "The bedside evaluation: ritual and reason".
861:. Other phrases may include "no cyanosis or clubbing" (if section is labeled "Resp" and not "Chest"), "
736:
435:, typically include laboratory tests, chest x-rays, pulmonary function testing, audiograms, full body
3219:
3158:
2938:
2351:
Talmage J, Belcourt R, Galper J, et al. (2011). "Low back disorders". In Kurt T. Hegmann (ed.).
459:
288:
3409:
3355:
3140:
3085:
2953:
2441:
2018:
Han PK (November 1997). "Historical changes in the objectives of the periodic health examination".
517:
334:
222:
1242:
3313:
3295:
3188:
3122:
2921:
2722:
2552:
2462:
2043:
1742:
1215:
1009:
925:
898:
703:
537:
281:
261:
250:
246:
226:
218:
1171:
1008:
Sensation may be expanded to include dull, sharp, vibration, temperature, and position sense. A
3363:
3067:
2916:
2827:
2793:
2714:
2675:
2634:
2588:
2578:
2519:
2501:
2454:
2356:
2303:
2285:
2216:
2181:
2146:
2105:
2078:
2035:
1968:
1921:
1886:
1858:
1819:
1777:
1734:
1639:
1612:
1538:
1432:
1391:
1355:
1308:
1290:
1246:
1207:
1167:
1102:
1098:
1094:
1074:
1063:
1012:
may be reported at the beginning of the neurologic exam, or under a distinct "Psych" section.
991:
917:
821:
786:
726:
513:
413:
326:
273:
269:
234:
206:
141:
52:
2764:
2031:
1022:, additional sections may be included. For example, hearing may be evaluated with a specific
3209:
3057:
3042:
2785:
2706:
2665:
2624:
2509:
2493:
2450:
2446:
2293:
2277:
2208:
2173:
2136:
2070:
2027:
1997:
1913:
1850:
1811:
1769:
1730:
1726:
1602:
1594:
1528:
1520:
1422:
1383:
1347:
1298:
1282:
1238:
1203:
1199:
1035:
733:
in a standard layout which facilitates billing and other providers later reading the notes.
611:
471:
350:
238:
2753:
2164:
Olsen DM, Kane RL, Proctor PH (April 1976). "A controlled trial of multiphasic screening".
3214:
3075:
2906:
2898:
2890:
2334:
2330:
1495:
1476:
1457:
1078:
1070:
1019:
977:
801:
725:, a list of potential causes of the symptoms. Specific diagnostic tests (or occasionally
521:
386:
277:
265:
214:
137:
27:
Process by which a medical professional investigates a patient's body for signs of disease
2855:
1557:"A checkup for the checkup: Do you really need a yearly physical? - Harvard Health Blog"
3193:
3080:
3052:
2966:
2670:
2653:
2629:
2612:
2514:
2481:
2298:
2265:
1607:
1582:
1533:
1508:
1303:
1270:
1136:
1051:
936:
921:
730:
651:
603:
354:
342:
145:
2266:"Pre-employment examinations for preventing injury, disease and sick leave in workers"
2212:
1904:
Beck LH (November 1999). "Periodic health examination and screening tests in adults".
678:
examination) or specific tests when a particular disease is suspected (e.g. eliciting
291:, as the aim of the examination is to detect early signs of diseases to prevent them.
3383:
2958:
2497:
2001:
1047:
1031:
983:
961:
942:
881:
529:
491:
358:
308:
125:
17:
2466:
2047:
1746:
3150:
3092:
3014:
2726:
2281:
1509:"Delivery of cancer screening: how important is the preventive health examination?"
1286:
1271:"General health checks in adults for reducing morbidity and mortality from disease"
1219:
1130:
1082:
965:
902:
877:
813:
707:
691:
683:
667:
635:
584:
533:
409:
315:
210:
1488:
1469:
1450:
1411:"The American Cancer Society Guidelines for the cancer-related checkup: an update"
84:
2789:
2061:
Charap MH (December 1981). "The periodic health examination: genesis of a myth".
1988:
Emerson H (1923). "Periodic medical examinations of apparently healthy persons".
1773:
560:
validity of treatment plans and exclusions, and the doctor-patient relationship.
70:
3280:
3229:
3034:
2177:
1387:
1090:
1086:
969:
775:
595:
330:
78:
2074:
1815:
1524:
1351:
1073:
and physical examination were supremely important to diagnosis before advanced
3183:
3102:
3097:
3047:
2931:
1427:
1410:
1027:
1023:
995:
913:
908:
If lower back pain is involved, then the "Back" may become a primary section.
817:
675:
647:
338:
2505:
2289:
1854:
1643:
1294:
3019:
2976:
2570:
2536:
2141:
2124:
828:
741:
671:
659:
627:
2831:
2797:
2718:
2679:
2638:
2592:
2523:
2458:
2307:
2264:
Schaafsma FG, Mahmud N, Reneman MF, Fassier JB, Jungbauer FH (2016-01-12).
2150:
1925:
1917:
1823:
1781:
1738:
1616:
1542:
1312:
1211:
2220:
2185:
2109:
2082:
2039:
1890:
1862:
1598:
1436:
1395:
1359:
3308:
1145: – Way of observing and describing a patient's current state of mind
998:
946:
862:
858:
854:
569:
436:
2926:
2776:
Natt B, Szerlip HM (2014), "The lost art of the history and physical",
1055:
850:
588:
524:
found that general health checks did not reduce the risk of death from
133:
129:
121:
2710:
1581:
Yarnall KS, Pollak KI, Østbye T, Krause KM, Michener JL (April 2003).
94:
2971:
1066:
condition. A further examination was to take place seven days later.
809:
793:
615:
556:
525:
205:, is a physical examination performed on an asymptomatic patient for
136:. It generally consists of a series of questions about the patient's
2575:
Clinical Methods: The History, Physical, and Laboratory Examinations
1632:"What went wrong with Joan Rivers's last medical procedure: lawsuit"
284:
tests. Some more advanced tests include ultrasound and mammography.
3224:
2569:
Campbell EW, Lynn CK (1990), Walker HK, Hall WD, Hurst JW (eds.),
1059:
987:
950:
924:". If tenderness was present, it might be reported as "Direct and
846:
805:
735:
607:
485:
371:
160:
A doctor using a stethoscope to listen to a 15-month-old's abdomen
155:
144:
and devise the treatment plan. These data then become part of the
46:
An examination room in Washington, DC, during the first World War
3001:
1002:
957:
797:
287:
If done for a group of people the routine physical is a form of
2859:
990:
intact in all four extremities (dull and sharp), DTR 2+ bilat,
2813:"Auscultation of the heart: an art on the road to extinction."
928:
474:
cover, required of new insurance customers. This is a part of
440:
2338:, American College of Occupational and Environmental Medicine
2125:"Life insurance, the medical examination and cultural values"
1689:"Three Georgia boys die unexpectedly after dental procedure"
1664:"Minnesota teen Sydney Galleger dies after dental procedure"
2322:
American College of Occupational and Environmental Medicine
1269:
Krogsbøll LT, Jørgensen KJ, Gøtzsche PC (31 January 2019).
1166:
MEDSURG Nursing (MEDSURG NURS), Jan/Feb2016; 25(1): 55-57.
280:, a (brief or complete) physical examination and sometimes
260:
meant to include visits for the purpose of newborn checks,
781:
May be split on two lines. "WNL" = "within normal limits"
2482:"Patients' Perceptions of Omitted Examinations and Tests"
749:
physical examination skills that were felt to be useful.
412:, and periodic school health examinations. The advent of
1800:"Is the annual complete physical examination necessary?"
276:). The general medical examination generally involves a
2848:. Children's Hospital of Philadelphia. 23 August 2014.
1507:
Fenton JJ, Cai Y, Weiss NS, et al. (March 2007).
2652:
McAlister FA, Straus SE, Sackett DL (February 2000).
2326:"Five Things Physicians and Patients Should Question"
1164:
Neurovascular Assessment: An Essential Nursing Focus.
2557:
Company health check: keeping your business on track
1583:"Primary care: is there enough time for prevention?"
897:"Soft, nontender, nondistended, absence of pain, no
3354:
3322:
3294:
3273:
3238:
3202:
3174:
3131:
3113:
3066:
3033:
2999:
2990:
2897:
1077:was developed, and even today, despite advances in
541:cardiovascular and cancer morbidity and mortality.
77:
63:
51:
34:
2199:Knox EG (December 1974). "Multiphasic screening".
634:(tap to determine resonance characteristics), and
233:. This routine physical exam usually includes the
1965:Divine machines: Leibniz and the sciences of life
827:"Neck" is sometimes split out from "Head". "Good
353:argument), increased anxiety over health risks (
1793:
1791:
2613:"Does the physical examination have a future?"
2013:
2011:
1489:http://www.ahrq.gov/clinic/uspstf/uspscerv.htm
1470:http://www.ahrq.gov/clinic/uspstf/uspscolo.htm
1451:http://www.ahrq.gov/clinic/uspstf/uspschol.htm
1185:
1183:
1181:
1179:
2871:
1333:
1331:
1117:when the health care provider examines them.
555:Physical examination has been described as a
470:A physical examination may be provided under
209:purposes. These are normally performed by a
8:
1162:Schreiber, Mary L. Evidence-Based Practice.
1133: – Noise generated by the beating heart
721:the healthcare provider can now formulate a
594:A physical examination may include checking
268:, or regular visits for people with certain
2270:The Cochrane Database of Systematic Reviews
1275:The Cochrane Database of Systematic Reviews
1030:, or it may be more briefly addressed in a
2996:
2878:
2864:
2856:
40:
2669:
2628:
2513:
2440:
2297:
2140:
1967:. Princeton: Princeton University Press.
1606:
1532:
1426:
1302:
1243:10.1093/acprof:oso/9780199214495.001.0001
253:for further, more detailed examinations.
2480:Kravitz RL, Callahan EJ (January 2000).
2235:"Johns Hopkins Executive Health Program"
2032:10.7326/0003-4819-127-10-199711150-00010
756:
579:
490:A medical doctor examines a young girl,
2846:"Physical Examination: Adolescent Male"
2695:"In praise of the physical examination"
2451:10.7326/0003-4819-155-8-201110180-00013
1731:10.7326/0003-4819-136-9-200205070-00007
1204:10.7326/0003-4819-146-4-200702200-00008
1155:
865:WNL", and "no dullness to percussion".
845:More detailed examinations can include
670:, specific tests may follow (such as a
31:
2259:
2257:
2255:
303:in the majority of the population. A
7:
2658:Canadian Medical Association Journal
2617:Canadian Medical Association Journal
2486:Journal of General Internal Medicine
1264:
1262:
120:, a medical practitioner examines a
3265:Upper limb neurological examination
1050:makes provision for persons in the
713:With the clues obtained during the
704:examination of the female genitalia
90:
2654:"High marks for the physical exam"
2541:How to use the PC Health Check app
2380:"$ 2,000 physicals for busy execs"
1093:, only early and limited forms of
25:
2498:10.1046/j.1525-1497.2000.12058.x
2002:10.1001/jama.1923.26430460003011
1235:Screening: Evidence and practice
1233:Raffle AE, Muir Gray JA (2007).
456:pre-employment medical clearance
272:medical disorders (for example,
237:. Nursing professionals such as
3286:Ballard Maturational Assessment
3146:Peripheral vascular examination
2693:Verghese A, Horwitz RI (2009).
910:Costovertebral angle tenderness
516:for common conditions, such as
361:, wrong diagnosis (for example
2912:History of the present illness
2577:(3rd ed.), Butterworths,
2282:10.1002/14651858.CD008881.pub2
1798:Gordon PR, Senf J (May 1999).
1287:10.1002/14651858.CD009009.pub3
380:, examining a patient's throat
1:
3253:Mini–mental state examination
3164:Ankle–brachial pressure index
2213:10.1016/S0140-6736(74)90086-5
2123:Jureidini R, White K (2000).
195:preventive health examination
2790:10.1097/MAJ.0000000000000326
2378:Brink S (18 February 2008).
1774:10.1001/archinte.165.12.1347
1346:(6): 729–32. December 1981.
429:Comprehensive physical exams
376:A resident physician at the
2811:Guadalajara Boo JF (2015),
2611:Flegel KM (November 1999).
2559:, accessed 16 November 2023
2543:, accessed 16 November 2023
2178:10.1056/NEJM197604222941705
1912:(12): 117–8, 121–2, 124–6.
1409:Mettlin C, Dodd GD (1991).
1388:10.7326/0003-4819-114-9-758
1237:. Oxford University Press.
1115:modesty in medical settings
551:Doctor-patient relationship
452:Pre-employment examinations
367:hypertrophic cardiomyopathy
175:general medical examination
3426:
2571:"The Physical Examination"
2404:Armour LA (21 July 1997).
2075:10.7326/0003-4819-95-6-733
1816:10.1001/archinte.159.9.909
1525:10.1001/archinte.167.6.580
1352:10.7326/0003-4819-95-6-729
548:
187:comprehensive medical exam
179:periodic health evaluation
3260:Cranial nerve examination
1428:10.3322/canjclin.41.5.279
1143:Mental status examination
700:examine the male genitals
576:Format and interpretation
378:Granada Relocation Center
335:faecal occult blood tests
243:Licensed Practical Nurses
91:
39:
1855:10.1001/jama.257.16.2205
545:Doctor-patient relations
3332:Athletic heart syndrome
2333:: an initiative of the
2142:10.1111/1467-6443.00113
986:II-XII grossly intact,
600:temperature examination
418:evidence-based medicine
363:athletic heart syndrome
320:American Cancer Society
245:can develop a baseline
3369:Differential diagnosis
3304:Well-woman examination
1940:"Home | OECD iLibrary"
1918:10.3810/hp.1999.11.175
745:
723:differential diagnosis
696:primary care physician
591:
495:
381:
305:Cochrane Collaboration
256:The term is generally
161:
1944:www.oecd-ilibrary.org
1630:Yahr E (2015-01-28).
1599:10.2105/AJPH.93.4.635
804:, no thyromegaly, no
740:A doctor examining a
739:
620:diabetic ketoacidosis
583:
489:
375:
231:primary care provider
159:
18:Clinical presentation
3400:Practice of medicine
3390:Physical examination
3337:Sudden cardiac death
3220:Shoulder examination
3159:Abdominojugular test
2992:Physical examination
2939:Past medical history
1906:Hosp Pract (Minneap)
1139: – Medical term
1058:to be examined by a
719:physical examination
698:will also generally
650:and finishes at the
460:occupational disease
191:general health check
114:clinical examination
106:physical examination
35:Physical examination
3356:Assessment and plan
3141:Cardiac examination
3086:Swinging light test
2954:Psychiatric history
2887:Medical examination
1636:The Washington Post
1561:Harvard Health Blog
1113:People may request
1109:Society and culture
1052:Israelite community
1018:Depending upon the
876:"+S1, +S2, RRR, no
744:patient in hospital
518:high blood pressure
433:executive physicals
301:scientific evidence
223:physician assistant
110:medical examination
3314:Breast examination
3189:Rectal examination
3123:Respiratory sounds
2922:Nursing assessment
2553:Insolvency Service
1587:Am J Public Health
1494:2015-11-27 at the
1475:2011-05-23 at the
1456:2011-05-23 at the
1095:electrophysiologic
1010:mental status exam
899:hepatosplenomegaly
857:("no r/r/w"), and
824:WNL, neck supple"
746:
702:but may leave the
592:
538:chronic conditions
496:
476:insurance medicine
382:
318:). The specialist
251:medical specialist
227:nurse practitioner
219:physical therapist
162:
3395:Athletic training
3377:
3376:
3364:Medical diagnosis
3350:
3349:
3225:Elbow examination
2711:10.1136/bmj.b5448
2584:978-0-409-90077-4
2384:Los Angeles Times
2324:(February 2014),
1996:(19): 1376–1381.
1974:978-0-691-14178-7
1963:Smith JE (2011).
1804:Arch. Intern. Med
1762:Arch. Intern. Med
1513:Arch. Intern. Med
1252:978-0-19-921449-5
1103:medical education
1099:molecular biology
1075:health technology
1064:ritually defiling
1016:
1015:
822:tympanic membrane
774:"Patient in NAD.
727:empirical therapy
514:medical screening
414:medical insurance
327:systematic review
207:medical screening
134:medical condition
124:for any possible
102:
101:
16:(Redirected from
3417:
3405:General practice
3210:Knee examination
3058:Respiratory rate
2997:
2880:
2873:
2866:
2857:
2850:
2849:
2842:
2836:
2835:
2817:
2808:
2802:
2801:
2773:
2767:
2765:Leviticus 13:5–6
2762:
2756:
2751:
2745:
2744:
2742:
2741:
2735:
2729:. Archived from
2690:
2684:
2683:
2673:
2649:
2643:
2642:
2632:
2608:
2602:
2601:
2600:
2599:
2566:
2560:
2550:
2544:
2534:
2528:
2527:
2517:
2477:
2471:
2470:
2444:
2429:Ann. Intern. Med
2424:
2418:
2417:
2415:
2413:
2401:
2395:
2394:
2392:
2390:
2375:
2369:
2366:
2346:
2345:
2343:
2318:
2312:
2311:
2301:
2261:
2250:
2249:
2247:
2246:
2237:. Archived from
2231:
2225:
2224:
2207:(7894): 1434–6.
2196:
2190:
2189:
2161:
2155:
2154:
2144:
2120:
2114:
2113:
2093:
2087:
2086:
2063:Ann. Intern. Med
2058:
2052:
2051:
2020:Ann. Intern. Med
2015:
2006:
2005:
1985:
1979:
1978:
1960:
1954:
1953:
1951:
1950:
1936:
1930:
1929:
1901:
1895:
1894:
1873:
1867:
1866:
1838:
1832:
1831:
1826:. Archived from
1795:
1786:
1785:
1757:
1751:
1750:
1719:Ann. Intern. Med
1714:
1708:
1707:
1705:
1704:
1695:. Archived from
1685:
1679:
1678:
1676:
1675:
1660:
1654:
1653:
1651:
1650:
1627:
1621:
1620:
1610:
1578:
1572:
1571:
1569:
1568:
1553:
1547:
1546:
1536:
1504:
1498:
1485:
1479:
1466:
1460:
1447:
1441:
1440:
1430:
1415:CA Cancer J Clin
1406:
1400:
1399:
1376:Ann. Intern. Med
1370:
1364:
1363:
1340:Ann. Intern. Med
1335:
1326:
1323:
1317:
1316:
1306:
1266:
1257:
1256:
1230:
1224:
1223:
1192:Ann. Intern. Med
1187:
1174:
1160:
1097:testing, and no
1036:Romberg maneuver
960:may involve the
831:" may be noted.
757:
680:Trousseau's sign
612:respiratory rate
472:health insurance
431:, also known as
365:misdiagnosed as
351:health economics
239:Registered Nurse
235:HEENT evaluation
199:medical check-up
173:, also known as
171:routine physical
95:edit on Wikidata
87:
73:
44:
32:
21:
3425:
3424:
3420:
3419:
3418:
3416:
3415:
3414:
3380:
3379:
3378:
3373:
3346:
3318:
3290:
3269:
3234:
3215:Hip examination
3203:Musculoskeletal
3198:
3170:
3127:
3109:
3076:Eye examination
3062:
3029:
2986:
2907:Chief complaint
2899:Medical history
2893:
2884:
2854:
2853:
2844:
2843:
2839:
2815:
2810:
2809:
2805:
2775:
2774:
2770:
2763:
2759:
2752:
2748:
2739:
2737:
2733:
2692:
2691:
2687:
2651:
2650:
2646:
2610:
2609:
2605:
2597:
2595:
2585:
2568:
2567:
2563:
2551:
2547:
2535:
2531:
2479:
2478:
2474:
2426:
2425:
2421:
2411:
2409:
2403:
2402:
2398:
2388:
2386:
2377:
2376:
2372:
2363:
2350:
2341:
2339:
2335:ABIM Foundation
2331:Choosing Wisely
2320:
2319:
2315:
2276:(1): CD008881.
2263:
2262:
2253:
2244:
2242:
2233:
2232:
2228:
2198:
2197:
2193:
2166:N. Engl. J. Med
2163:
2162:
2158:
2122:
2121:
2117:
2095:
2094:
2090:
2060:
2059:
2055:
2017:
2016:
2009:
1987:
1986:
1982:
1975:
1962:
1961:
1957:
1948:
1946:
1938:
1937:
1933:
1903:
1902:
1898:
1875:
1874:
1870:
1840:
1839:
1835:
1797:
1796:
1789:
1768:(12): 1347–52.
1759:
1758:
1754:
1716:
1715:
1711:
1702:
1700:
1687:
1686:
1682:
1673:
1671:
1668:www.cbsnews.com
1662:
1661:
1657:
1648:
1646:
1629:
1628:
1624:
1580:
1579:
1575:
1566:
1564:
1555:
1554:
1550:
1506:
1505:
1501:
1496:Wayback Machine
1486:
1482:
1477:Wayback Machine
1467:
1463:
1458:Wayback Machine
1448:
1444:
1408:
1407:
1403:
1372:
1371:
1367:
1337:
1336:
1329:
1324:
1320:
1281:(1): CD009009.
1268:
1267:
1260:
1253:
1232:
1231:
1227:
1189:
1188:
1177:
1161:
1157:
1152:
1127:
1111:
1079:medical imaging
1071:medical history
1044:
1020:chief complaint
755:
674:investigation,
644:
578:
566:
553:
547:
522:Cochrane review
510:
501:
484:
468:
449:
426:
405:
396:
387:fee-for-service
333:screening, and
297:
278:medical history
266:cervical cancer
215:family practice
183:annual physical
167:
154:
138:medical history
118:medical checkup
98:
83:
69:
47:
28:
23:
22:
15:
12:
11:
5:
3423:
3421:
3413:
3412:
3407:
3402:
3397:
3392:
3382:
3381:
3375:
3374:
3372:
3371:
3366:
3360:
3358:
3352:
3351:
3348:
3347:
3345:
3344:
3339:
3334:
3328:
3326:
3320:
3319:
3317:
3316:
3311:
3306:
3300:
3298:
3292:
3291:
3289:
3288:
3283:
3277:
3275:
3271:
3270:
3268:
3267:
3262:
3257:
3256:
3255:
3244:
3242:
3236:
3235:
3233:
3232:
3227:
3222:
3217:
3212:
3206:
3204:
3200:
3199:
3197:
3196:
3191:
3186:
3180:
3178:
3172:
3171:
3169:
3168:
3167:
3166:
3161:
3153:
3148:
3143:
3137:
3135:
3133:Cardiovascular
3129:
3128:
3126:
3125:
3119:
3117:
3111:
3110:
3108:
3107:
3106:
3105:
3100:
3090:
3089:
3088:
3083:
3081:Ophthalmoscopy
3072:
3070:
3064:
3063:
3061:
3060:
3055:
3053:Blood pressure
3050:
3045:
3039:
3037:
3031:
3030:
3028:
3027:
3022:
3017:
3012:
3006:
3004:
2994:
2988:
2987:
2985:
2984:
2983:
2982:
2979:
2974:
2969:
2961:
2959:Progress notes
2956:
2951:
2949:Social history
2946:
2944:Family history
2941:
2936:
2935:
2934:
2924:
2919:
2917:Systems review
2914:
2909:
2903:
2901:
2895:
2894:
2891:history taking
2885:
2883:
2882:
2875:
2868:
2860:
2852:
2851:
2837:
2826:(2): 260–265,
2803:
2784:(5): 423–425,
2768:
2757:
2754:Leviticus 13:3
2746:
2685:
2644:
2603:
2583:
2561:
2545:
2529:
2472:
2442:10.1.1.692.177
2419:
2396:
2370:
2368:
2367:
2362:978-0615452272
2361:
2347:, which cites
2313:
2251:
2226:
2191:
2172:(17): 925–30.
2156:
2135:(2): 190–214.
2115:
2104:(3): 392–406.
2088:
2053:
2007:
1980:
1973:
1955:
1931:
1896:
1868:
1849:(16): 2205–7.
1833:
1830:on 2012-02-13.
1787:
1752:
1709:
1680:
1670:. 16 June 2015
1655:
1622:
1573:
1548:
1499:
1480:
1461:
1442:
1401:
1365:
1327:
1318:
1258:
1251:
1225:
1198:(4): 289–300.
1175:
1154:
1153:
1151:
1148:
1147:
1146:
1140:
1137:Medical record
1134:
1126:
1123:
1110:
1107:
1081:and molecular
1043:
1040:
1014:
1013:
1006:
980:
974:
973:
954:
939:
933:
932:
922:obturator sign
918:Rovsing's sign
906:
895:
889:
888:
885:
874:
867:
866:
843:
840:
833:
832:
825:
800:. No cervical
790:
783:
782:
779:
772:
768:
767:
764:
761:
754:
751:
731:medical record
643:
640:
604:blood pressure
577:
574:
565:
562:
549:Main article:
546:
543:
509:
506:
500:
497:
483:
480:
467:
464:
448:
447:Pre-employment
445:
425:
422:
404:
401:
395:
392:
355:medicalisation
296:
293:
225:, a certified
166:
163:
153:
150:
146:medical record
100:
99:
92:
89:
88:
81:
75:
74:
67:
61:
60:
55:
49:
48:
45:
37:
36:
26:
24:
14:
13:
10:
9:
6:
4:
3:
2:
3422:
3411:
3408:
3406:
3403:
3401:
3398:
3396:
3393:
3391:
3388:
3387:
3385:
3370:
3367:
3365:
3362:
3361:
3359:
3357:
3353:
3343:
3340:
3338:
3335:
3333:
3330:
3329:
3327:
3325:
3321:
3315:
3312:
3310:
3307:
3305:
3302:
3301:
3299:
3297:
3296:Gynecological
3293:
3287:
3284:
3282:
3279:
3278:
3276:
3272:
3266:
3263:
3261:
3258:
3254:
3251:
3250:
3249:
3248:Mental status
3246:
3245:
3243:
3241:
3237:
3231:
3228:
3226:
3223:
3221:
3218:
3216:
3213:
3211:
3208:
3207:
3205:
3201:
3195:
3192:
3190:
3187:
3185:
3182:
3181:
3179:
3177:
3173:
3165:
3162:
3160:
3157:
3156:
3154:
3152:
3149:
3147:
3144:
3142:
3139:
3138:
3136:
3134:
3130:
3124:
3121:
3120:
3118:
3116:
3112:
3104:
3101:
3099:
3096:
3095:
3094:
3091:
3087:
3084:
3082:
3079:
3078:
3077:
3074:
3073:
3071:
3069:
3065:
3059:
3056:
3054:
3051:
3049:
3046:
3044:
3041:
3040:
3038:
3036:
3032:
3026:
3023:
3021:
3018:
3016:
3013:
3011:
3008:
3007:
3005:
3003:
2998:
2995:
2993:
2989:
2980:
2978:
2975:
2973:
2970:
2968:
2965:
2964:
2962:
2960:
2957:
2955:
2952:
2950:
2947:
2945:
2942:
2940:
2937:
2933:
2930:
2929:
2928:
2925:
2923:
2920:
2918:
2915:
2913:
2910:
2908:
2905:
2904:
2902:
2900:
2896:
2892:
2888:
2881:
2876:
2874:
2869:
2867:
2862:
2861:
2858:
2847:
2841:
2838:
2833:
2829:
2825:
2821:
2814:
2807:
2804:
2799:
2795:
2791:
2787:
2783:
2779:
2772:
2769:
2766:
2761:
2758:
2755:
2750:
2747:
2736:on 2016-08-04
2732:
2728:
2724:
2720:
2716:
2712:
2708:
2704:
2700:
2696:
2689:
2686:
2681:
2677:
2672:
2667:
2663:
2659:
2655:
2648:
2645:
2640:
2636:
2631:
2626:
2623:(9): 1117–8.
2622:
2618:
2614:
2607:
2604:
2594:
2590:
2586:
2580:
2576:
2572:
2565:
2562:
2558:
2554:
2549:
2546:
2542:
2538:
2533:
2530:
2525:
2521:
2516:
2511:
2507:
2503:
2499:
2495:
2491:
2487:
2483:
2476:
2473:
2468:
2464:
2460:
2456:
2452:
2448:
2443:
2438:
2434:
2430:
2423:
2420:
2407:
2400:
2397:
2385:
2381:
2374:
2371:
2364:
2358:
2354:
2349:
2348:
2337:
2336:
2332:
2327:
2323:
2317:
2314:
2309:
2305:
2300:
2295:
2291:
2287:
2283:
2279:
2275:
2271:
2267:
2260:
2258:
2256:
2252:
2241:on 2009-12-24
2240:
2236:
2230:
2227:
2222:
2218:
2214:
2210:
2206:
2202:
2195:
2192:
2187:
2183:
2179:
2175:
2171:
2167:
2160:
2157:
2152:
2148:
2143:
2138:
2134:
2130:
2129:J Hist Sociol
2126:
2119:
2116:
2111:
2107:
2103:
2099:
2098:Bull Hist Med
2092:
2089:
2084:
2080:
2076:
2072:
2068:
2064:
2057:
2054:
2049:
2045:
2041:
2037:
2033:
2029:
2026:(10): 910–7.
2025:
2021:
2014:
2012:
2008:
2003:
1999:
1995:
1991:
1984:
1981:
1976:
1970:
1966:
1959:
1956:
1945:
1941:
1935:
1932:
1927:
1923:
1919:
1915:
1911:
1907:
1900:
1897:
1892:
1888:
1884:
1880:
1872:
1869:
1864:
1860:
1856:
1852:
1848:
1844:
1837:
1834:
1829:
1825:
1821:
1817:
1813:
1810:(9): 909–10.
1809:
1805:
1801:
1794:
1792:
1788:
1783:
1779:
1775:
1771:
1767:
1763:
1756:
1753:
1748:
1744:
1740:
1736:
1732:
1728:
1724:
1720:
1713:
1710:
1699:on 2018-05-25
1698:
1694:
1693:www.cbs46.com
1690:
1684:
1681:
1669:
1665:
1659:
1656:
1645:
1641:
1637:
1633:
1626:
1623:
1618:
1614:
1609:
1604:
1600:
1596:
1593:(4): 635–41.
1592:
1588:
1584:
1577:
1574:
1562:
1558:
1552:
1549:
1544:
1540:
1535:
1530:
1526:
1522:
1518:
1514:
1510:
1503:
1500:
1497:
1493:
1490:
1484:
1481:
1478:
1474:
1471:
1465:
1462:
1459:
1455:
1452:
1446:
1443:
1438:
1434:
1429:
1424:
1421:(5): 279–82.
1420:
1416:
1412:
1405:
1402:
1397:
1393:
1389:
1385:
1382:(9): 758–83.
1381:
1377:
1369:
1366:
1361:
1357:
1353:
1349:
1345:
1341:
1334:
1332:
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126:medical signs
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3240:Neurological
3194:Bowel sounds
3151:Heart sounds
3015:Auscultation
3009:
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2840:
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2819:
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2778:Am J Med Sci
2777:
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2731:the original
2702:
2698:
2688:
2661:
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2647:
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2596:, retrieved
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2564:
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2489:
2485:
2475:
2435:(8): 550–3.
2432:
2428:
2422:
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2399:
2387:. Retrieved
2383:
2373:
2352:
2340:, retrieved
2329:
2316:
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2269:
2243:. Retrieved
2239:the original
2229:
2204:
2200:
2194:
2169:
2165:
2159:
2132:
2128:
2118:
2101:
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2091:
2069:(6): 733–5.
2066:
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2023:
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1993:
1989:
1983:
1964:
1958:
1947:. Retrieved
1943:
1934:
1909:
1905:
1899:
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1882:
1878:
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1846:
1842:
1836:
1828:the original
1807:
1803:
1765:
1761:
1755:
1725:(9): 652–9.
1722:
1718:
1712:
1701:. Retrieved
1697:the original
1692:
1683:
1672:. Retrieved
1667:
1658:
1647:. Retrieved
1635:
1625:
1590:
1586:
1576:
1565:. Retrieved
1563:. 2015-10-23
1560:
1551:
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1516:
1512:
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1464:
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1375:
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1228:
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1191:
1163:
1158:
1131:Heart sounds
1119:
1112:
1068:
1045:
1017:
1001:WNL, normal
982:"A&Ox3,
966:Lachman test
763:Sample text
747:
718:
714:
712:
708:gynecologist
692:anaesthetist
688:
684:hypocalcemia
672:neurological
668:auscultation
645:
636:auscultation
598:, including
593:
587:of a man in
585:Auscultation
567:
554:
534:hypertension
511:
502:
469:
455:
451:
450:
437:CAT scanning
432:
428:
427:
410:tuberculosis
406:
397:
383:
347:
324:
316:risk factors
313:
298:
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211:pediatrician
202:
201:, or simply
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182:
178:
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105:
103:
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3281:Apgar score
3230:GALS screen
3115:Respiratory
3043:Temperature
3035:Vital signs
2932:Medications
2820:Gac Med Mex
2342:24 February
1879:J Fam Pract
1091:fluoroscopy
1087:radiography
970:drawer test
873:or "Heart"
839:or "Chest"
652:extremities
596:vital signs
331:cholesterol
79:MedlinePlus
3410:Prevention
3384:Categories
3184:Liver span
3048:Heart rate
3025:Percussion
3010:Inspection
2963:Mnemonics
2740:2012-12-17
2664:(4): 493.
2598:2019-12-02
2245:2009-07-16
1949:2023-10-22
1703:2015-11-08
1674:2015-11-08
1649:2015-11-08
1567:2015-11-02
1150:References
1028:Rinne test
1024:Weber test
996:cerebellar
994:negative,
914:psoas sign
818:oropharynx
676:orthopedic
664:percussion
656:inspection
638:(listen).
632:percussion
624:inspection
564:Other uses
536:and other
394:Prevalence
339:disability
282:laboratory
262:Pap smears
247:assessment
3176:Abdominal
3020:Palpation
2927:Allergies
2705:: b5448.
2537:Microsoft
2506:0884-8734
2437:CiteSeerX
2408:. CNN.com
2290:1469-493X
1644:0190-8286
1295:1469-493X
1172:1092-0811
988:Sensation
829:dentition
766:Comments
753:Recording
742:pediatric
660:palpation
628:palpation
508:Screening
499:Diagnosis
466:Insurance
343:mortality
289:screening
229:or other
142:diagnosis
3309:Pap test
3274:Neonatal
3000:General/
2981:COASTMAP
2832:25946538
2798:25247755
2719:20015910
2680:10701381
2639:10569087
2593:21250202
2524:10632832
2467:24847029
2459:22007047
2308:26755127
2151:18383634
2048:20210491
1926:10616549
1824:10326933
1782:15983282
1747:46398009
1739:11992300
1617:12660210
1543:17389289
1492:Archived
1473:Archived
1454:Archived
1313:30699470
1212:17310053
1125:See also
999:reflexes
947:cyanosis
943:clubbing
863:fremitus
855:wheezing
792:"NC/AT.
771:General
760:Section
630:(feel),
570:solvency
295:Evidence
274:diabetes
130:symptoms
53:ICD-9-CM
3093:Hearing
2727:5371569
2671:1231165
2630:1230732
2515:1495321
2412:16 July
2389:16 July
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2221:4140342
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2040:9382370
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1534:3443471
1437:1878784
1396:2012359
1360:7305155
1304:6353639
1220:1683342
1056:leprosy
1042:History
992:Romberg
926:rebound
851:rhonchi
778:: WNL"
715:history
589:Vietnam
403:History
270:chronic
203:medical
165:Routine
122:patient
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3324:Sports
3155:Other
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814:fundus
810:pallor
794:PERRLA
666:, and
616:uremia
610:, and
557:ritual
526:cancer
494:, 1974
85:002274
3342:RED-S
3103:Rinne
3098:Weber
3068:HEENT
2816:(PDF)
2734:(PDF)
2723:S2CID
2463:S2CID
2044:S2CID
1743:S2CID
1216:S2CID
1054:with
978:Neuro
951:edema
847:rales
820:WNL,
816:WNL,
808:, no
806:bruit
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706:to a
642:Scope
608:pulse
152:Types
132:of a
116:, or
104:In a
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3002:IPPA
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