n Obstetrics and Gynaecology Forum - The inevitable demise of clinical skills in examination of patients : review




The "systematic observation of patients" began about 430 years before the birth of Christ when Hippocrates and other Greek doctors began to look at the issues of poor health and disease by using a process of reasoning and observation. This process subsequently led to the evolution of the clinical quartet of observation, palpation, percussion and auscultation and for many centuries important diagnoses were made using the approach of history taking and clinical evaluation. The use of technology in modern medicine has complemented this process of systematic clinical evaluation and for some disease conditions technology-assisted diagnosis is superior to clinical evaluation alone. Medical technology and specifically the advances of modern ultrasound are becoming ever more important in obstetrics.


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