In the beginning…


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5 thoughts on “In the beginning…”

  1. […] Building on these foundations, the physical exam has progressively expanded in scope and increased in refinement. It now consists of the vital signs – respiratory rate, temperature, blood pressure, pulse oximetry, and heart rate – and a systems based head-to-toe exam designed to elicit signs of disease. Technologies such as the thermometer, the sphygmomanometer, and the pulse oximeter have made the measurement of vitals signs more accurate and easier. The stethoscope – invented in 1816 – extended perception, so physicians could listen to heart and lung sounds. Over time, other sensory modalities were trained to recognize patterns that correlated to specific diseases. In effect, expanding the set of affordances. […]

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