There is a trend in internal medicine to get away from doing complete physical examinations on each visit, with a minimalistic approach to a healthy patient.1 I am not prepared to go that far just yet, but I have modified my examination in many ways over the years. Here are some gems I have unearthed.
1. Krogsbøll LT, Jørgensen KJ, Grønhøj Larsen C, Gøtzche PC. General health checks in adults for reducing morbidity and mortality from disease: Cochrane systematic review and meta-analysis. BMJ. 2012;345:e7191.