Translations:Internal medicine/31/en

Gathering data

Data may be gathered directly from the patient in medical history-taking and physical examination. Previous medical records including laboratory findings, imaging, and clinical notes from other physicians is also an important source of information; however, it is vital to talk to and examine the patient to find out what the patient is currently experiencing to make an accurate diagnosis.

History and physical examination are a vital part of the diagnostic process.

Internists often can perform and interpret diagnostic tests like EKGs and ultrasound imaging (Point-of-care Ultrasound – PoCUS).