Our First Physical Examination

Fateh Srajeldin N.D.*

During my clinical years, I was presented with the most difficult and tiring clinical cases. Every case was unique and specific. Most cases were identical in the appearance and the symptoms giving false notion of similar cause. No two cases were identical in the core even though they may appear identical on the surface. At no time, I was able to assume that one case is remotely identical to any other case I have had seen in the past. Consequently, an inaccurate diagnosis would result in an inaccurate treatment.

The secret behind successfully treating these cases is really no secret at all other than “Taking a Good Case of Medical History”.

The secret behind successfully treating these cases is really no secret at all other than “Taking a Good Case of Medical History”.

• medical history taking,
• physical examination,
• blood glucose,
• blood cholesterol,
• urine dipstick test,
• prescribing necessary remedies and
• diet setting eliminating allergic food.

Medical History

In order to fully understand the case being treated, a complete medical history from birth until the day of examination must be investigated. The medical history should uncover and discuss (if possible) every sickness, every medication, every injury and health problem. This information automatically opens the case and gave me the upper hand in seeing beyond the limitation of the boundaries of the examination room. Several points are very critical during medical history taking:

• breast feeding history (digestive tracks and immunity integrity ),
• solid food introduction during first year of life (digestive tracks, immunity and lymph integrity),
• frequency and the reason behind antibiotics treatments (specific),
• frequency and the reason behind any drugs treatments,
• history of ailments,
• history of hospitalization

The first examination is extremely critical and essential to determine the cause of your ailment. During the first naturopathic examination, you would have the following Physical Examination.

Physical Examination

• attending to the chief complaint,
• complete physical examination from head to toes (exclude an internal) includes,
• taking blood pressure, pulse, weight,
• addressing the patient’s chief complaint,
• examination of the oral cavity for mercury dental fillings (liver and systemic toxicity), oral thrush (yeast infection), tonsils integrity (immunity), throat condition (inflammation) and gum diseases (improper personal dental hygiene and care),
• examination of the ears for excessive cerumen (ear wax, poor fat metabolism), allergic redness (allergic response), tympanic membrane (drum) bulging (serous fluid), calcification,
• examination of the sinuses using s fiber strobe which illuminates the sinus cavity when projected into the cavity. This would confirm or eliminate sinusitis,
• examination of the spinal cord starting the cervical region at the atlas (hypo-lardosis, headaches), vertebra laterality (neck pain, headache),
• thyroid glad examination whether normal, hyperthyroidism, hypothyroidism gland,
• examination of your tonsils (external) for first line defense integrity,
• examination of TMJ physical movements (joint misalignment),
• examination of upper and lower extremities reflexes (sciatica, muscles pain, joint’s integrity),
• examination of the integrity and range of motion of all upper and lower joints,
• Chinese pulse diagnosis, an indicator of weaknesses in the energy point (fatigue due to external causes), stomach point (hyper acidity, indigestion), intestinal point (reflection of the large intestine’s function), kidney point (water intake, and coffee consumption), abdominal integrity (bloating, gas)and liver point (toxicity),
• iridology. Studies points on the iris of each eye which serve to draw my attention to further investigate and weakness in some internal organ,
• while the patient is lying I would palpate, percuss and auscultate the abdomen specifically over the ascending colon, descending colon and transverse colon. Further palpate the liver, gall bladder, urinary bladder and the uterus in females. Lastly, I would palpate the groins and the axilla for lymphatic congestion (infections and lymphatic inflammation),
• while the patient is lying I would auscultate the heart valves (murmurs, regurgitation) and both lungs (bruits, cough, congestion, crackles, rales),
• discussion of the real causes of the ailment, its symptoms, the relationship between diet, health and disease,
• revise a complete diet depending on the patient’s chief complaint, blood type and my physical examination,

The remedies must be of hypo-allergenic quality and bioavailability ready. Remedies mark the difference between short efficient treatment and prolonged endless treatment.
I recommend hypoallergenic remedies ONLY which I consider the only gate to a proper health.

Patient’s compliance crowns the entire health assessment. Compliance is much more important than any medical history, any examination or laboratory blood work.

Unless otherwise the patient applies all my instruction, diet and remedies the way I lay them, then the entire work is rendered useless. I do not accept any "if(s)" and "but(s)" or "I thought" or "I forgot". A health issue is a health issue not a short game of playing cards. At no time I will entertain tardiness in applying my instruction. This is serious.

Tests Performed

Medical History + Physical Examination + Remedies
– Poor allergic diet
= Speedy Recovery

• Blood Glucose Test,
• Cholesterol Test,
• Blood typing,
• Zinc Test,
• Urine Dipstick Test
  • SG, specific gravity, which reflects the amount of solutes in a urine sample,
  • pH, indicates the body’s attempt to correct for high acid in the system,
  • leukocytes, indicates urinary tracks inflammation,
  • nitrites, which may indicate bacterial infection,
  • protein in urine indicates kidney involvement,
  • urobilinogen, which may indicate:
    • liver’s involvement,
    • hemolytic anemia
  • glucose in urine indicates increased glucose in the blood,
  • bilirubin, which may indicate the liver’s involvement,
  • blood, which may indicate the presence of:
    • kidney stones,
    • infection,
    • renal involvement,
    • menses in females
  • ketones in the urine sample may indicate:
    • increased alcohol consumption,
    • acute febrile illness in children,
    • starvation,
    • weight loss

Medical History + Physical Examination + Remedies
– Poor allergic diet = Speedy Recovery