9/13/2023 0 Comments Physical exam normal findings![]() Additionally, a thorough history must include aspects unique to refugees, such as a history of toxic environmental exposures, dietary history, and travel/geographic history. During the initial screening appointment, providers should review overseas medical documents, address a refugee’s immediate health concerns and priority needs as well as obtain a detailed history, including documentation of standard past medical history, medications, allergies, and social and family history. Individuals should be assured that this confidential medical visit is for their health, does not have any regulatory purposes, and will not affect their resettlement or visa status. ![]() It is critical to use qualified medical interpreters for any patient with limited English proficiency. The domestic medical screening is likely a refugee’s first routine medical encounter with the US-healthcare system and is an opportunity to begin establishing a trusting patient-provider relationship. Top of Page Recommendations for New Arrival History and Physical Examination Diagnostic tests required to identify communicable diseases of public health significance, as well as other tests identified as necessary to confirm a suspected diagnosis of any other Class A or Class B condition.ĭetails of the overseas history and physical examination may be found in the Technical Instructions for Panel Physicians.Physical examination including, a minimum of: examination of the eyes, ears, nose and throat, extremities, heart, lungs, abdomen, lymph nodes, and skin.Mental status examination (relevant for age) that includes an assessment of intelligence, thought, cognition (comprehension), judgment, affect (and mood), behavior, and appropriate development for young children.The physical examination is comprised of: Panel physicians conduct a review of systems and document symptoms that may suggest cardiovascular, pulmonary, musculoskeletal, or neuropsychiatric disorders. Panel physicians obtain a medical history, including current symptoms, significant acute or chronic conditions, and past hospitalizations and/or institutionalizations for chronic conditions. The overseas medical examination includes a medical history and physical examination to determine the presence and severity of Class A or Class B conditions. Top of Page Overseas Medical Examination: History and Physical Lastly, the domestic medical screening is an opportunity to introduce (or reaffirm) the importance of preventative medicine and routine physical examinations, as well as how and when to access emergency medical care. The domestic medical screening also helps refugees develop a sense of trust in the US medical system and healthcare providers. The initial history and physical examination are critically important to identify and manage acute and chronic health conditions. The domestic refugee medical screening examination, conducted soon after US arrival, offers a timely opportunity to identify acute and chronic health conditions. Conduct a thorough, head-to-toe physical exam as permitted by the patient, as this may reveal undiagnosed underlying diseases and other medical issues.ĭepending on their country of origin, refugees may be at increased risk for infectious or non-infectious conditions less commonly seen among the US-born population.Measure blood pressure (≥3 years), and complete a formal vision (≥3 years) and hearing screening (≥4 years).During the initial screening appointment, address immediate health concerns/priority needs and obtain a detailed history, including aspects unique to refugees (e.g., travel history).Work with a qualified medical interpreter who speaks the patient’s preferred language.Review overseas medical documents, including vaccinations and screening for communicable conditions of public health importance.Early Childhood Developmental Screening.Recommendations for New Arrival History and Physical Examination.Overseas Medical Examination: History and Physical.
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