What Is a Medical Evaluation?

C. Webb

A medical evaluation is a process during which a health care professional examines the patient's body for signs of injury, illness, or disease. Some medical evaluations are with a primary care physician due to patient symptoms. Third-party physicians sometimes are requested to verify previously diagnosed medical issues.

Body temperature will be recorded during a medical evaluation.
Body temperature will be recorded during a medical evaluation.

Most medical evaluations begin with a medical history. The patient is asked about currently prescribed medications, current and past medical conditions, surgeries, and illnesses. Vital signs, including blood pressure, heart rate, and body temperature, are taken and recorded. Symptoms are discussed as to onset and severity.

A Pap smear is a gender-specific medical test.
A Pap smear is a gender-specific medical test.

The body is examined. This can include testing physical reflexes, examining the eyes, nose, and throat, or visually checking injuries. Based on symptoms and examination findings, further tests may be ordered. Blood tests, x-rays, or tests of the cardiovascular system are examples of commonly requested tests for a medical evaluation. Based on examinations and test results, the diagnosis is made.

A medical evaluation can incorporate a review of a patient's vital signs, including blood pressure.
A medical evaluation can incorporate a review of a patient's vital signs, including blood pressure.

Medical evaluations ordered by insurance companies or employers typically target previously diagnosed conditions. For example, a claim of a work-related injury by an employee is examined to assess the injury's existence or severity. In addition, the medical evaluation is used to rate the severity of injury or illness to determine a financial award or disability payment duration.

A prostate exam is a male-specific medical evaluation.
A prostate exam is a male-specific medical evaluation.

Some medical evaluations are ordered to support a plaintiff or defendant in a civil lawsuit. When this happens, the existence and probable cause of a specific injury or illness is evaluated. The medical evaluation results are provided to the requesting party. In some cases, the evaluating physician is required to testify in court as to his or her findings and expert opinions regarding those findings.

An insurance company will also sometimes pay for a medical evaluation as a preventative health care measure. Policy holders are encouraged to schedule a medical evaluation so that illnesses or injuries can be detected and treated in their early stages. Such evaluations usually involve a complete physical examination. Insurance companies order medical evaluations to assess customer insurance eligibility. Denial of eligibility or a higher premium can result from the evaluation results.

Gender-specific tests are typically included in a general medical evaluation. Pap smears and prostate exams are examples of gender-specific testing. In addition, pregnancy testing during a basic physical check-up is reserved for female patients within a targeted age range.

Blood tests are common medical tests.
Blood tests are common medical tests.

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