Two things: the exercises where you learn physical exam stuff initially are extraordinarily contrived and nobody ever does an H+P like that in real life. Also, you're new to this and you will get better at it.
In real life, you ask HPI questions, PMH and targeted ROS, examine relevant systems plus always CV, pulm, extremities, abdomen, and spend the rest of the time coming up with a plan and writing a note.
You will find some hard line old guard attending who will be mortified by this but the new age of medicine is really one of technical knowledge over physical exam skills. Much of the PE is obsolete because what you might find doesn't have good enough sensitivity or specificity to change management. The fact that your substernal CP patient has point tenderness will not preclude an ECG and q6 troponins in most cases for most physicians/hospitals. In most specialties the PE is a performance done for documentation purposes.
The history is crucial though.
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Minor, but annoying Anxiety during Clinical Skills?
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