4. As medical problems increase the routine chemical tests, blood tests, urinalysis, stool examination, Electrocardiography. Rontgenographie studies, confrontation on validity of each tests are on active debate among physicians.
In the mean time routine evaluation tests performed in the hospital not only increase medical cost but also relate to many complications caused by there procedures.
There are authors reviewed 315 charts those admitted severance hospital from april 1987 to July 1987.
In order to determie the effectiveness of serum electrolyte tests on diagnosis and treatment of the patients and to detect the symptoms and diseases most apt to show serum electrolyte imbalance.
1) There were 172 men(54.6), and 143(45.4) women with male to female ratio of 1.2:1.
2) It has wide range from 16 years old to 87 years old. and ages from 30-39 were 73 cases(22.2).
3) according to disease distributions there were gastrointestinal dis, 123(39.0), respiratory dis 76(24.1), cardiovascular 32(10.2), endocrinologic 23(7.3), Infectious 19(6.1) nephrologic 12(3.*), micellaneous 30(9.5), where gastrointestinal problems were most familiar.
4) 163 cases(51.7) revealed normal electrolyte but 152(48.3) showed electrolyte imbalance, where abnormalities in CO₂content were 102mEq/L934.4) Na 64mEq/L(20.3), K 26mEq/L(8.3)CO₂/24eEq/L(7.6).
5) 51(16.2) patients with electrolyte imbalance(16.2) needed medical correction however, 101(32.1) patients were left behind.
6) From the results authors conclude that the routine serum electrolyte test are useless and careful selection is necessary in order to promote cost effective medical performance.

In order to assess the quality of patient care, Patient Care Apprasal(PCA) of seventy-seven hyertensive patients(male 39, female 38) were performed by chart audit in family pracice residency program.
Total twenty-four items were checked including diagnosis, history taking, physical examination, laboratory tests, treatments and follow-up care. Relatively more performed items were diagnosis, heart and lung examination, laboratory tests, diet education, regular follow-up care, and history taking of polyuria, nocturia, cardiovascular status. Relatively less performed items were history taking of steroid use, repeated urinary tract infection, diabetes, smoking; physical examination of abdominal bruit, fundoscopy, carotid artery, blood pressure of erect and supine position/both upper extremities; education of stress relief and quit ting smoking.