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What are the physical examination items for the elderly, which may be a concern for everyone when they do a health examination every year. However, as a geriatrician, we still have this suggestion when choosing physical examination items for patients: First, the elderly need to be clear about what chronic diseases they may have, such as:
High blood pressure, diabetes, coronary heart disease, cerebrovascular disease, lung problems, kidney problems, etc. According to the situation of your chronic disease, choose a reasonable and targeted physical examination item. This is more conducive to screening for the clinical status and early clinical symptoms of many diseases.
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Middle-aged and elderly people are the focus of various diseases, and they are more likely to invade than young people, especially some chronic diseases are high incidence during this period. As people get older, people's "parts" also begin to have problems of one kind or another, and if they are not inspected and repaired in time, they will accumulate until a certain time will strike. For middle-aged and elderly people, it is still necessary to regularly check the condition of each "part".
So, let's explain to you what are the health examination items for the middle-aged and elderly: In addition to the basic items for the middle-aged and elderly physical examination items, it is necessary to look at them comprehensively according to each person's physical condition and past medical history. Among them, the key items include cardiac color ultrasound, transcranial Doppler examination, carotid artery color ultrasound, whole-body thermal imaging, thyroid function, cardiac enzyme detection, tumor marker examination and other projects.
1) Cardiac ultrasound examination: This examination can help doctors detect your heart problems in time. She dynamically visualizes the structures in your heart chambers, the heart's beat, and blood flow, and detects a variety of heart disease and cardiomyopathy.
It is especially important for middle-aged and elderly people with heart discomfort and a family history of medical conditions. (2) Transcranial Doppler examination: Simply put, it is a wave to measure the flow rate and status of blood vessels in the brain, whether there are blockages, abnormal blood vessels, etc., so as to help doctors judge the health status of cerebral blood vessels.
In addition, this method uses ultrasound, which does not cause wounds and is safer. (3) Whole body thermography: The temperature distribution on the human body is stable, and the temperature is different in different places, and an overall image can be formed through this instrument.
Doctors determine the location of human lesions, the nature of the disease and the degree of lesions through the changes in the temperature of each part of the person. A full-body examination can help you find out what is wrong. Therefore, this test is important for anyone.
4) CA199 test: it is the most sensitive marker reported for pancreatic cancer so far. It exists in the form of salivary mucin and is distributed in the normal fetal pancreas, gallbladder, liver, intestine and normal adult pancreas, bile duct epithelium, etc.
It is a tumor-related antigen of the gastrointestinal tract that exists in the blood circulation, and is one of the important means to detect tumors. The highest incidence of malignant tumors is more common in middle-aged and elderly people, and when the elderly feel unwell during this period, they will generally simply think that it is a symptom caused by old age or common diseases of old age, and they do not go to the hospital for diagnosis and treatment, which is easy to cause serious problems. The elderly who are unwell can also be diagnosed with tumors through tumor marker examinations.
Then, Beijing People's Physical Examination Center is the only professional physical examination institution in China that has created the core service concept of "future-style physical examination". The center has developed a variety of medical examinations for the different needs of different populations**. You can choose according to your own health condition, and there is a targeted examination.
Responsibility: WJ wants to consult customers directly, no charge, 24-hour service. Authoritative experts will answer your questions about physical examination and give you professional personalized guidance according to your situation.
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So generally speaking, this drama may need to carry out some blood routine, liver and kidney function, blood sugar, blood lipids, electrocardiogram, chest X-ray, electrocardiogram, and some other tumor indicators, etc., the corresponding examination cost may be about four or five hundred yuan, of course, the price of different examination items is different, and professional analysis and ** are required according to the specific situation.
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The physical examination items of the elderly are generally blood routine, urine routine, stool routine plus occult blood, as well as coagulation items, liver function, kidney function, blood glucose, blood lipids, and electrolytes, which are the items of routine examination of hematuria and stool. Others can be done with an electrocardiogram (ECG) and chest CT. In addition, if there is dizziness and headache, such a patient can have a CT or MRI of the head to see the patient's symptoms.
If there is new-onset limb weakness, MRI of the head is usually done without contrast plus diffusion. If it is hypertension or diabetes, such patients may generally have blood vessels in the neck and color ultrasound in the heart. If you have a heart disease, you should check the electrocardiogram and color ultrasound, and depending on the symptoms, if angina or myocardial infarction is suspected, the cardiac enzyme spectrum and troponin should be checked, which are all routine tests.
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The physical examination items for the elderly mainly include: 1. Routine items: blood routine, urine and urine routine, liver and kidney function, electrocardiogram, B-ultrasound, chest X-ray, head CT, etc.
2. Because the elderly are a group with a high incidence of tumors, tumor-related examinations should be included, such as liver cancer, prostate cancer and other tumor marker detection. 3. Geriatric syndrome examination: such as cognitive decline, insomnia, depression, frailty, risk of falling, malnutrition, etc., these examinations are mainly screened by geriatricians through some scales; 4. Combined with the key examinations of the elderly's previous diseases, such as a history of coronary heart disease, there are some special examinations for the heart, such as cardiac color ultrasound, ambulatory electrocardiogram, coronary angiography, etc.
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Blood glucose, blood lipids, liver function, and kidney function tests are performed. Electrocardiogram examination for premature contractions, myocardial insufficiency, lung CT examination for lung cancer, electronic gastroscopy for gastritis, gastric ulcer, gastric cancer. Ultrasonography of the liver, gallbladder, pancreas, spleen and kidneys, ultrasound of the bladder and prostate, or ultrasound of the breast, uterus, and ovaries is done.
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In addition to the annual routine examination, due to the physical condition, age, environment and other conditions of each person, the body is more susceptible to the invasion of diseases every year than in previous years, so the cardiovascular, cancer prevention examination, cervical spine examination, liver function examination and other items will be appropriately added; If you choose a physical examination for the elderly on the Dolphin Health Examination website, there will be professional doctors to help you choose a better program.
In recent years, there is a high incidence of cardiovascular diseases, and the elderly need to focus on protection, so the elderly should pay attention to cardiovascular examinations and pay attention to their blood pressure changes in their daily life. At the same time, it is also necessary to pay attention to eye examination to prevent cataracts, glaucoma and other diseases; Pay attention to blood sugar and lipid tests to prevent diabetes, hypertension and other diseases.
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The physical examination of the elderly has the following items: electrocardiogram can check whether there is insufficient blood supply to the myocardium, whether there is premature ventricular contractions or other arrhythmias. The elderly should check the CT of the lungs to check whether there is lung inflammation or lung cancer.
The elderly can check the carotid artery ultrasound, and the carotid artery ultrasound can see whether the carotid artery has plaque formation, which can be the risk of cardiovascular and cerebrovascular diseases. The physical examination of the elderly should check blood glucose, blood lipids, liver function, kidney function, homocysteine, blood routine, urine routine, stool routine and other items, and check whether there is hyperlipidemia and diabetes. In addition, the elderly can check the cranial magnetic resonance imaging to see if there is cerebral thrombosis, cerebral infarction or other conditions, and also check the degree of arteriosclerosis.
Height, weight, blood pressure, heart sounds, lung auscultation, liver, spleen, kidney, abdominal palpation, bowel sounds, visual acuity, color discrimination, hearing, external auditory canal, tympanic membrane, external nose, nasal cavity, pharynx, tonsils, larynx, electrocardiogram, B ultrasound (liver, gall bladder, pancreas, spleen, kidneys, uterus, adnexa, prostate), chest fluoroscopy, blood routine, urine routine, liver function, hepatitis B two and a half, hepatitis C antibody, blood glucose, blood lipids (cholesterol, triglycerides, high-density lipoprotein, low-density lipoprotein), renal function, HIV
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