Physical examination for 60-year-old people Cardiovascular and cerebrovascular examination is the focus of physical examination for the elderly.
Blood pressure measurement, hypertension is one of the causes of coronary heart disease, blood pressure is often at the peak, prone to cerebrovascular accidents;
Electrocardiogram examination, can understand the myocardial blood supply, arrhythmia and so on. I am very old and can't run a treadmill. It is recommended to have a heart color ultrasound.
Carotid ultrasound can check whether the blood vessels are diseased.
B-ultrasound of hepatobiliary pancreas and B-ultrasound of thoracic hepatobiliary can check the morphology of hepatobiliary, and find out whether there are hepatobiliary tumors or gallstones in advance. Because this is a non-invasive examination, the elderly can check it many times. Chest X-ray can detect tuberculosis and lung cancer early, and the elderly who smoke all the year round should have regular chest X-ray examination, which is the best screening method for asymptomatic early lung tumors.
Examination of fundus can detect senile cataract and primary glaucoma at an early stage. Patients with hypertension, coronary heart disease and diabetes can reflect whether the artery is hardened by examining the fundus.
Check blood sugar and blood lipid. Obese or elderly people with high blood pressure and arteriosclerosis should pay special attention to this item, especially the blood sugar two hours after meals can explain the problem.
Gastrointestinal endoscopy should be included in the "supplementary list" of physical examination for the elderly over 60 years old, especially for the elderly men. Gastrointestinal endoscopy can find some precancerous lesions, such as colorectal polyps, so as to remove them as soon as possible. In addition, fecal occult blood test can also detect digestive tract diseases and cancer early.
Gynecological examination or prostate examination Even the elderly women in menopause can't ignore the comprehensive gynecological examination once a year, while men should have a prostate examination.
In short, when the elderly list their physical examination list, it is best to tell the doctor about their physical discomfort first, so that the doctor can supplement the examination items in a targeted manner. After the physical examination results come out, you must ask a doctor to analyze them and deal with the problems as soon as possible.
Legal basis: The National Health and Family Planning Commission issued the National Basic Public Health Service Standard for free physical examination: elderly people over 65 years old, patients with hypertension, diabetes, severe mental illness and pulmonary tuberculosis (children aged 0-6 years old come to the hospital for physical examination in combination with vaccination time), (pregnant women, come to the hospital within 0/3 weeks of pregnancy).
Free physical examination items: physical examination (temperature, pulse, respiration, blood pressure, height, weight, waist circumference and skin, superficial lymph nodes, lung, heart, abdomen, mouth, vision, hearing and motor function) and auxiliary examination (abdominal B-ultrasound, liver and kidney function, blood routine, urine routine, fasting blood sugar, blood lipid and electrocardiogram).