Under normal circumstances, physical examination should be carried out according to the above parts, but people of different ages, sexes, weights and occupations need different physical examination focuses. The Physical Examination Center of the Central Hospital advises the elderly to pay attention to the following seven aspects:
First, cardiovascular and cerebrovascular examination. This 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.
The second is B-ultrasound and chest X-ray of hepatobiliary pancreas. B-ultrasound of liver and gallbladder can check the morphology of liver and gallbladder and find out whether there are liver and gallbladder tumors or gallstones in advance. Because this is a non-invasive examination, so
Older people can have multiple examinations. 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.
Third, check the fundus. Senile cataract and primary glaucoma can be found early. Patients with hypertension, coronary heart disease and diabetes can reflect whether the artery is hardened by examining the fundus.
Fourth, check blood sugar and blood lipid. Old people who are obese or suffering from hypertension and arteriosclerosis should pay special attention to this item, especially the blood sugar two hours after meals is more telling.
Fifth, detect bone mineral density. Old people are prone to osteoporosis, and men over 50 and women over 45 should have bone mineral density tests.
Sixth, gastrointestinal endoscopy. Older people over 50 years old, especially older men, should be included in the "supplementary list" of physical examination. 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.
Seventh, gynecological examination or prostate examination. Even if the elderly women are menopausal, they 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.
Zhuzhou central hospital-health examination center
Address: (South) Health Management Center, 1st floor, outpatient department of Central Hospital, Changjiang South Road 1 16, Tianyuan District.