Medical examination: what to pass and what not

Медицинские обследования: какие проходить, а какие нет

Medical examination: what to pass and what not

Author: Anna Starkova

hidehome health medicine medical examination US

We know to be surveyed should be regularlyto know the current status of your body and to repulse a possible disease on the distant approaches. Ignore the checkups risky. But all necessary measure — too eager to look for, where and what in the body SBOandt, and not worth it. This is a waste of time and money and completely unnecessary stress.

But how do you know where is the happy medium?

What medical examination is really necessary

As practice shows, most of us don’t know the answer to this question. Unfortunately, dishonest clinics, for extra earnings by assigning patients survey, which does not need it.

ECG and stress test

Медицинские обследования: какие проходить, а какие нет
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The essence

Electrocardiogram, fixing electrical activity of the heart at rest, identifies problems with the Central organ of the circulation. Using a simple, cheap and harmless ECG timely diagnose a wide variety of cardiac diseases: cardiac arrhythmias, ischemia, etc. Stress test checks the condition of the heart muscle during exercise, deliberately causing increased heart rate.

Who shown

ECG should undergo with the symptoms of cardiovascular diseases: pains in the chest, shortness of breath, sudden decrease in disability. The cardiovascular risk factors, particularly diabetes and high cholesterol, are also indications for an electrocardiogram.

Doctors often recommend a survey of pregnant women, however, we must note that while waiting for the baby the results may be unreliable. According to the “Journal of the American medical Association”, significant changes in the body expectant mothers can provoke symptoms that mimic heart disease in their actual absence.

Stress tests administered to diagnose coronary heart disease, but also for the monitoring of patients with a confirmed diagnosis of IBS.

Who does not necessarily take place

ECG does not need to be an adult with low risk of cardiovascular disease. In some cases, uncertain results may lead to unnecessary further testing, such as coronary angiography, in which the artery contrast injected the drug, and then do a chest x-ray.

Stress tests are contraindicated in acute coronary syndrome and aortic dissection. In these cases, a medical mistake (albeit unlikely) could cost lives.

Colonoscopy

The essence

Endoscopic examination of the mucous membrane of the colon and colon using a flexible probe. The procedure used to detect and remove polyps that may eventually transform into cancer.

Who shown

People older than 50 years with suspected polyps or bowel cancer. Patients with risk factors diagnostics may be required before. Among these factors:

  • long lasting (more than 8 years) inflammatory bowel disease;
  • the presence of a relative who has colon cancer or before the age of 60 years identified a large polyp;
  • syndrome of Lynch.

Given the specificity and soreness of the procedure, it should not take place without anesthesia.

If the patient has risk polyps were detected, the following procedure can be done in 10 years. If you determine not more than two in 5. In the other cases individually.

All other colonoscopy can be replaced with sigmoidoscopy, fecal occult blood test or occult blood in the stool. Sigmoidoscopy less painful and more safe, and the last 2 surveys are just laboratory tests.

Who does not necessarily take place

People without alarming symptoms and for patients older than 75 years, whereas in the past they did not have polyps and not have them hereditary predisposition.

Densitometry

The essence

The study of the structure and scanning of bone density.

Who shown

Women over 65 and men over 70, if they have seen a decrease in growth. Densitometry — a basic study for the detection of osteoporosis, therefore, is shown to people aged 50 to 60 years old with rheumatoid arthritis, smokers and receiving corticosteroids. The study was repeated after 15 years with normal results and every 2 years with moderate or severe osteopathy (decrease in bone mineral density).

Who does not necessarily take place

Women under 65 and men under 70 years with no risk factors. In the case of a confirmed diagnosis of “osteoporosis” experts from the American College of physicians recommended repeating the study is not more than 1 time in 5 years.

Screening of the spine

The essence

X-ray, CT scan or MRI to assess the condition of the spine.

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Who shown

Patients with back pain, unexplained weight loss and control limbs or bowel, chills and fever, cancer history.

Who does not necessarily take place

Patients with back pain lasting less than 6 weeks. (If they are not of the above risk groups.)

Test for prostate specific antigen (PSA)

The essence

PSA is a blood test for a specific protein of the prostate. Assigned to identify prostate cancer.

Who shown

Men at risk of prostate cancer:

  • blacks over 45 years old;
  • those whose relatives have/had this disease.

Who does not necessarily take place

Previously many doctors recommended that analysis of all men over 50 years to reduce mortality from prostate cancer. Today, however, the American cancer community recommends that you do so only after thorough consultation with the doctor. The fact that the increase in PSA level does not necessarily have a relation to cancer.

According to Everydayhealth, it can cause not associated with cancer causes:

  • age older than 65 years
  • urinary infections,
  • prostatitis,
  • some medical procedures
  • benign prostatic hyperplasia,
  • recent ejaculation.

A cervical smear (PAP tests)

The essence

Examination of cervical mucus for abnormal cells for early diagnosis of cervical cancer.

Who shown

The American College of obstetricians and gynecologists (ACOG) recommends to take a cervical smear to all women from 21 to 29 every 3 years, and from age 30 to 65 every 5 years.

Who does not necessarily take place

Girls up to 21 years if they are at risk — they have not been discovered papillomavirus.

Mammography

The essence

X-ray examination of mammary tissue.

Who shown

Women:

  • after 50 years of age.
  • in the presence of risk factors (Smoking, obesity, or breast cancer in family history);
  • with 40 years or an earlier age in the presence of nodes, seals, skin changes or nipple discharge from one or both Breasts.

After 75 years, the examination shall be appointed after consultation with the doctor.

Who does not necessarily take place

Girls and women if they had no risk factors.

Standard tests

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General and biochemical blood tests

Better to take at the beginning of any survey, as they are very informative and reveal various failures in the body and indicate the status of the internal organs.

However, poor results — not a reason to panic and term appointment of other, more costly or painful examinations. It is possible that a distorted picture as a result of:

  • improper training (for example, the interval between eating and the blood donation was too small);
  • drinking alcohol shortly before analysis.
  • many other factors.

If the results of the analysis are questionable — peredayte it a week before deciding what to do next.

Urinalysis

Periodically administered to evaluate body condition, as well as diseases of urogenital and endocrine systems, problems with the cardiovascular system, diabetes or suspicion on him.

If you have no signs of infection of the genitourinary system and the other aforementioned factors — to do this analysis at each visit to the doctor is not required.

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