What items should a 70-year-old man check for a full-body examination?

Seven key points of cardiovascular and cerebrovascular examination in physical examination of the elderly

Physical examination mainly includes three parts: general physical examination includes specialist examination of internal medicine, surgery, gynecology, ENT and hepatology; Functional examination includes ECG, X-ray, B-ultrasound (including liver, gallbladder, spleen, kidney, reproductive system) and other imaging examinations; Biochemical examination includes three routine examinations of blood, urine and stool, five laboratory examinations of blood sugar, blood lipid, liver and kidney function and hepatitis B, in addition to three examinations of tumor (alpha fetoprotein, EB virus and carcinoembryonic antigen) and early screening of prostate cancer, cervical cancer and breast cancer.

Under normal circumstances, physical examination should be carried out according to most of the above, and the emphasis of physical examination required by people of the same age, gender, weight and occupation is also different. Li Ru suggested that the elderly should pay attention to the following seven aspects:

The first cardiovascular and cerebrovascular examination focuses on measuring blood pressure in the physical examination of the elderly. Hypertension and coronary heart disease are induced by high blood pressure, which is prone to cerebrovascular accidents; Electrocardiogram examination to understand myocardial blood supply, arrhythmia and so on. It is recommended to do color Doppler ultrasound when you are too old to run the treadmill; B-ultrasound examination of carotid artery shows whether there are lesions in blood vessels.

Second, B-ultrasound of hepatobiliary pancreas and X-ray B-ultrasound of hepatobiliary chest can detect whether there are hepatobiliary tumors or gallstones in advance. Because tuberculosis and lung cancer are found early in the elderly after many chest X-ray examinations, the elderly who smoke all the year round should have regular chest X-ray examinations, which is a good screening method for asymptomatic early lung tumors.

Third, the early detection of senile cataract, primary glaucoma, hypertension, coronary heart disease and diabetes by fundus examination reflects whether the artery is hardened.

Fourth, check blood sugar and blood lipid. Obese or elderly people with hypertension and arteriosclerosis should pay special attention to this special diet. Two hours of blood sugar can explain the problem.

Fifth, the detection of bone density, the elderly are prone to osteoporosis, so men over 50 years old and women over 45 years old should be tested for bone density.

Sixth, gastrointestinal endoscopy should be included in the supplementary list of physical examination for the elderly over 50 years old, especially the elderly men. If gastrointestinal endoscopy finds some precancerous lesions, colorectal polyps, etc. , it should be removed as soon as possible. In addition, gastrointestinal diseases and cancer can be found early through fecal occult blood examination.

Seventh gynecological examination or prostate examination Older women can ignore the annual comprehensive gynecological examination even after menopause, while men should have a prostate examination.

In short, when the elderly make their own physical examination list, they should first tell the doctor about their physical fitness, and then the doctor will supplement the examination items in a targeted manner. At the end of the physical examination, they must ask the doctor to supplement the analysis, find the problem as soon as possible and treat it.