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Medical Wellness Screening

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Medical Wellness Screening
Type Tests Recommended Recommendations
Breast Cancer Screening

Self-Exam

Clinical Breast Exam

Monthly

Every 2–3 y, age 20–39 Annually for women >39

Mammogram

Annually @ age >39

Women w/previous Hx of breast CA, documented genetic mutation &/or strong family Hx of breast CA should have mammogram earlier than 40 w/ultrasound &/or MRI

Genetic Testing If strong family Hx of breast or ovarian CA
Cardiovascular Disease Screening

PAR-Q

Cholesterol

Triglycerides

HDL

LDL

HDL/Cholesterol Risk Ratio

Blood Pressure Check

Stress Test

C-Reactive Protein

Berkeley Lab Test

Par-Q before starting an exercise program

Lab work for those w/family Hx

C-reactive protein & Berkeley Lab Tests for those w/family Hx of heart disease

Stress testing for those w/Sx or moderate to high risk of developing disease

Colon Cancer Screening

Colonoscopy

Flexible Sigmoidoscopy

High-Sensitivity Decal Occult Blood Test

Regular screening @ age 50 (unless family Hx)

Colonoscopy at 50 & every 10 y

Every 5 y after 50

Every y after 50

Diabetes Screening

Blood Glucose

HbA1c

Screen for type 2 diabetes in adults w/BP >135/80
Gastrointestinal Disorders

Total & Direct Bilirubin Alkaline Phosphatase Serum Glutamic Oxaloacetic

Transaminase (SGOT)

Serum Glutamic Pyruvic Transaminase (SGPT)

Gamma-Glutamyl Transpeptidase (GGT)

Lactate Dehydrogenase (LDH)

Albumin Total Protein

Screen only if individuals present w/strong family Hx or Sx
Therapeutic Exercise Screening

Cardiovascular Disease Screening

Musculoskeletal Dysfunction

Neuromuscular/Balance Dysfunction

PAR Q & You & Risk Factor Profile

Musculoskeletal quick screen

Balance quick screen

Kidney Function Screening

Blood Urea Nitrogen (BUN)

Creatinine

Estimated Glomerular Filtration Rate (eGFR)

Phosphorus Sodium Potassium Chloride Calcium Uric Acid Magnesium

Screen only if individuals present w/strong family Hx, Sx, or other diseases that can affect kidney functioning
Ovarian Cancer Screening Serum Ca-125 Transvaginal Ultrasound For women w/increased or inherited risk

Peripheral Arterial Disease Screening

Prostate Cancer Screening

Ankle Brachial Index Test Risk Factor Profile for

CAD

Screen in individuals w/other cardiovascular disease & those w/Sx
Digital Rectal Exam Yearly for men >49
Prostate Specific Antigen (PSA) Annual PSA for men >49; possibly early if family Hx
Skin Cancer screening Whole body mole check by dermatologist Yearly exam
Thyroid Screening Thyroxine (T4)

Insufficient evidence to regularly screen

Screen if Sx indicate potential problem

Physical Activity Readiness Questionnaire for People Ages 15-69 (PARQ)

  1. __ Yes __ No Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?

  2. __ Yes __ No Do you feel pain in your chest when you do physical activity?

  3. __ Yes __ No In the past month, have you had chest pain when you were not doing physical activity?

  4. __ Yes __ No Do you lose your balance because of dizziness or do you ever lose consciousness?

  5. __ Yes __ No Do you have a bone or joint problem (for example, back, knee, or hip) that could be made worse by a ...

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