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EXECUTIVE PHYSICAL EXAM PROGRAM
Physical Exam Components:
A. MEDICAL HISTORY QUESTIONNAIRE
B. PHYSICAL EXAMINATION: HANDS ON BY M.D:
VITAL SIGNS: BP, TEMP, PULSE, RESPIRATORY RATE
HEAD, EYES, EARS, NOSE, THROAT
NECK
CARDIOVASCULAR: EKG, HEART SOUNDS
PULMONARY
GASTROINTESTINAL: DIGITAL RECTAL EXAM
MALE: RECTUM & LOWER ABDOMINAL MASSES, PROSTATE
FEMALE: RECTUM & LOWER ABDOMINAL MASSES
GENITO-URINARY
MALE: GENITALIA, PROSTATE
FEMALE: PELVIC, BREAST-CLINICAL
LYMPH NODES
NEUROLOGICAL: CRANIAL, PERIPHERAL NERVES, MOTOR, SENSORY, REFLEXES
MUSCULOSKELETAL
SKIN
C. PRE PHYSICAL LABORATORY TESTS:
- CBC: WBC, DIFFERENTIAL, RBC, PLATELETS
- METABOLIC PANEL
- LIVER FUNCTION: SGOT/AST, SGPT/ALT, LDH, ALKALINE PHOS., BILIRUBIN
- LIPID PROFILE: TRIGLYCERIDES, TOTALCHOLESTEROL; , LDL-C, HDL-C, TOTAL CHOL/HDL-C RATIO
- GLUCOSE
- BUN
- CREATININE
- ELECTROLYTES: SODIUM, POTASSIUM, CALCIUM
- CARBON DIOXIDE
- TOTAL PROTEIN
- ALBUMIN
- URINALYSIS: DIP STICK, MICROSCOPIC, HEMOCULT
D. SUPPLEMENTAL DIAGNOSTIC EVALUATIONS:
- BODY COMPOSITION UTILIZING ACCURATE WHOLE BODY
- PLETHYSMOGRAPHY, LEAN WT., FAT WT., % FAT, IDEAL WT.
- VISION TESTS: NEAR, DISTANT, PERIPHERAL, COLOR
- HEARING PULMONARY: SPIROMETRY, SPIROGRAM, FEV1, FVC, FEV1/FVC
- CHEST X RAY
- MAXIMAL FUNCTIONAL CAPACITY, CLINICAL CARDIAC AND PULMONARY TREADMILL EXERCISE STRESS TEST
- CANCER SCREENING
- MALE: PSA.
- FEMALE: MAMMOGRAM, PAP SMEAR
- BONE DENSITY
E. IMMUNIZATION AND INFECTIOUS DISEASE SCREENING:
- VACCINATIONS UPDATES
- TETANUS (10 YRS),
- DIPTHERIA, MMR ( MEASLES-1957, MUMPS-1957, RUBELLA)
- HEPATITUS: A&B; SUGGESTED, C; BASELINE ANTIBODY TESTS,
- VARICELLA: OFFERED, BUT NOT REQUIRED
- INFLUENZA: OFFERED EACH WINTER, BUT NOT REQUIRED
- TUBERCULOSIS: PPD-ANNUAL, CHEST X RAY IF POSITIVE
- HIV TESTING: OPTIONAL, OFFERED CONFIDENTIALLY (PATIENT)
F. FOLLOW-UP OR REFERRAL TO HEALTH CARE PRACTITIONER:
- ABNORMAL/POSITIVE FINDINGS SHOULD BE ADDRESSED WITH FOLLOW-UPS AND REFERRALS
- REVACCINATION OR INTERVENTION FOLLOWING EXPOSURES
G. INDIVUALIZED HEALTH IMPROVEMENT PLAN AND COMPUTERIZED HEALTH RISK APPRAISAL:
- WRITTEN FEEDBACK CONCERNING HEALTH RISKS AND HEALTH STATUS WITH ACTION PLAN
- CONSULTATION SESSION WITH REVIEW OF ALL FINDINGS AND INTERPRETATION OF RESULTS AND HEALTH PLAN
FIRE DEPARTMENTS AND POLICE DEPARTMENTS
PHYSICAL EXAM PROGRAM
*COSTS COVERED BY BENEFITS PLAN (NON-HMO), depending on coverage plan
THIS IS A COMPREHENSIVE EXAM BASED ON THE NEEDS OF THE ACTIVE FIREFIGHTER and POLICE OFFICER FACING CONTINUING MEDICAL AND FITNESS STANDARDS.
FIND OUT YOUR CURRENT HEALTH AND FITNESS STATUS AND RECEIVE A COMPREHENSIVE PLAN TO ACHIEVE YOUR GOALS
BUILDING THE FOUNDATION FOR A HEALTHY AND FIT FUTURE
THE PHYSICAL EXAM
- MEDICAL HISTORY
- PRE-PHYSICAL LABORATORY TEST
- BLOOD / URINE
- COMPLETE PHYSICAL EXAM BY M.D.
- VISION / HEARING / PULMONARY / CHEST X-RAY
- MAX FUNCTIONAL CAPACITY TREADMILL TEST
- CANCER SCREENING MALE / FEMALE
- HEART RISK SCREENING
- IMMUNIZATI0N UPDATES
- STRENGTH TESTING FOR SPECIFIC JOB TASKS
- OPTIONAL BODY COMPOSITION / IDEAL WT*
- APPROPRIATE REFERRALS FOR M.D. FOLLOW-UP
THE INDIVIDUALIZED PLAN
- REVIEW OF FINDINGS AND HEALTH STATUS
- WRITTEN / VERBAL FEED BACK ON HEALTH RISKS
- SPECIFIC ACTION PLAN
APPROPRIATE REFERRALS FOR M.D. FOLLOW-UP
MEDICATION / PRESCRIPTIONS
- EXERCISE PRESCRIPTION FOR STRENGTH & CARDIOVASULAR IMPROVEMENTS
- LIFESTYLE CHANGES / MODIFICATIONS
- DIET / NUTRITION / WEIGHT LOSS *
*BODY COMPOSITION IS OPTIONAL FOR AN ADDITIONAL FEE OF $35.00. This is a state of the art $35,000 system which utilizes whole body plethysmogrophy. It yields fat wt., fat %,. lean wt. , and ideal wt.
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