Physical Exams

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.

 

Washington Institute of Sports Medicine  |  12707 120th Ave NE # 100 Kirkland, WA  98034  |  425-820-2110