Internal medicine screening
- General internal medicine screening, physical examination
- advising special diagnoses, consultation if it is necessary
- examination of neuro-psychiatric complications of diseases included in the area of internal medicine
- screening of diabetes, hypertension, diseases of the liver, arteriosclerosis, diseases of the heart, spine, and thyroid gland
Screening of diabetes:
In case of suspecting diabetes
- laboratory tests
- measuring blood sugar on an empty stomach
- measuring blood sugar 2 hours after a meal rich in carbohydrates
- glucose load if it is necessary
- measuring the level of insulin in blood
In case of proven diabetes
- laboratory tests: blood sugar, haemoglobin a1c, urea, creatinine – eGFR, CRP, sodium, potassium, calcium, magnesium
- urine test
- MAU – microalbumin
Medical examination
- taking history
- estimate risk factors
- measuring blood pressure
- measuring weight, body fat
- examination of the organs of circulation, abdominal organs, and lungs
ECG
Vascular surgical examination
- physical and ultrasound examination of the circulation in the limbs
- screening of cervical vasoconstriction by ultrasound
Ophthalmic examination
- visual acuity
- examination of the fundus of the eyes
Examination of reflux and ulcer disease
Laboratory test
- blood test, urine test
- liver function test
- kidney function test
Medical examination
- taking history
- estimate risk factors
- physical examination
- summary of the records
ECG
Abdominal ultrasound (examination of the liver, gall bladder, spleen, kidneys and pancreas)
Detecting the presence of helicobacter pylori
Dietetic counselling (30’)
Gastrocopy if it is necessary
Screening of cancer of the large bowel
If it is diagnosed in time it is almost always curable. Its benign form is polyp. Usually you do not even need an operation to remove a polyp. In Hungary 9000 patients are diagnosed with cancer of the large bowel and 5000 people die in it every year. It is difficult to detect it because in the earlier periods it does not provoke symptoms. This period is some year long that is why it is important to go screening regularly.
Laboratory test
- blood test
- estimating risk factors
- liver function test
- kidney function test
- examination of electrolytes
- urine test
Medical examination
- taking history
- estimating risk factors
- physical examination
- summary of the records
ECG
Abdominal ultrasound (examination of liver, gall bladder, spleen, kidneys and pancreas)
Colonoscopy (it is unpleasant but accurate)
Detecting the presence of blood in the stool (it is not painful, at least 3 samples are necessary)
Screening with enzymes
In this method we detect a special enzyme which is produced by the tumour instead of blood in the stool. If the test is positive you most likely have a benign tumour, less likely a malignant one. But even if the test is positive it is not 100% that you have a tumour because enteritis or other abdominal problems can also cause positive result. If the test is positive more examinations and colonoscopy are necessary.
The tumour is developing for years so it is worth to make the test every year.
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