Since you already know how to prepare for a physical examination, let us now

proceed to what you will do in the actual physical examination. In taking a physical
examination, there are these three questions that could guide you. 
(EXPLAIN THE HOSPITAL CHUCHU)
 
Before meeting with your primary care provider, a nurse will ask you a series of
questions regarding your medical history, including any allergies, past surgeries, or
symptoms you might have. They may also ask about your lifestyle, including if you
exercise, smoke, or drink alcohol.

Here’s what to expect from an annual well-check.

1. Measure height and weight.

These standard measurements provide a baseline and a way to monitor your health.
For example, big changes in weight can indicate health problems.

2. Check vital signs.

You know the routine — blood pressure and heart rate especially. These are
important for everyone to monitor, especially if you have a family history of heart
disease.

3. Review personal health concerns.

Be sure you tell the doctor — in your words — how you are feeling. Keep in mind
that if you bring up new symptoms or chronic conditions, your insurance company
may not cover that portion of the visit as part of your annual wellness check. Still, this
kind of one-on-one time with your primary care provider is valuable and it may be a
good time to discuss your symptoms.

Some things the doctor needs to know are:

 Do you feel any unusual discomfort?

 Where is the discomfort/pain located?
 What does the pain feel like? Is it dull, achy, pressure or sharp?
 How long does the pain last? Does it come and go? Does it stay for a long
time?
 Do you notice that anything causes the discomfort? For example, do you feel
it after eating, after exercise or at night?
 What relieves the discomfort? Rest, medications, position?

4. Review medical care preferences.

This is also your chance to review your preferences related to medical care. For
example, have you considered your approach to blood transfusions or do not
resuscitate (DNR) status? These aren’t always easy conversations to have, but your
doctor can walk you through them.

5. Assess your social environment and how it affects your health.

Are you around a lot of smoking? Is stress a major issue for you at work? What is
your diet like? Knowing about these environmental factors can help your doctor know
your risks — and help you reduce them.

6. Review your medication list.

What are you currently taking, including supplements and over-the-counter

medications? Knowing this information helps you avoid dangerous drug interactions.

7. Review family health history.

Family history is such an important tool in personalized healthcare. Come prepared

with information about your relatives, including what conditions they have or had,
and if they are no longer living, how they died and at what age.

8. Have an actual physical exam.

Your doctor will evaluate each organ system. For certain age groups, this also may
include a clinical breast exam and pelvic exam for women and a genital and prostate
exam for men.

9. Get necessary tests and screenings.

This may include blood tests, which are customized to evidence-based screening
guidelines for your age group and sex. Be sure to follow up with your doctor’s office
about results, too.

This list is not all-inclusive, of course. Depending on your health, your doctor may
order additional tests or ask additional questions. Remember that an annual well-
check is all about you — so it will be tailored to you, too.

RISK:

Most portions of a physical exam carry no risks. Some mild discomfort and pain
might occur during a blood test when the needle is inserted into the vein for blood
withdrawal. A small bruise may also develop where the needle was inserted after it’s
removed. This bruise should heal in a few days.

While a physical exam is considered by many to be a great way to develop an

overall picture of a person’s health, some experts are not convinced that it’s
necessary every year. Talk to your doctor about the best interval for your routine
health exam.

Mammogram- In women with low or average risk for breast cancer

A Pap smear involves collecting cells from your cervix, A screening test that tests for
precancerous or cancerous cells in the cervix.

Testicular exam: Your doctor may wish to check each testicle for signs of a
problem, including lumps, changes in size, and tenderness.

Abdominal Aortic Aneurysm screening: This is a one-time screening test

done with an ultrasound. It is recommended for all men ages 65-75 who
have ever smoked.

A screening test is done to detect potential health disorders or diseases in

people who do not have any symptoms of disease. The goal is early
detection and lifestyle changes or surveillance, to reduce the risk of
disease, or to detect it early enough to treat it most effectively.

Your doctor may request a return visit to discuss test results or follow up on
any exam findings. The physical exam is a chance for a frank discussion
about health, habits, and your future. With your doctor’s help, you’ll be able
to tackle signs of potential problems with a plan.