Where can I get examined? Quick check and diagnosis of the body at home. Cost of a comprehensive medical examination

Full examination body - this is a whole complex that includes laboratory tests, examination by narrow specialists (doctors of certain specialties) in a hospital or clinic and a series of instrumental studies. After its completion, conclusions can be drawn about the presence of diseases in a person or conditions predisposing them. The main purpose of a complete examination of the body is to identify chronic diseases and oncological pathology on early stages for the purpose of timely treatment. The ideal is to identify not the disease itself, but the factors predisposing it, followed by correction of potential risks.

You can compile a list of the most appropriate studies, analyzes and consultations yourself using Internet search engines, however, there is a risk of incorrectly summing up the information received and missing something important.

It is more advisable to seek help from a specialist, for example, start by visiting a local therapist or family doctor. It will take a sufficient amount of time and financial resources to go through the entire list in a traditional clinic. You can undergo a comprehensive examination of the whole body in a hospital - it will take less time, but discomfort from hospital living conditions can negatively affect the mood of even an absolutely healthy person.

Modern medical centers often provide their clients with standard packages of services, which include a list of tests, studies and consultations in accordance with the age and gender of the patient. This is a very convenient option for people who value not only their health, but also their time. A complete examination of the body can be completed in just a few days and at a convenient time.

So-called medical tourism is gaining increasing popularity. The largest clinics in Israel and Europe offer residents of other countries a so-called checkup, that is, a set medical services, which includes everything. This is a complex for a complete examination of the body, which is carried out in comfortable conditions, by qualified specialists and using high-tech equipment.

The process of obtaining comprehensive information about the state of your own health is combined with a pleasant stay in new country. At the client's request, he can be accompanied by a guide-translator ( separate service company engaged in medical tourism) so that the language barrier does not become an obstacle to the examination and does not create additional discomfort.

What does a comprehensive examination include?

The list of a complete examination of the adult body, offered by domestic specialists, includes:

detailed blood and urine tests;
biochemical tests (blood sugar, functional tests liver, blood amylase level, creatinine and urea);
overview radiograph (not fluorogram) of organs chest;
Ultrasound of organs abdominal cavity, and in women also the pelvis and mammary glands;
electrocardiogram;
consultation with a urologist (gynecologist), ophthalmologist, otolaryngologist, neurologist;
specific blood tests for infections (syphilis, hepatitis C and B, HIV).

If any abnormalities or other doubts are identified, a more detailed study of the function of a particular organ or organ system will be required. If there is a hereditary predisposition to certain types of diseases in the family (for example, episodes of heart attack, hypertension, oncological diseases female reproductive sphere), a comprehensive study of health status includes a more detailed study of this particular area. Exactly what details of the examination are needed is determined by the specific situation.

Checkup packages in foreign clinics

A complete examination of the client’s body, which is carried out in foreign clinics, includes a significantly larger number of instrumental studies. This allows us to largely eliminate the influence of the human factor - the doctor may make a mistake due to the lack of necessary experience in relation to a certain problem during the examination.

Obtaining objective results of instrumental studies, for example, lesions on a brain tomogram, involuntarily attracts attention and requires more detailed study.

The so-called standard package in Israeli clinics additionally includes (in addition to those stated above) the following points:

Special comprehensive examination packages

A complete examination in men and women implies certain differences. Designed especially for women:

blood test for cancer markers;
density measurement bone tissue to assess the severity of osteoporosis;
Ultrasound of the mammary glands is being replaced by mammography;
a PAP test is performed to assess the extent of human papillomavirus infection;
video colposcopy to assess the condition of the vaginal and cervical mucosa.

A complete examination in men includes the following: additional research:

Ultrasound prostate gland and examination by a urologist;
transurethral ultrasound of the prostate gland;
oncological markers most typical for male body, namely for possible damage to the prostate gland.

Check up program for children

There is often a need comprehensive survey the whole body of the child. Parents are interested not only in the availability chronic pathology, but also facts congenital anomalies developments that require timely correction. Comprehensive information is required before entering the nursery preschool or school, as well as before visiting a sports section or children's sports school.

A comprehensive child screening package includes all of the following.

Detailed examination by an experienced pediatrician traditional method by organ systems.
To assess the condition of a very young child, special tests and visual programs are used.
General clinical blood and urine tests.
Biochemical blood tests (selected individually, taking into account the characteristics of a particular patient).
An electrocardiogram and, if necessary, an echocardiogram (to assess the correct structure of the heart sac and heart valves).
X-ray examination of the chest organs, which can be replaced by tomography (magnetic resonance or positron emission).
Examination by an ENT doctor to identify pathologies of hearing and, accordingly, speech development.
Orthopedic examination - identifying pathologies of the joints and spine that require special treatment.
Examination of the whole body by a pediatric surgeon to detect hernias and other congenital anomalies.
Consultation with a dentist - to identify dental pathology with subsequent orthopedic correction.
In adolescent children during puberty, the hormonal profile is examined.

As a result of the information received, an individual plan for the development and prevention of diseases of a particular child is drawn up. Can be examined if necessary genetic passport, which provides information about the most likely diseases for a particular child, his inclinations and characteristics.

In Moscow, several dozen health centers operate on the basis of city clinics. If the clinic you are assigned to has a health center, you can undergo a free preventive examination there. It can be done at any age, once a year, and the visit itself will take from 30 minutes to 1 hour.

You can undergo the examination without an appointment at any convenient time (according to the clinic’s opening hours). To apply, you will need a passport and compulsory medical insurance policy.

2. What procedures does the examination include?

Preventive examination consists of a number of procedures including:

measurement of height, body weight, waist circumference, determination of body mass index;
blood pressure measurement and diagnosis of arterial hypertension;
determination of the level of total cholesterol in the blood using an express method, diagnosis of lipid metabolism disorders;
determination of blood glucose levels using an express method, detection of diabetes mellitus;
determination of total cardiovascular risk (the risk of developing cardiovascular complications over the next 10 years is assessed);
determination of the concentration of carbon monoxide in exhaled air (allows you to assess the severity of smoking and identify the fact of passive smoking);
spirometry - assessment of the main indicators of the respiratory system;
bioimpedansometry - determination of the composition of the human body, the ratio of water, fat and muscle mass;
express assessment of the heart condition using ECG signals from the extremities (carried out using a cardiovisor);
determination of the ankle-brachial index (detection early signs atherosclerosis in the vessels of the lower extremities);
measurement of intraocular pressure and testing of visual acuity (both tests are performed on modern equipment, intraocular pressure is measured using a non-contact method);
appointment (examination) with a dental hygienist with assessment of hygiene and diagnosis of oral diseases.

3. What happens after the examination?

After the examinations have been completed, you will be referred to an appointment (examination) with a doctor at the health center. He will give recommendations, including on correcting identified risk factors - unhealthy diet, excess body weight, smoking, low physical activity.

Feeling good does not always mean that a person is completely healthy. Preventive examinations help to identify diseases that lead to disability or death in advance. The treatment will be as effective as possible, since the process is always easier to stop before it goes too far. Not everyone can afford to pay for specialist consultations, but you can take advantage of the State Medical Examination Program.

Is it possible to get a medical examination for free?

Preventive medical examinations free of charge in Russian Federation introduced since 2013. Based on the results of the examination, doctors determined that the majority of visitors to the medical centers did not know about their diseases. To take advantage of the opportunity to check your health, you need to know the rules under which the population is served.

State Medical Examination Program

The Order of the Ministry of Health “On approval of medical examination” indicates which categories of the adult population have the right to be regularly examined free of charge. The state program is designed to identify groups of diseases that account for up to ¾ of all deaths in the Russian Federation. More often to fatal outcome cause cardiovascular, pulmonary, oncological diseases and diabetes.

According to the order of the Ministry of Health, medical examination of the population is carried out throughout the Russian Federation. For adults over 21 years of age, free examination is possible once every three years. There is a shortened inspection program; you can use this service once every two years. For certain categories of the population, medical examinations are carried out more often - annually.

Clinical examination 2018

People who can undergo a full medical examination free of charge according to Federal program, must have been born between 1928 and 1997. At the same time, the age of a person who can undergo medical examination at the clinic is strictly regulated. If the examination time is missed, you should wait for the next date for which the examination of people of a particular age is scheduled.

Which years of birth are subject to clinical examination in 2018?

Since not all citizens of the Russian Federation will be able to undergo a free medical examination in 2018, it is worth finding out which years of birth are included in the current list. People born in 1928, 1931, 1934 and so on until 1997 can count on a free medical examination. It does not matter the social status of the patient - employee, student, housewife.

What is included in the examination

The patient's examination program is prepared individually - age, presence of chronic diseases and gender are important. Everyone who comes receives a “route sheet”, which indicates the plan for the specialists’ rounds. The stages of medical examination are as follows:

Therapist. The specialist conducts initial screening - interviews the patient, measures height, weight, arterial pressure. The therapist performs a number of rapid tests for cholesterol and blood sugar free of charge. Next, the doctor gives a referral for general and biochemical blood tests, general analysis urine.
Since 2018, a new examination has been introduced - a blood test for HIV infection.
Women are referred to a gynecologist. The examination includes an oncological examination - the doctor takes a smear from the cervix for cytology to detect cancer at an early stage.
Men go to the urologist. The doctor will detect prostatitis, prostate cancer and other diseases of this type.
All age groups are referred for electrocardiography and fluorographic scanning of the chest organs for early detection of heart disease and bronchopulmonary diseases. Based on the results of the studies, the patient is referred for consultation to a cardiologist or pulmonologist.
A vision test and consultation with an endocrinologist or dentist are prescribed.

People who are 39 years old at the time of medical examination are prescribed additional studies. Their list also depends on gender:

An ultrasound of the abdominal cavity and pelvis is performed every 6 years.
Ultrasound of the mammary glands for women is planned once every three years until the age of 50, then every other year.
Glaucoma is diagnosed by measuring eye pressure.
From the age of 45, the risk of developing colon cancer increases, so a fecal occult blood test is performed.
From the age of 51, the patient is sent for examination to a neurologist, and men donate blood to identify an antigen indicating prostate cancer.

The goal of the program is to identify signs of chronic non-communicable diseases, diagnose the development of oncology. Based on the results of the first stage of the examination, the therapist gives a referral for tests or consultations with specialized specialists. A medical passport of the patient is created, in which all information about the state of his health is entered. After all consultations and tests, the therapist assigns the patient one of three health groups, on the basis of which procedures, exercise therapy or treatment are prescribed.

Where to go

Institutions where you can undergo a full examination of the body are strictly regulated. You should contact the clinic to which the patient is assigned, according to his place of registration. You can get information about who the local therapist is and the doctor’s appointment time at the reception desk. In addition, information about the rules of medical examination is posted on information boards in the clinic.

How to get there

To get a free examination of the whole body, you should start by visiting your local physician. The doctor prepares a route map and tells you where and when you can take tests and get advice from specialists. All examinations are carried out during working hours, so employed citizens should contact the management of their enterprise (place of work) in order to receive time off or a day off while visiting the clinic. According to the Labor Code, this day should be counted as a working day.

Is it possible to undergo medical examination in another city?

Complete examination of the body state clinic is carried out only if the patient is attached to it. In order to undergo medical examination in another medical institution (in your own or another city), you must fill out the “application for attachment” form and submit documents to the registry along with your passport and medical insurance. After the administration prepares the necessary documentation for the patient, you can undergo medical examination at the new address.

Medical examination of children

There is a procedure for undergoing medical examination for minors, approved by the Ministry of Health of the Russian Federation. These are three categories medical examination:

Prophylactic. This is a comprehensive examination of children 1, 3, 7, 10, 14, 15, 16, 17 years old. The examination includes consultations with a pediatrician, ophthalmologist, ENT specialist, endocrinologist, surgeon, orthopedist, dentist, and neurologist. Blood tests (general and biochemistry), urine tests, stool tests for worm eggs, coprogram are performed, scrapings are taken for enterobiasis. Sometimes the pediatrician prescribes additional examinations
Preliminary. This examination is carried out before the child enters the institution - kindergarten, school, technical school, university.
Periodic. Inspections are carried out annually and are organized in kindergartens and schools. The scope of research is different for each age.

All types of examinations are carried out in the children's clinic, but sometimes specialists come to the school and conduct a medical examination on the spot. Before the medical examination, the child's parents must sign a consent form. If you decide to refuse to have your child examined, you must notify the child. medical institution. Children over 15 years of age can personally consent to a medical examination by filling out a form.

Medical examination of pensioners

The program of medical examination of the population does not have a separate article regulating the examination of pensioners. This category can undergo a free medical examination at the clinic at general principles. Groups of citizens who can undergo a medical examination annually, regardless of age, have been identified:

disabled participants in combat operations, WWII;
WWII veterans who became disabled as a result of combat operations, general illness or injury;
persons who were prisoners of concentration camps during the Second World War.

Health Screening Center

In 2009, the state program “ Healthy Russia" As part of this project, Health Centers have been launched throughout the country. Each region has its own departments of such a center, which are located in city clinics or hospitals. The goal of the program is to draw public attention to disease prevention. Health Centers provide the following services.

There are not many procedures in medicine that can be called absolutely safe for humans with complete confidence. These include examination internal organs MRI. Unlike x-ray diagnostics, magnetic resonance imaging is allowed to be used for patients different ages, including children's, as well as for pregnant women. This diagnostic method is one of the best for examining the entire body in one procedure. This is especially appreciated in cases where a full-scale cancer search is required with examination of all internal organs, tissues and systems.

There are many reasons for conducting a magnetic resonance examination of the body, because the result will reflect functional state, structure (down to the cellular level) of tissues and organs of each body system. Standard magnetic tomography of the whole body, as its name suggests, includes examination of the following organs and systems:

nervous system, including the brain and spinal cord, peripheral nerves and organs responsible for the perception of the surrounding world (hearing, vision, memory and touch);
the digestive system, including the esophagus, stomach, intestines, digestive glands and organs of the hepatobiliary tract;
urinary system, including kidneys, ureters, bladder, urethra;
reproductive system in women and men;
respiratory organs, including the cavity and paranasal sinuses nose, nasopharynx, trachea, bronchi and lungs;
cardiovascular system, including the heart, pericardium, coronary and peripheral vessels;
glands internal secretion, including the pituitary gland, adrenal glands, ovaries and testicles, pancreas and thyroid gland;
lymphatic system;
soft tissues, including muscles, fatty tissue, skin;
skeletal bones, joints, cartilage, ligaments and spine.

By affecting the hydrogen atoms that are present in every cell human body, doctors identify almost all diseases known in medicine. As a result of a comprehensive examination, MRI can detect:

violation of the integrity of tissues and organs - fractures, ruptures, etc.;
inflammatory foci;
congenital anomalies;
purulent foci;
accumulation of fluid;
sclerotic lesions;
acquired anomalies of organs and systems.

The most valuable advantage that a complete MRI examination of the whole body has is cancer screening. It is also known as preventive cancer screening. Only with its help can tumors be identified in the early stages, before pathological foci grow into surrounding tissues.

Good to know! Before introducing full body MRI, discover the cause of many systemic diseases, and it was impossible to determine the exact location of tumors and metastases.

Indications for complex MRI

A complete examination of the body is a diagnostic procedure inaccessible to many. First of all, this is due to the high cost of the examination. However, in some cases you cannot do without it. These include:

numerous age pathological changes, which in most cases occur hidden, but affect overall well-being;
detection of tumor at stages 2 and 3 with high risk metastasis;
the presence of multiple pathologies of internal organs that arose at different times, which may be interrelated;
extensive injuries (mainly received in accidents, fires, etc., which entail the risk of damage to several organs and systems);
inability to establish a diagnosis if the patient has complaints about general health.

The procedure of magnetic resonance imaging of the whole body is also indicated in cases of predisposition to oncology. The so-called cancer search, if done at least once a year, will allow pathological foci to be detected in time and treatment to begin.

Important! In some cases, MRI of internal organs must be supplemented with other diagnostic procedures for the diagnosis to be 100% correct.

When not to perform a comprehensive MRI

Doctors do not always recommend examining the entire body using MRI. This method is ineffective when:

the patient has recently undergone surgery, radiation or drug treatment tumors - oncological search in this case may mistake residual (postoperative) changes for recurrent pathology;
there is a suspicion of mental or nervous disorders- MRI is not able to detect conditions such as schizophrenia, anorexia, etc.;
the problem is only a change in the state of the lymphatic system - even if the patient has enlarged lymph nodes, the method cannot differentiate between banal inflammation and cancer of these structural units human body;
metastases affect the bones of the skull, ribs, scapulae, and lungs.

If patients wish to be examined using this method, it is important to understand that MRI of the whole body does not show all the changes. In some cases it is necessary to resort to additional diagnostic procedures, or even replace tomography of internal organs with them.

Contraindications to the procedure

Complex tomography of the whole body, like its other types, has a standard set of contraindications. Thus, magnetic resonance imaging scanners do not test people with implanted medical devices:

hearing aids;
neurostimulants;
insulin pumps;
pacemakers.

It is not recommended to look at the entire body on MRI in patients with established metal crowns, fixed dentures, plates, brackets and screws that hold skeletal bones. Not researched using magnetic field and recently operated patients in whom metal staples were used to secure soft tissues (for example, after surgery for hemorrhoids using the Longo method).

How to prepare for the procedure

Preparing for whole-body diffusion MRI or other types of diagnostics involves preparing the internal organs (located mainly in the abdominal cavity). Since an examination of the intestines is required to recreate the full picture, you should switch to a special diet within 2-3 days so that fecal blockages do not form in it. 8-10 hours before the procedure you need to take a laxative, and 6 hours before it, give a cleansing enema. To obtain the clearest images of the pelvic organs, empty bladder preferably no later than an hour before the examination.

Patients with kidney disease and claustrophobia require special preparation. In the first case, you will need a doctor's permission to perform the procedure. If you plan to administer contrast, you should discuss with your doctor in advance the possibility of adjusting the dosage medicines. As for people suffering from claustrophobia, they are recommended to take sedative one hour before the examination. If the patient continues to feel intense fear, the doctor may decide to put him into medicated sleep.

Important! All possible options Developments of events should be discussed with the radiology doctor or attending physician before the scheduled date of the examination!

Before starting the procedure, you must remove all metal objects, including jewelry, removable dentures and other medical devices.

How is the diagnosis carried out?

An MRI examination of the whole body takes place quite quickly - in 30-60 minutes, depending on the purpose of the study. For example, a cancer search takes longer than a standard comprehensive MRI, since the doctor will need more detailed images with thinner “slices” of internal organs.

The patient is dressed in a light fabric shirt and placed on the tomograph table. His arms and legs are secured with straps. They can do the same with the head if it is difficult for a person to hold it long time in the same position. If the doctor has prescribed an MRI with contrast, the drug is injected into a vein in the elbow a few minutes before the examination.

Then the doctor leaves the room with the installation and turns on the tomograph. The table with the patient on it is rolled inside the tomograph ring and makes several longitudinal “rolls”. After the installation is completed, the examinee can immediately put on his clothes and go home. The results of complex diagnostics will become known in a few hours, maximum in a day. They are deciphered by a radiologist. Sometimes narrow specialists are involved in this process.

Magnetic resonance imaging is the safest way to find out the condition of all organs and systems. You can find out whether a whole-body MRI can be done on an individual patient by asking their doctor. When referring for this examination, it is worth conducting a preliminary diagnosis using more affordable methods.