What are the contents of male preventive health examination items

There is no uniform fixed list of male preventive health examinations. The core is a combination of "basic must-do items + age/habits/medical history targeted additional items." The more expensive and comprehensive the better, the better.

Last week, I helped my 32-year-old programmer cousin sort out the physical examination items. He stayed up until two or three o'clock every day, had late-night barbecues at least three times a week, and had a family history of gout. In addition to the height and weight, blood pressure, blood oxygen, routine hematuria, and liver and kidney function that everyone should do, I specifically asked him to add blood uric acid, carotid artery ultrasound, and C14 Helicobacter pylori insufflation test to the basic items such as physical examination, chest X-ray, and abdominal ultrasound. Finally, it was found that the blood uric acid had reached the critical value, so I adjusted my diet in advance to avoid suffering from pain. If it were Uncle Wang who is over 60 years old and has smoked for 40 years, then low-dose spiral CT, prostate-specific antigen (PSA), and painless gastrointestinal endoscopy would be must-have items. Last year, Uncle Wang had a physical examination that revealed pulmonary nodules. They had them removed early and now there are no problems.

Many people have a misunderstanding that it is enough to check the prostate for a male physical examination. In fact, the emphasis is very different in different age groups. Most of the young men who have just entered the workplace in their early 20s take advantage of their youth and often eat takeaways with heavy oil, stay up late, and sometimes drink heavily. In addition to the basics, they give priority to hepatitis B two-and-a-half (if there are no antibodies, hurry up and get the vaccine), tuberculosis screening, and blood uric acid and blood lipids. OK, I met a 24-year-old fitness guy before. He ate an excessive amount of protein powder and pumped iron every day. He felt that he was in great shape. However, his kidney function and uric acid were not checked in the routine physical examination. In the end, he had a gout attack and his feet were so swollen that he couldn't wear shoes. Only then did he find that his blood uric acid had soared to 620. He suffered a lot of sins for nothing.

There are many controversial items in the industry now, such as prostate ultrasound. Many institutions include them in packages regardless of age. In fact, many clinicians believe that men under 40 years old, with no urinary abnormalities, and no family history of prostate cancer, do not need to have routine prostate ultrasound. Many people are anxious when prostate calcification is found, and take medicine everywhere. It is not as practical as checking a urine routine. There is also a complete set of tumor markers. Many people feel that the more tests they have, the more secure they will be. In fact, the specificity of most tumor markers is not high. For ordinary people without high-risk factors, two or three basic tests are enough every year. If you have a family history of liver cancer and drink alcohol all the time, add alpha-fetoprotein. If you have a family history of digestive tract tumors and often eat pickled foods, add carcinoembryonic antigen. There is no need to waste money.

If you have regular exercise habits or have a special occupation, you can also add items flexibly. For example, if you ride a road bike all year round, you can add a perianal examination, and if you sit and work for a long time, you can add a lumbar spine CT. These tests are much more reliable than those IQ tax gene tests that institutions fool you into adding. Oh, and there are also psychological screenings that many people are embarrassed to mention. Don’t be embarrassed if you are a man in a high-pressure industry. It is not shameful to add an anxiety and depression self-rating scale. Several middle-level Internet workers around me have experienced emotional problems after physical examinations. They adjusted their schedules in time and sought psychological consultation, so that they did not develop into more serious problems.

To put it bluntly, there is no standard answer. Before you go to place a bill, tell the doctor in advance what kind of discomfort you usually have, what medical history your elders in your family have, whether you smoke or drink, whether you stay up late, and so on. Then the plan will be the most suitable for you.