Executive Health Program

Baseline Physical Exam (New Patient)

Comprehensive History and Physical

Laboratory testing:
    Health screening profile, including:

• Chemistry
• Hematology
• Thyroid profile
• Urinalysis
• Lipid profile
• Liver profile
• Homocysteine level
• PSA (men)
• Other, according to medical history

Cardiovascular Testing

• Electrocardiogram
• Exercise tolerance test (over 40 years of age, positive cardiac history)
• Stress echocardiogram (over 40 years of age, positive cardiac history)
• Cardiac scoring CT scan (imaging of coronary artery calcifications)
• Carotid duplex ultrasound
• Peripheral arterial study

Pulmonary Testing

• Chest X-ray (over 40 years of age, smoker)
• Chest CT Screening Scan (low-dose screening for patients over 40 years of age with a smoking history)
• Timed Vital Capacity (smokers only)

Colon Testing

• Colonoscopy (routine screening every 5 to 10 years for ages 50 and over, positive family history, positive previous personal history)
• Flexible fiberoptic sigmoidoscopy (FFS) - (routine screening for ages 50 and over)
• Hemoccult testing (guaiac stool cards)
• Virtual colonoscopy (CT scan ages 50 and over; positive family history)

Visual Testing

• Comprehensive eye exam

Hearing Test (Over 40 years of age)

Specific Tests for Women:

• Papanicolaou Smear (Pap test)
• Mammography (over 40 years of age)
• Bone densitometry (baseline, post-menopausal)
• Pelvic ultrasound
• Breast ultrasound screen

Other:

• Whole body CT scan (chest, abdomen, pelvis)
• Abdominal/pelvic CT scan
• Abdominal ultrasound screening

Follow-Up

Following the physical exam and all related testing, the patient returns to the internist's office to review available test results and get the physician's recommendations for next steps. In addition, a summary letter with complete test results is mailed to the patient within two weeks of the examination.