Medical Check Up: Usability and Procedure – Medical check-up is a routine check-up done to ensure that someone is in a healthy condition and prevents anything that is not desirable, which can lead to an illness.
There is a saying that it is better to prevent than cure, this principle is used in the medical check-up (MCU) procedure. Until now there are still many people who are hesitant to do MCU regularly for various reasons, such as feeling themselves healthy, afraid to pay expensive medical check-up fees and so on.
Use of Medical Check Up
Medical check-up is done to determine the health condition of the body and also detect the presence of a disorder early on. When it can be detected early, it is expected that the journey of a disease can be inhibited or controlled.
The following conditions require medical check-up:
- Routine Check. MCU should be done periodically at least once a year by all people without exception, both children and parents, women and men, healthy and sick.
- Disease Monitoring. In people who have been diagnosed with an illness, the MCU needs to be done to monitor the course of the disease, whether there has been an improvement or even experience deterioration.
- Married plan. Medical check-up also needs to be done if a couple wants to plan a wedding, called a pre-marital check-up. This aims to be known whether there are abnormalities that can interfere with fetal development during pregnancy. For example, the presence of toxoplasma infection in women who are going to get married should be treated first until they are completely cured before planning a pregnancy. the type of inspection carried out for couples who are going to get married is certainly different from the checks carried out during regular medical check ups.
- Work and School Terms. In addition, the MCU is also one of the requirements to register a job opening or register for a school exam
Medical Check Up Procedure
This medical check-up procedure can be done in a laboratory or hospital. The type of examination to be carried out varies according to one’s condition and also the purpose of conducting the MCU.
In general, examinations carried out during medical check-ups are physical examinations and investigations.
The physical examination performed at the medical check-up includes:
- Weight and height
A person’s weight and height are measured based on BMI criteria (Body Mass Index). BMI is measured by the formula: Weight (in kg) divided by Height squared (in meters). BMI classification based on WHO, namely:
- Value <18.5: underweight
- Value 18.5 – 24.9: normal
- Value 25.0 – 29.9: overweight
- Value 30.0 – 34.9: Level 1 Obesity
- Value 35.0 – 39.9: Obesity level 2
- Value 40: Level 3 Obesity
Examination of vital signs, such as: blood pressure (normal 120/80 mmHg), pulse (normal 60-100 times per minute), respiratory rate (normal 12-20 times per minute), and body temperature (normal 37.50C) .
Eye. Checked to find out the sharpness of vision, the presence or absence of refractive abnormalities, astigmatism, cataracts, pressure inside the eyeball, visual field examination, color blindness, infection and so on.
Nose. The presence or absence of septal deviation, mass in the nasal cavity, and so on
Oral cavity. Are there signs of infection in the oral cavity or not, tonsillar gland enlargement, dental examination and so on.
Ear. It is judged whether the eardrum is intact or not, the presence of cerumen, and hearing ability, and so on.
Chest cavity. To assess the lung organs and heart, there are abnormalities or not.
Abdominal cavity. To assess liver (liver), intestine and lymph organs.
The investigations carried out, will be tailored to the needs of the patient. Some medical check-up checks that can be done include:
- Blood laboratory examination
From a blood test, you can find many things like:
Hemoglobin (Hb); normal men 14 – 18 gr / dL and normal women 12-16 gr / dL
Leukocytes (white blood cells); normally 4,000 – 10,000 cells per mm3.
Platelets; normally 200-400 thousand cells per mm3.
Electrolyte levels: Sodium, Potassium, Calcium and Chloride
Fasting blood sugar levels (normal 80-100 mg / dL) and blood sugar levels 2 hours after fasting (normal 120-140 mg / dL)
Cholesterol; normally HDL> 60 mg / dL, LDL <100 mg / dL, triglycerides <150 mg / dL, and total cholesterol <200 mg / dL
Uric acid; normal men 3.5 – 7 mg / dL and normal women 2.5 – 6 mg / dL
Liver function; normally SGOT <45 and SGPT <35, further read: SGOT and SGPT: Normal, High, Low & Meaning Value
Kidney function; normally urea 10-50 and creatinine 0.5 – 1.3
Urine examination (urinalysis). From a urine examination it can be seen whether there is a urinary tract infection or not
Chest X-ray. To find out whether there is an infection in the lungs and know whether or not there is heart attack.
Eletrocardiography (ECG). To record the electrical activity of the heart, from this EKG examination it can be seen whether there is an enlargement of the heart, heart rate, heart rhythm, presence
or absence of blockages, and so on.
Treadmill. To find out the work ability of the heart
Special laboratory tests to determine the presence of certain infections, such as HBsAg for hepatitis B infection, sexually transmitted diseases, and so on.
Special laboratory examination to determine the presence of a marker of malignancy (Ca marker).
Before undergoing medical check-up, the patient should consult with a doctor first, to find out what examinations need to be done according to the patient’s needs.