Ibn-Sina

Basic Check-Up

The first step of any medical ecam is to meet the physician who will review your charts and take a detailed medical history including your present complaints, your medications, your medical and surgical history, family history, your dietary habits and information about your physical activities.

1. Thorough physical examination.
2. Estimation of the Body Mass Index.
3. A detailed conversation with the physician about the investigations needed according to your personal risk factors.

The Cardiovascular system:

1. Conventional ECG.
2. Stress ECG if indicated from the history.
3. Echocardiography.
4. Laboratory: cholesterol levels (LDL, HDL) and triglceride, homocystein level, HBA1C for early detection of diabetes and blood sugar.

The Respiratory system:

1. Lung function test.
2. Pulsoxymetry.
3. Allergy tests if needed.

The Gastrointestinal system:

1. Ultrasound of the abdomen including the liver, spleen and pancreas.
2. Stool test M2PK
3. Laboratory: liver function test (GGT, GPT, AP, total globulin, serum electrophresis, conjugated and unconjugated bilirubin) amylase, lipase, hepatitis profile.

Genitourinary system:

1. Ultrasound of kidneys and bladder
2. Urine test: specific gravity, pH value, protein, glucose, erythrocytes, bilirubin urobilinogen, ketones and microscopy.
3. PSA test for the prostate in men.
4. For women optional gynaecological examination including pap smear and ultrasound of the pelvis.
5. Mammography for women when indicated.
6. Laboratory: renal function test, electrolytes.

Endocrine system & metabolic diseases:

1. Ultrasound of the thyroid glands.
2. BMI.
3. Laboratory: blood sugar level, HBA1C, TSH, FT3, FT4, LDL, HDL, triglyceride.
4. Bone densitometry to detect osteoporosis when indicated.

General Laboratory:

Total blood count & differentiated blood test, CRP, ESR, coagulation profile (PTT,PT, Fibrinogen), relevant tumour markers, liver function test, kidney function test, hepatitis profile, immunity check (antibodies to different organisms), TSH, in addition to the above mentioned laboratory tests.

The Extended Medical check-up

According to the results of the basic check-up and the individual risk of the patient, one or two of the following investigations could be done in order to arrive to the appropriate diagnosis.

The Cardiovascular system:

1. Calcium score to detect the potential risk of cardiac disease.
2. CT CA (CT Coronary Angiography) to check of the patency of the coronary arteries, bypasses or stents.
3. Cardio MRI with adenosine to examine the function of the heart (ejection fraction, chamber dimensions, myocardium, valves) and the sufficiency of the coronary artery blood supply to the heart muscle (C-MRI has replaced the thallium scan).
4. For the peripheral arteries and veins MRA (magnetic resonance angiography).
5. MRI phlebography for the detection of deep vein thrombosis.

The Respiratory System:

1. Low dose CT for early cancer detection in high risk patients and smokers.
2. Arterial blood gases.

The Gastrointestinal system:

1. Virtual Endoscopy for the early detection of colon cancer and its precursor, colonic polyps.
2. MRCP for the detection of pancreas and gallbladder abnormalities.
3. Resovit MRI for the diagnosis and differentiation of liver lesions.
4. MRI of the abdomen for early detection of abdominal pathology.

Genitourinary system:

1. MRI of the pelvis for early detection of pelvic pathology.
2. Endorectal prostate MRI and MRI spectroscopy for the diagnosis and differentiation of prostate lesions such as early prostate cancer.
3. MRI dynamic study for inguinal hernias.