Medical Check-up Checklist

Medical Check-up Checklist

Name

Company

Address

[your name]

[your company name]

[your company address]

Personal Information:

  • Confirm Full Name: Please ensure the patient's full name is accurate and up to date for proper identification.

  • Confirm Date of Birth: Verify the patient's date of birth to confirm age and for age-related assessments.

  • Confirm Contact Information: Double-check and update contact details for effective communication.

  • Update Emergency Contact: Ensure the emergency contact information is current and reliable for emergencies.

Medical History:

  • Review Family Medical History: Inquire about any hereditary conditions that may influence the patient's health.

  • Discuss Previous Surgeries or Hospital Visits: Understand the patient's medical background, including surgeries and hospitalizations.

  • Review Current Medications: Document the medications the patient is currently taking, including dosages and frequencies.

  • Determine Allergies: Identify any known allergies, as they can affect treatment options and precautions.

Vital Signs Examination:

  • Measure Blood Pressure: Record the patient's blood pressure to assess cardiovascular health.

  • Record Heart Rate: Document the patient's heart rate to evaluate cardiac function.

  • Calculate Body Mass Index (BMI): Calculate the BMI to assess weight-related health risks.

Physical Examination:

  • Evaluate General Appearance: Observe the patient's overall health, noting any signs of distress or abnormalities.

  • Inspect Skin: Examine the skin for rashes, lesions, or other skin conditions.

  • Examine Head and Neck: Check for any abnormalities in the head and neck region.

  • Assess Respiratory Health: Evaluate lung function and breathing patterns.

Special Tests and Screenings:

  • Cardiovascular Tests: Perform necessary cardiovascular tests, such as ECG or stress tests, based on the patient's risk factors.

  • Diabetes Screening: Conduct blood tests and assess risk factors for diabetes.

  • Lung Function Tests: Perform spirometry or other lung function tests to evaluate respiratory health.

  • Mammography Screening: Schedule mammography screening for eligible patients to detect breast abnormalities.

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