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Health check-up – that happens

by Josephine Andrews
Published: Last Updated on 386 views

The health check-up is a preventive examination in which the doctor checks whether certain common illnesses or health risks and previous stresses are present.

These include diabetes, high blood pressure or kidney problems. In this way, diseases can be avoided or recognized and treated as early as possible. Read here which examinations you can expect during the health check, when the examination is due and who carries it out.

What is a health check-up?

The health check-up is an important check-up for men and women. It is used to detect diseases such as high blood pressure, diabetes mellitus or heart problems at an early stage. The health check also offers space for medical advice on topics such as family history and other health risks. The general practitioner or an internist carries out the health check-up.

When can I have a health check-up?

Between the ages of 18 and 34, health insurance covers the costs of a one-off health check. Anyone over the age of 35 is entitled to a check-up every three years. All examinations are free of charge for the patient.

What examinations take place during the check-up?

At the beginning of the health check-up, the doctor asks the patient about their previous illnesses and illnesses that run in their family. The main focus is on common diseases such as

In this way, the doctor determines the individual disease risk profile of the patient and assesses the personal risk.

In addition to the medical history, the doctor examines the lifestyle of the patient. He measures body weight and height, asks the patient questions about their nicotine, alcohol and drug consumption and determines whether they are getting enough exercise. It also records the patient’s psychological state.

Physical examination

The physical examination follows the questioning. The doctor first examines the chest and listens to the heart , lungs and carotid arteries. The physician typically measures the pulse at the foot . He also examines the posture and inspects the skin . A check of the reflexes provides information about possible damage to the nerves. The function of the sensory organs is also checked.

blood pressure measurement

A blood pressure measurement is part of the health check. The doctor determines the systolic and diastolic blood pressure. An optimal blood pressure is 120/80 mmHg (millimetres of mercury column), up to 129/84 the value is still normal. From 140/90 there is increased blood pressure (hypertension).

See the Measuring blood pressure post for more information .

Blood sampling (blood lipid values, fasting blood sugar)

If there is a justified risk due to family history, obesity or high blood pressure, the doctor will take a blood sample during the health check. A laboratory examines the blood and determines the cholesterol levels (total cholesterol, LDL cholesterol , HDL cholesterol , triglycerides ).

You can read what the values ​​mean in the article on cholesterol values .

In addition to the blood lipid levels, the blood sample is used to determine the fasting blood sugar level. In people with a healthy metabolism, fasting blood sugar is below 100 mg/dl. If it is higher, this can be an indication of diabetes mellitus.

vaccination status

At every health check-up, the doctor checks the patient’s vaccination status. For this he needs the yellow vaccination card. If necessary, a booster vaccination is due.

You can find out when which vaccination needs to be refreshed in the vaccination calendar .

The check up 35

The Check-up 35 is the start of the regular health checks. The check-up should be done every three years.

In addition, there is a urine test during the health check from the age of 35 : the doctor examines a urine sample from the patient with a urine strip for traces of proteins, glucose, red and white blood cells and nitrite . The test provides information about the health of the kidneys, bladder, ureters and urethra .

men over 65 years of age

From the age of 65, the health check includes a one-time aortic aneurysm screening [Link]. The doctor examines the blood vessels in the abdominal cavity with an ultrasound device in order to detect possible protrusions at an early stage.

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