Medical Check Up (Dr. Mamfaluti, SPPD)

Medical Check Up (MCU)
Dr T.Mamfaluti, Mke;SpPD
Devisi Alergi Imunologi Bagian Penyakit Dalam Fk
UNSYIAH/RSUD dr Zainoel Abidin Banda Aceh
• DEFINITION:
– Examination, esp; a general physical examination
– A thorough physical examination , includes a
variety of tests depending on the age and sex and
health of the person
• Merupakan bagian dari kedokteran pencegahan (preventive
medicine)
• Synonim:
– Pemeriksaan kesehatan secara berkala
– Pemeriksaan tahunan
– Pemeriksaan kesehatan menyeluruh
– Cek kesehatan umum
– Pemeriksaan kesehatan untuk pencegahan
• Tidak termasuk :
– Pemeriksaan rutin neonatal
– Pap smear untuk pemeriksaan kanker cervix
– Kunjungan rutin pada penderita penyakit kronis ( DM)
• Pemeriksaan kesehatan umum, mencakup

– Anamnesis
– Pemeriksaan fisik (sebagian atau keseluruhan)
– Kadang-kadang perlu tes laboratorium
• Asal mula medical chek up(MCU) belum jelas,
diduga mulai tahun 1920, bbp ahli
berpendapat mulai abad ke 19 dan 20, seperti
deteksi TB dan pemeriksaan kesehatan
sekolah.
• Tumbuhnya industri asuransi memicu
pemeriksaan MCU, namun krontroversi dalam
era EBM
• Tujuan :
– Menilai tingkat kesehatan
– Deteksi penyakit secara dini
– Mendidik masyarakat meningkatkan derajat
kesehatannya
– Menguatkan kembali promosi dan perilaku
protektif kesehatan
Health is wealth
Health is a state of complete physical, mental and social well-being,
and not merely the absence of disease or infirmity. ~World Health
Organization, 1948
If a person is not healthy, then he or she will find it very difficult to

enjoy life. Balanced food, fresh air, exercise, good posture, plenty of
rest, pure water, cleanliness, regular check-ups at the doctor and
dentist – all helps keep our body machines running as they should.
A fit person is also more resistant to illnesses. The simplest way of

keeping fit is by exercising regularly and regular check-ups.
“He who has health, has hope. And he who has hope, has everything.”
SIMPLE HEALTH PLAN
1. Haemogram with ESR
2. Blood Group & Rh Typing
3. Fasting Blood sugar
4. Creatinine
5. Cholesterol
6. Triglycerides
7. Urine Analysis
8. ECG
9. Chet X-ray
Consultation : General Physician
EXECUTIVE HEALTH PLAN
1. Haematology : Haemogram with ESR

Platelet count
Blood Group & Rh Typing
2. Renal Profile : Creatinine

Uric Acid
Calcium & Phosphorous
3. Lipid Profile : Cholesterol

HDL Cholesterol
LDL Cholesterol
Triglycerides
EXECUTIVE HEALTH PLAN
4. Liver Function : Total Proteins / Albumin
A/G Ration
Total Bilirubin / AST & ALT
Alkaline Phosphatase
Gamma GT
5. Endocrine Profile : Fasting Blood Sugar,
Post Prandial Blood Sugar
6. General : Urine Routine & Micro
Stool Routine & Occult Blood
VDRL, HBsAg-Rapid
ECG & Chest X-ray
Consultation : General Physician
“Every human being is the author of his own health or disease.”

COMPREHENSIVE HEART CHECK-UP
Age above 35 years
2. Renal Profile : Creatinine, Uric Acid
3. Lipid Profile : Cholesterol, HDL Cholesterol

LDL Cholesterol
Triglycerides
4. Endorine Profile : Fasting Blood Sugar


ECG & Chest X-ray
Endocardiogram
Stress Test
Consultations : Cardiologis / Physician / Endocrinologist

Lifestyle / Nutritionist
MEDICAL / GYNAE PROFILE
Women above 35 years
1. Haematology : HB, TC, DC, ESR
2. Endocrine Profile : Fasting Blood Sugar

T3, T4, TSH
3. Lipid Profile : Cholesterol / HDL Cholesterol

LDL Cholesterol
Triglycerides
4. Ultra Sound : Abdomen & Pelvis
5. General : ECG & Chest X-ray

Pap smear, Colposcopy
Urine Routine Analysis
Consultations : Gynaecologist & General Physician

DIABETIC PROFILE
1. Endorine Profile : Fasting Blood Sugar

2. Lipid Profile : Cholesterol, HDL Cholesterol

LDL Cholesterol
Triglycerides
3. Glycated Haemoglobin

Microalbuminuria
Creatinine, ECG,
ECHO
Fundoscopy / Refraction
Consultations : Cardiologist / Ophthalmologist

Physician / Endocrinologist
SENIOR CITIZENS PLAN
Men above 60 years


LDL Cholesterol
Triglycerides
4. Liver Function Tests : Total Proteins / Albumin

A/G Ration
Contd….
“The greatest of follies is to sacrifice health for any other kind of happiness.”
SENIOR CITIZENS PLAN (CONTINUE..)

TSH
6. General : PSA
Urine Routine & Micro
ECG & Chest X-ray
Consultations : General Physician

One Speciality of choice
SENIOR CITIZENS PLAN
Women above 60 years


LDL Cholesterol
Triglycerides
4. Liver Function Tests : Total Proteins / Albumin

A/G Ration
Contd….
SENIOR CITIZENS PLAN (CONTINUE..)

TSH
6. Ultra Sound : Abdomen & Pelvis

ECG & Chest X-ray
Pap Smear
Mammography (Both sides)
Consultations : General Physician

Gynaecologist
Uji latih jantung (tes treadmil)
• Cara mengetahui adanya ggn pd pembuluh
darah koroner
• Ggn irama jantung dan bahan referansi utk
pem.lanjutan mengetahui adanya kelainan jtg
• Persiapan sebelum treadmil :
• Tdk makan, minum dan merokok 2 jam sblm tes
• Lakukan Ax riwayat peny.pasen dan kemampuan
aktivitas fisik pasen
• Lalukan pemeriksaan awal pd keadaan istirahat (
mengetahui apakah ada KI mutlak atau relatif)
• Kontraindikasi treadmil
• Mutlak:
• Infak miokard akut dalam 2 hari
• Angina tak stabil yg resiko tinggi
• Aritmia jtg yg tak terkontrol dg gejala dan ggn hemodinamil
• Stenosis aorta berat dg gejala
• Infark paru dan emboli paru akut
• Relatif
• Stenosis di pembuluh koroner left main
• Penyakit katup stenosis yg sedang
• Ggn elektrolit
• Hipertensi berat
• Takiaritmia dan bradiaritmia
Types of health screening
Health screening Period
Bl. p Each Dr. visit or 3-6 months
Ht & wt Periodically as part of
comprehensive physical
examination
Dental check up Once / year( annually)

Fecal occult blood& ( annually)
sigmoidoscopy
Vision including glaucoma Every 2 years

test
Health screening Period
Hearing Evaluate periodically
Cholesterol level Every 5 years
Cancer screening Annually
Mammography for 1-2 years

women under 70 y
Digital rectal Annually
examination

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Medical Check Up (MCU)

• Pemeriksaan kesehatan umum, mencakup

If a person is not healthy, then he or she will find it very difficult to

A fit person is also more resistant to illnesses. The simplest way of

1. Haematology : Haemogram with ESR

2. Renal Profile : Creatinine

3. Lipid Profile : Cholesterol

“Every human being is the author of his own health or disease.”

1. Haematology : Haemogram with ESR

2. Renal Profile : Creatinine, Uric Acid

3. Lipid Profile : Cholesterol, HDL Cholesterol

4. Endorine Profile : Fasting Blood Sugar

5. General : Urine Routine & Micro

Consultations : Cardiologis / Physician / Endocrinologist

1. Haematology : HB, TC, DC, ESR

2. Endocrine Profile : Fasting Blood Sugar

3. Lipid Profile : Cholesterol / HDL Cholesterol

4. Ultra Sound : Abdomen & Pelvis

5. General : ECG & Chest X-ray

Consultations : Gynaecologist & General Physician

1. Endorine Profile : Fasting Blood Sugar

2. Lipid Profile : Cholesterol, HDL Cholesterol

4. General : Urine Routine & Micro

Consultations : Cardiologist / Ophthalmologist

1. Haematology : Haemogram with ESR

2. Renal Profile : Creatinine, Uric Acid

3. Lipid Profile : Cholesterol / HDL Cholesterol

4. Liver Function Tests : Total Proteins / Albumin

5. Endocrine Profile : Fasting Blood Sugar

Consultations : General Physician

1. Haematology : Haemogram with ESR

2. Renal Profile : Creatinine, Uric Acid

3. Lipid Profile : Cholesterol / HDL Cholesterol

4. Liver Function Tests : Total Proteins / Albumin

5. Endocrine Profile : Fasting Blood Sugar

6. Ultra Sound : Abdomen & Pelvis

7. General : Urine Routine & Micro

Consultations : General Physician

Dental check up Once / year( annually)

Vision including glaucoma Every 2 years

Hearing Evaluate periodically

Cholesterol level Every 5 years

Cancer screening Annually

Mammography for 1-2 years

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