Undergo an examination of the whole body in a hospital. A budget option

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Good health does not always mean that a person is completely healthy. Preventive examinations help in advance to identify diseases that lead to disability or death. The treatment will be as effective as possible, since the process is always easier to stop before it goes too far. Not everyone can afford to pay for specialist consultations, but you can use the State Medical Examination Program.

Is it possible to get a medical examination for free

Preventive medical examinations on a free basis in the Russian Federation have been introduced since 2013. According to the results of the examination, the doctors determined that most of the visitors to the medical centers did not know about their diseases. To take advantage of the opportunity to check the state of health, you need to know the rules by which the population is served.

State Medical Examination Program

The order of the Ministry of Health "On the approval of medical examinations" indicates which categories of the adult population have the right to be regularly examined free of charge. The state program is designed to identify groups of diseases that account for up to ¾ of all deaths in the Russian Federation. More often, cardiovascular, pulmonary, oncological diseases and diabetes mellitus lead to death.

According to the order of the Ministry of Health, medical examination of the population is carried out throughout the territory of the Russian Federation. For adults over the age of 21, a free examination is possible once every three years. There is an abbreviated inspection program, you can use this service once every two years. For certain categories of the population, medical examinations are carried out more often - annually.

Medical examination 2018

People who can get a full medical examination free of charge under the Federal program must be born between 1928 and 1997. At the same time, the age of a person who can undergo medical examination in a polyclinic is strictly regulated. If the inspection time is missed, you should wait for the next date, on which the examination of people of a particular age is scheduled.

What years of birth fall under the medical examination in 2018

Since not all citizens of the Russian Federation will be able to undergo a free medical examination in 2018, it is worth finding out which years of birth are included in the current list. People born in 1928, 1931, 1934 and so on until 1997 can count on a free medical examination. It does not matter the social status of the patient - employee, student, housewife.

What is included in the survey

The patient's examination program is prepared individually - age, the presence of chronic diseases and gender matter. Each visitor receives a “route sheet”, which indicates the plan for visiting specialists. The stages of screening are as follows:

Therapist. The specialist conducts primary screening - interviews the patient, measures height, weight, blood pressure. The therapist performs a number of rapid tests for the presence of cholesterol and blood sugar free of charge. Further, the doctor gives a referral for a general and biochemical blood tests, a general urine test.
Since 2018, a new examination has been introduced - a blood test for HIV infection.
The women go to the gynecologist. The examination includes an oncological examination - the doctor takes a smear from the cervix for cytology in order to detect cancer at an early stage.
Men go to the urologist. The doctor will detect prostatitis, prostate cancer and other diseases of this type.
All age groups receive a referral for electrocardiography, fluorographic scanning of the chest for early detection of heart disease and bronchopulmonary diseases. Based on the results of the research, the patient is referred for a consultation with a cardiologist, pulmonologist.
Appointed eye test, consultation of an endocrinologist, dentist.

People who are 39 years old at the time of medical examination are assigned additional studies. Their list also depends on gender:

Ultrasound of the abdominal cavity and small pelvis is performed every 6 years.
Ultrasound of the mammary glands for women is planned every three years up to the age of 50, then a year later.
Diagnosis of glaucoma is carried out - measurement of eye pressure.
From the age of 45, the risk of developing colon cancer increases, so a fecal occult blood test is performed.
From the age of 51, the patient is sent for examination to a neurologist, and men donate blood to detect an antigen indicating prostate cancer.

The goal of the program is to identify signs of chronic non-communicable diseases, to diagnose the development of oncology. Based on the results of the first stage of the examination, the therapist gives a referral for tests or consultations of narrow specialists. A patient's medical passport is created, in which all information about the state of his health is entered. After all consultations and analyzes, the therapist assigns one of the three health groups to the ward, on the basis of which procedures, exercise therapy or treatment are prescribed.

Where to go

Institutions where you can undergo a complete examination of the body are strictly regulated. You should contact the clinic to which the patient is assigned, according to his place of registration. You can get information about who is the local therapist and the time of the doctor's appointment at the reception. In addition, information about the rules of medical examination is placed on information stands in the clinic.

How to pass

To get a free whole body examination, you should start with a visit to the district therapist. The doctor prepares a route map and informs about where and when you can take tests and get advice from narrow specialists. All examinations are carried out during working hours, therefore, employed citizens should contact the management of their enterprise (place of work) in order to get a day off or a day off while visiting the clinic. According to the Labor Code, this day should be counted as a working day.

Is it possible to get medical examination in another city?

A full examination of the body in a state clinic is carried out only if the patient is attached to it. In order to undergo a medical examination in another medical institution (in your own or another city), you must fill out the “application for attachment” form and submit documents to the registry along with your passport and medical policy. After the administration prepares the necessary documentation for the patient, you can undergo a medical examination at a new address.

Clinical examination of children

There is a procedure for medical examination for minors, approved by the Ministry of Health of the Russian Federation. These are the three categories of medical examination:

Prophylactic. This is a comprehensive examination of children 1, 3, 7, 10, 14, 15, 16, 17 years old. The examination includes consultations of a pediatrician, ophthalmologist, ENT specialist, endocrinologist, surgeon, orthopedist, dentist, neurologist. Blood tests (general and biochemistry), urine tests, fecal analysis for worm eggs, coprogram are performed, scrapings are taken for enterobiasis. Sometimes the pediatrician prescribes additional examinations.
Preliminary. This examination is carried out before the child enters an institution - a kindergarten, school, technical school, university.
Periodic. Examinations are carried out annually and are organized in kindergartens and schools. For each age, the scope of research is different.

All types of examinations are carried out in the children's polyclinic, but sometimes specialists come to the school and conduct a physical examination on the spot. Before the medical examination, the parents of the child must sign the consent form. If it is decided to refuse to examine the child, the medical institution must be notified about this. Children over the age of 15 can personally consent to a medical examination by filling out a form.

Medical examination of pensioners

The program of medical examination of the population does not contain a separate article regulating the examination of pensioners. This category can undergo a free medical examination in a clinic on a general basis. There are groups of citizens who can undergo a medical examination annually, regardless of age:

disabled participants in hostilities, WWII;
veterans of the Great Patriotic War who received a disability due to military operations, a general illness or injury;
people who were prisoners of concentration camps during World War II.

In Moscow, several dozen health centers operate on the basis of city polyclinics. If the clinic you are attached to has a health center, you can get a free preventive examination there. It can be done at any age, once a year, and the visit itself will take from 30 minutes to 1 hour.

You can take an examination without an appointment at any convenient time (according to the schedule of the polyclinic). To apply, you will need a passport and a compulsory health insurance policy.

2. What procedures does the examination include?

A preventive examination consists of a number of procedures, including:

measurement of height, body weight, waist circumference, determination of body mass index;
measurement of blood pressure and diagnosis of arterial hypertension;
determination of the level of total cholesterol in the blood by an express method, diagnosis of disorders of fat metabolism;
determination of the level of glucose in the blood by the express method, detection of diabetes mellitus;
determination of the total cardiovascular risk (the risk of developing cardiovascular complications over the next 10 years is assessed);
determination of the concentration of carbon monoxide in the exhaled air (allows you to assess the severity of smoking and identify the fact of passive smoking);
spirometry - assessment of the main indicators of the respiratory system;
bioimpedancemetry - determination of the composition of the human body, the ratio of water, fat and muscle mass;
express assessment of the state of the heart by ECG signals from the limbs (performed using a cardiovisor);
determination of the ankle-brachial index (detection of early signs of atherosclerosis in the vessels of the lower extremities);
measurement of intraocular pressure and visual acuity testing (both studies are carried out on modern equipment, intraocular pressure is measured by a non-contact method);
reception (examination) of a dental hygienist with an assessment of hygiene and diagnosis of diseases of the oral cavity.

3. What will happen after the examination?

After the examinations, you will be directed to an appointment (examination) with a doctor at the health center. He will give recommendations, including on the correction of identified risk factors - unhealthy diet, overweight, smoking, low physical activity.

In order to help the body to cope with various kinds of diseases as much as possible, it is necessary to identify the manifestations of ailments at the earliest stages. Despite the fact that most people turn to specialists only in emergency situations, it is desirable to conduct a routine full body examination regularly.

Even the simplest set of tests and diagnostic studies will allow you to assess your health and identify up to 90% of diseases in the early stages. Depending on the examination program, its cost may vary in the Russian Federation. from 16 to 90 thousand rubles.

The importance of regular routine examination of the body

In kindergartens and schools, children are required to undergo full body examinations annually, which makes this procedure formal. Meanwhile, thanks to such scheduled examinations and medical examinations in educational institutions and many enterprises, diseases are detected at an early stage. This simplifies further treatment and reduces the recovery time of the body. Experts recommend at least once a year to comprehensively assess the state of one's health, even in the absence of obvious symptoms of any diseases.

Don't skimp on health, because if you start some kind of disease, pathologies can develop, which will cost much more effort and money to cope with. Now many residents of Moscow and St. Petersburg are turning to various clinics in smaller cities to cut their costs.

The cost of a comprehensive medical examination

Most clinics offer different research programs depending on the purpose for which it is carried out. Taking into account the sets of examinations and analyzes, as well as the list of specialists who will examine the patient, the cost of a comprehensive examination of the body varies.

So, basic programs may include an examination by a therapist who can adjust the set of examinations within the framework of the program, an appointment with a dentist, an ophthalmologist, a cardiologist. The cost of such a program includes an ultrasound of the abdominal cavity, a chest examination, a general blood and urine test, as well as a biochemical analysis for various enzymes and metabolic indicators.

Since blood transports oxygen and nutrients to all organs and removes metabolic products from them, in combination with a computer examination, a blood test makes it possible to draw a general conclusion about the state of health. Such an examination would cost about 10 thousand rubles.

More detailed examinations, which include a wide range of non-invasive procedures, as well as hormonal assessment, general gynecological / urological tests, tests for tumor markers, will cost the patient 30-40 thousand rubles.

Special examinations, such as programs to prepare for pregnancy or the diagnosis of diabetes, cost about 12-16 thousand rubles.

The more markers and bacteria in the blood will be checked, the more expensive equipment will be used (for example, MRI), the more expensive the comprehensive examination program. If the patient is concerned about certain symptoms, then each clinic offers in this case to develop an individual set of procedures and tests that will most accurately diagnose and identify the main cause of the disease.

It should also be noted that it is much easier to diagnose any pathologies and diseases if the patient has a medical record, which records the results of previous studies and treatment methods.

If the patient is to undergo surgery or hospitalization, it is mandatory to conduct an examination of the cardiovascular system, blood tests, including those for venereal viral diseases, and an examination of doctors as prescribed. Such complex examinations are worth from 10 to 14 thousand rubles.

Benefits of MRI

The average cost of an MRI examination is about 80 thousand rubles. Although this procedure, when scanning the whole body, takes much more time than ultrasound, however, the result of magnetic resonance imaging is a complete picture of the diseases and pathologies that are currently manifested in the patient's body. If you examine each organ separately, it will cost more than a comprehensive scan. This procedure is especially popular for the search for cancer.

This is a real opportunity to identify hidden pathological processes in the early stages, when there are no serious symptoms yet, to assess the state of organs and tissues of various parts of the body to diagnose diseases, to determine how common this or that disease process is (for example, tumor metastases or vascular thrombosis). Of course, you can be examined in other ways, but only MRI makes it possible to obtain complete information about the state of the body without pain, harm to health and time.

Types of complex MRI according to the scope of the examination

In one procedure, the entire body can be examined, if necessary. But more often small complex programs are used, which involve examination of 2-3, less often 4 areas of the body.

Full Comprehensive MRI

Full body scan includes MRI of the following areas:

brain, cerebral vessels;
pituitary;
spine;
chest, heart, lungs;
abdominal organs;
pelvic organs;
limbs.

Such an examination can be carried out in the following cases:

detection of latent pathology in elderly people, when there are no serious complaints and health problems;
insufficient amount of information about the prevalence of the pathological process in the body;
the presence of several diseases, each of which requires an examination to determine the stage of the pathological process and the severity of changes in a particular organ, the persistence of remission (if remission is achieved), and the effectiveness of treatment.

Comprehensive MRI of the central nervous system (CNS)

To diagnose the pathology of the central nervous system, it is mandatory to scan:

brain;
vessels of the brain and neck;
cervical, thoracic and lumbar spine.

Such an extensive examination allows you to identify problems in any of the departments of the central nervous system. In this case, the doctor will receive complete information about the state of the gray and white matter of the brain and spinal cord, the characteristics of the blood supply to certain areas of the central nervous system (stroke, ischemia). The scans clearly show the bones of the skull and spinal column, as well as various pathological changes in the musculoskeletal system that can disrupt the normal functioning of the brain and spinal cord (tumor, disc herniation, narrowing the spinal canal).

Comprehensive MRI examination of the joints

Different diseases can affect a different number of joints. The degree of involvement of the joints in the pathological process can also be different. Therefore, it makes sense to examine all the joints and the spine in one visit to the clinic in order to be able to move from diagnosis to treatment of the disease without wasting time.

Comprehensive vascular MRI

In this case, the examination program includes scanning of the vessels of the heart, neck and brain.

In order to study the structure of blood vessels, to identify pathological changes, narrowing or blockage, the doctor uses a three-dimensional image of the arteries and veins of a certain area of the body. Special software of modern tomographs helps to build such an image.

MRI oncosearch

This examination program is used in cases where the patient is suspected of having a tumor in the body, but it is not possible to establish the location and type of neoplasm without additional research.

Such an examination is necessarily carried out with contrast enhancement, since without contrast, neoplasm tissues may not differ from healthy tissues of the human body. MR tomography during oncological search helps to find a tumor, determine its exact size, the stage of the oncological process, the presence of metastases, disruption of the organs located in the immediate vicinity of the tumor (compression, germination, etc.).

Indications for a comprehensive MRI

In each case, the doctor determines the indications for the appointment of the examination. This is especially true in cases where you can not do without the introduction of a contrast agent. To determine the volume of a complex MRI, the doctor often takes into account not only the main (suggested) diagnosis, but also the presence of concomitant pathology and age-related changes in organs and tissues.

If a large volume of MR imaging (and, accordingly, its cost) confuses the patient, then you can limit yourself to examining one area. But in this case, information for diagnosing the disease may not be enough and additional tests will have to be carried out.

Contraindications for the examination

MRI is not performed in the following cases:

the presence of metal foreign bodies in the patient's body, with the exception of titanium;
implanted electronic devices, the operation of which can be disrupted by the powerful magnetic field of the device (pacemaker, etc.).

pregnant and lactating women;
persons with intolerance to preparations based on gadolinium;
patients with chronic renal failure.

Preparing for a comprehensive MRI

Special training is needed in the following cases:

an abdominal or pelvic scan will be performed;
the patient is claustrophobic;
a history of kidney disease.

In order to get clear pictures of the abdominal cavity and small pelvis, it is necessary to free the intestines from gases and food, as well as to reduce peristalsis. To do this, it is important to follow a number of simple recommendations:

three days before the examination, give up foods that cause gas formation in the intestines (legumes, cabbage, carbonated drinks, sweets, etc.);
the day before the examination, start taking activated charcoal or another enterosorbent;
on the day of the examination, empty the intestines or do an enema in the morning;
Schedule your last meal 6 hours before your exam.

The bladder should be moderately filled before the procedure, so it is recommended to urinate about an hour or two before the procedure. There is no need to limit the amount of liquid during the day.

Patients with severe claustrophobia may start taking sedatives the day before the MRI.

If there is a suspicion of impaired renal function, additional tests will need to be performed to rule out chronic renal failure.

How is the procedure carried out

For MRI, tomographs are used - special devices of impressive size. The tomograph creates a powerful magnetic field, so before starting the procedure, you must remove all metal objects from yourself, whether it be jewelry, piercings or fasteners on clothes. You should not take electronics (phone, tablet, e-book) with you to the MRI room, as well as bank plastic cards, which may stop working after being in the magnetic field of the device.

The patient is placed inside the apparatus. During the entire examination, it is necessary to maintain complete immobility. The quality of the resulting images depends on this.

In terms of time, the examination can last from 20 minutes to 1 hour. Contrast-enhanced MRI is usually longer than a conventional examination.

Deciphering the results

The interpretation of the data obtained during the tomography is carried out by a doctor of functional diagnostics or a radiologist. To interpret the data obtained, the doctor can use the conclusions of specialists of various profiles made earlier, the results of other instrumental and laboratory tests available to the patient, information about the treatment being carried out, and other data. The waiting time is usually 1 to 3 hours. If the patient does not have the opportunity to stay in the clinic for such a long time, then the documents can be picked up on the day following the MR tomography or receive a conclusion to your email inbox.

How often can you get tested

The need for a comprehensive MRI is rare. Repeat MRI, as a rule, captures only those areas of the body where pathological changes were detected, however, MRI can be repeated as many times as necessary to diagnose the disease and monitor the effectiveness of treatment.

MRI of the whole body: the price of complex programs

Many put off going to the doctor until something really hurts. Even if you feel well and do not have obvious symptoms, this does not mean that nothing threatens your body. Timely diagnosis allows avoiding expensive treatment, and early diagnosis will help to quickly and effectively prevent negative consequences and speed up the recovery process.

Also, until the last pull visit to a specialist? Learn everything about the complete diagnosis of the human body in this article, and maybe you will change your attitude to your health!

What is a comprehensive examination of the body and to whom it is indicated

At every stage of his life, a person must know what is happening with his "inner world", and what potentially dangerous diseases can overtake him. To do this, you should undergo a complete diagnosis of the body, which includes various methods: ultrasound, ECG, blood, urine and others. Ultrasound is the most important diagnostic method that allows you to obtain information about the state and size of various organs and systems, to identify malignant and benign formations.

Instrumental studies and various analyzes help to detect diseases at the initial stage, which do not give themselves away. It is on how timely a person turns to complex diagnostics that the success of treatment depends!

People who are predisposed to oncology and hereditary diseases just need to monitor their health and undergo a complete examination of the body at least once a year. But visiting a doctor, of course, should be not only for patients who are at risk, but also for outwardly healthy people.

Here are some statistics. The most common disease, breast cancer, today affects more than 50 thousand women. And every year this figure grows by 2-4%. Experts strongly recommend that young girls and women undergo an examination by a gynecologist and mammologist every six months.

As for the representatives of the stronger sex, every seventh man over 50 hears a terrible diagnosis - prostate cancer. In the early stages of development, the disease is quite treatable, so all that is needed is to regularly visit a urologist, undergo a complete physical examination and take tests.

Why do you need a check?

Check-up is a complete medical examination in an express format. In a short time, the patient receives the necessary information about the state of health, as well as recommendations for treatment or prevention.

A complete examination of the body in an express format should be carried out by healthy men and women from 25 to 30 years old every 2-3 years. And after 50 years, do an annual medical examination, which is considered a more protracted procedure.

People over 30 with an indeterminate state of health also need a check-up. They seem to have no pain and everything is fine, but there is no 100% confirmation of this. After all, malnutrition, sleep disturbances, lack of physical activity, sedentary work, stress and nervous tension will somehow affect overall well-being. This can result in headaches, malaise, chronic fatigue, digestive problems and other symptoms. A complete examination of the body will identify the exact cause of the disease and prevent the development of a serious illness.

What is included in a full body examination?

The list of analyses, consultations and studies depends on gender and age characteristics. The general standard program is aimed at diagnosing diseases of the cardiovascular and endocrine, digestive and respiratory, as well as genitourinary systems. With the help of a comprehensive program, it is possible to identify latent sexually transmitted infections, assess the state of metabolism, detect inflammatory processes and put forward assumptions about oncological pathologies.

An example of a typical checkup for women aged 30-40 includes the following diagnostic methods:

Primary and re-appointment of the therapist
Consultation of narrow specialists (gynecologist, gastroenterologist, mammologist, neurologist, etc.)
Ultrasound of the thyroid gland, small pelvis and abdominal cavity, mammary glands and urinary system
Echocardiography and ECG
Gastroscopy and spirometry
Chest x-ray
Complete blood count, biochemical and blood for thyroid hormones
Analysis for oncogenic strains
Identification of STIs (sexually transmitted infections)
Smear microscopy and cytological examination

After passing the examination, all the results fall into the hands of the therapist. The doctor, based on the data obtained, gives his opinion and recommendations on nutrition, lifestyle, prevention of diseases to which there is a predisposition. If any pathology was discovered during the diagnosis, the therapist writes out a referral for a more detailed examination to specialized specialists.

Where to get a comprehensive examination of the body and how much it costs

To be able to carry out a complete examination of the body, it is necessary to have a staff of qualified specialists and a modern diagnostic department. Therefore, such a procedure can be found in large medical centers that provide general services. There are also clinical diagnostic laboratories that specialize in the complete diagnosis of the human body.

The price varies depending on the nature and number of diagnostic measures. A basic check for women from 30 and above costs 25-30 thousand rubles, for men it costs 2-3 thousand rubles. cheaper.

With age, especially after 50 years, the risk of diseases increases, which means that a wider diagnosis is required. Prices for such programs can reach 50-60 thousand rubles.

Examinations of individual organs and systems are cheaper. So, a small specialized package for women aimed at detecting diseases of the reproductive and endocrine systems can be purchased for 7-9 thousand rubles.

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