"Physical examination is a waste of money, I never have a physical examination, don't you think you are still alive and well!"
Lao Chen is 60 years old this year, and in the face of his children's request to take him for a physical examination, he was very resistant, thinking that this was a waste of money, thinking that going to the hospital for a physical examination was a pit of money, and it did not have much effect at all.
A while ago, he often coughed, coughing up phlegm, and there were blood streaks in it, and he was out of breath without taking two steps, and even had a burst of chest pain. Seeing that his state was very wrong, his children persuaded him to go for a physical examination, but he was unwilling anyway, thinking that he was in good health and had no illness, why should he go to the hospital.
The children took turns to persuade him, and then he said that he was moved to go to the hospital for a physical examination.
As a result, the results of the physical examination slapped Lao Chen in the face on the spot, and the results showed that Lao Chen had a lump in his lungs, and after further examination, he was diagnosed with lung cancer. But fortunately, it's early stages, and it's not too late.
Looking at the results of the examination, Lao Chen couldn't help but sigh: It's good to go for a physical examination, otherwise it would really be a bad life!
In fact, there are many people with the same psychology as Lao Chen in real life, they often feel that the physical examination is a waste of money, going to the hospital is a pit of money, and more importantly, they are afraid of finding out what is wrong.
As a doctor, I would like to remind you today that the physical examination that should be done still needs to be done. You don't need to worry too much about the general minor problems, as long as you have regular check-ups, and some of them seem to be minor problems, but you should not take them lightly, and you must go to the hospital for further examination when necessary, because it may be a serious illness.
1. Gallbladder polyps of more than 1 cm
Many people have gallbladder polyps, which may seem inconsequential, but they do not know that gallbladder polyps have a certain probability of malignant transformation, especially those with larger diameters, the greater the probability of malignant transformation. If you find a gallbladder polyp in the physical examination, and the diameter is more than 1cm, you must go to the gastroenterology department of the hospital to have a look, do not wait for the development of gallbladder cancer and then pay attention to and regret it, gallbladder cancer is one of the most difficult cancers to treat, in fact, it can be cured by surgery in the early stage.
2. Colorectal adenomatous polyps
Many people have found colorectal polyps during colonoscopy, if it is an inflammatory polyp and hyperplastic polyp, do not worry too much, the risk of this cancer is often very low, and only need dynamic observation and regular reexamination after discovery.
If you find adenomatous polyps, you must pay attention to adenomatous polyps, also known as colorectal adenomas, adenomatous polyps are very rich in blood vessels, and when they ulcerate on their surface, they will bleed, so patients will have symptoms such as blood in the stool and abdominal pain.
Studies have shown that 50% of adenomas with a diameter of ≥2 cm will become cancerous, and the larger the volume of the adenoma within a certain range, the more malignant it tends to be.
3. Fatty liver
Clinically, there are many patients with liver cirrhosis who have been dragged out of liver disease for a long time. The development process of chronic hepatitis is generally as follows: liver disease - cirrhosis - liver cancer, and the onset of this process is insidious, generally not easy to detect in the early stage, and it is too late to find liver cancer.
Therefore, if liver diseases such as fatty liver are detected during physical examination, it is necessary to pay attention to regular examination and treatment.
4. Abnormal liver function
Some people will find that their total bilirubin, aspartate aminotransferase and alanine aminotransferase exceed normal values when they do five biochemical tests, which is actually abnormal liver function.
Why is it important to pay attention to abnormal liver function, because it is likely to be a sign of hepatitis, fatty liver disease, and drug damage. We also talked about the severity of liver disease problems above, so we must pay attention to the abnormalities of these indicators found in the physical examination.
5. Helicobacter pylori positive
Helicobacter pylori infection is very common in the mainland, especially in recent years, with the improvement of examination items, the positive rate has increased year by year. Due to the large number of infected people, coupled with the fact that there are generally no obvious symptoms after infection, many people mistakenly believe that H. pylori infection does not require treatment.
In fact, Helicobacter pylori plays a non-negligible role in the occurrence and progression of gastric cancer. On the one hand, Helicobacter pylori infection can cause chronic gastritis, weakening the stomach's ability to protect itself, and on the other hand, it will also cause genetic mutations in normal cells, leading to the appearance of gastric cancer.
Therefore, after H. pylori infection is detected during the physical examination, it is important to treat it promptly. In particular, patients who already suffer from gastric ulcers, duodenal ulcers, and MALT lymphoma should be treated with bactericidal treatment.
6. ST-segment elevation on ECG
As an important means of diagnosing myocardial ischemia and necrosis, once ST segment elevation is found, especially if you have high blood pressure, diabetes, coronary heart disease, angina pectoris, or usually smoke and drink, stay up late for a long time, or have chest pain, you must go to the cardiology department of the hospital for examination, because this is likely to be a sign of myocardial infarction.
7. Chronic inflammation of the cervix
Generally, there are symptoms such as pain and bleeding in the lower abdomen, and if it is not treated in time, it is likely to develop cervical cancer under the stimulation of long-term chronic inflammation.
8. 4 types of pulmonary nodules
As a large country of smokers, the incidence and mortality rate of lung cancer in mainland China are among the highest in the world. Many people find pulmonary nodules when they do chest CT, and there is a LU-RADS classification behind the nodules, which is actually used to determine the nature of the nodules and help us take the next intervention.
The LU-RADS classification can classify pulmonary nodules into categories 0-4, with higher grades meaning a higher risk of malignant transformation of the nodules, with the fourth category being the most dangerous. In addition, some CT scans will also show high-risk nodules or masses, which should also be beware of the possibility of lung cancer.
To sum up, the physical examination that should be done still needs to be done, and after getting the physical examination report, we don't need to be overly nervous and anxious, but we must not take it too lightly. If you don't understand something, you can consult a doctor and ask the doctor to help analyze and give advice. Treatment is done when it is time to be treated, and if further examination is needed, the examination is completed.