Process of screening in Hospital Kelen
In Kelen Hospital the patients will be welcomed and escorted by the staff from the beginning to the last examination. The screening started with the only invasive intervention: blood test, and wind up rougly within three hours. Handing the summary (in English) of the screening including recommendations about additional diagnostic examinations and therapeutic possibilities over will be carried out within a week.
The Professional content of screening procedures in Hospital Kelen
Laboratory tests
70 % of the human body is fluid. The relative persistence of the intercellular and intravascular fluids' composition is essential for normal functioning. These parameters can be measured by laboratory test.
Information about haematopoiesis or potential inflammation could be derived from examination of cellular material, while monitoring of blood's chemical composition allows of the possibility of drawing the inference about functioning of given organs or presence of different risk factors.
After 40 years of age it is recommended to screen prostate and ovarium cancers by tumor markers PSA and CA 125 respectively. The results of the tumor marker tests are evaluated by experts to insure the accuracy of potential diagnosis taking into account all other factors and results.
Chest X-ray
The chest radiography is the most commonly performed diagnostic X-ray examination for observing certain deviations of lung, heart, aorta and arch branches, ribs and diaphragm e.g. pneumonia, lung cancer, TB, emphysema, pleural effusion, pulmonary hypertension, heart failure, pneumothorax etc.
Lung cancer is the main killer all around the world, men and women alike. The high lethality rates are closely related to the lack of screening and early detection, although lung cancer is mostly preventable.
Ultrasonography
Medical ultrasonography is one of the most widely used safe diagnostic tool in modern medicine. The device provides pictures of the structures and organs in the abdomen and pelvis to check not only the occurent morphology of liver, spleen, kidney and pelvicaliceal system but – by rendering live images – the dynamics and motions of the given organs. The images evaluated by skillful sonographer can raise the suspicion of tumor, cyst, inflammation or malfunction.
Electrocardiography
Electrocardiography (ECG) – with specialist to evaluate the results – can catch the early signs of ischaemia and malfunction of the cardiac conduction may lead even to a sudden cardiac attack.
Cardiology
Cardiological screening can be informative about the status of coronary circulation, valves, atriums, ventricles, rhytmicity of the heart also can be measured. The main purpose of the investigation is to trace signs of coronary heart disease, malfunction of valves and heart rhythm disturbances. In coronary heart disease the insufficient supply of blood to cardiac muscle makes the tissue ischemic and impairment turn up in relaxation and contraction of the myocardium. The process may ends in angina: a transient, recurrent sever chest pain or even infarction, when the obstruction of the supplying artery cause irreversible death of the tissue. By means such as echocardiography and electrocardiography (resting and especially exercise) forms and functions of valves, cavities and electrical conduction system of the heart.
Dentistry
Oral cancers discoverable by oral screening accumulating in our fiftieth. Lately the incidence and the mortality rate increased both in men and women. Poor social status, unhealthy diet, lack of oral hygiene, smoking, alcoholism, regularly consumed spicy foods are the supposed risk factors. Oral cancers detected on early onset are 80% curable, but being unpainful for long, patients tend to neglect them through dental screening can easily discover even precancerous conditions.
Urology
Urological screening deals with the diseases of the urinary tract and the male reproductive system: inflammation, cancers and malfunction. Most frequent are – especially in older age – the diseases of prostate benign prostatic hyperplasia (BPH) and prostate cancer in particular. Patient with BPH need to urinate often, painfully or with difficulty. Prostate cancer is one of the most prevalent types of cancer in men tending to develop over the age of forty. In most cases this cancer is slow-growing, symptom-free for a long time giving time to check, control – and differentiate from BPH.
Gynecology
Gynecological screening not only the examination of female genital organs, but quest of urogenital infection, obesity, malnutrition, thyroid malfunction, abdominal and pelvic tumors, and manual mammal examination are also included. Yearly gynecological examination after onset of sexual activity is strongly advised requiring colposcopy, Pap smears and screening for sexually transmitted diseases. The results of pelvic exam, Pap smears and colposcopy should be evaluated jointly for a correct diagnosis.
General and Vascular Surgery
General surgical screening involves a fully comprehensive physical examination, including exploration of all signs referring to potentially operable mutation e.g. inguinal and femoral hernia, varicose vein, hemorrhoids.
Vascular surgical screening carried out with color-Doppler ultrasonography and specialist's examination can reveal lower leg and cerebrovascular arteriosclerosis on an early stage. Atherosclerosis also known as arteriosclerotic vascular disease (ASVD) is a condition in which the smooth artery wall get injured and thickens as a result of the accumulation of fatty materials. In the course of time multiple plaques may form, the flexible components of vessel-walls ruin makes arteries hardening and narrowing. Upon formation intramural thrombi can occlude arteries outright or if detach and move into circulation eventually occlude smaller downstream branches causing thrombosis.
The illness silently commence in 45-55 years of age most frequently causing disorders of leg- and cerebrovascular vessels. By narrowing the vessels in the leg oxygen transportation is deteriorating causing pain in the muscles relieving by rest – so called claudication intermittent. In the cerebrovascular system supported by four branches the lack of sufficient blood stream occur in symptoms like head-ache, dizziness, vertigo, difficulty speaking and failing vision.
Dermatology
Skin cancer is the most commonly diagnosed type of cancer. Its incidence is doubled in the last two decades and come to such a pass, that one from every seventy (!) person is a skin cancer patient. Dermatologists emphasize, that healthy lifestyle, restraint from strong sunshine and other radiation (tanning bed!), plus regular self-examination and control substantially facilitate the prevention and early detection of the tumor.
What is to be done? If more person attended dermatological routine examination on yearly/two-yearly basis more premature tumor would turn out, which could be treated with a few-minutes outpatient surgery with a histological examination to assess for further medical attendance if any.
Ophthalmology
Ophthalmological screening – including sight testing, investigation of fundus – is capable of calling attention not only eye diseases but also signs of other illnesses of the human body. Most frequent eye diseases are cataract, glaucoma and refractiv errors such as hypermetrophia (hyperopia, farsightedness) and myopia (nearsightedness). Cataract – the clouding of the lens affecting the vision – is very common in older age, half usually develop slowly, and curable. Glaucoma – called „the silent chief of sight” - can cause complete blindness if untreated by damaging the optic nerve. Besides older age risk factors are: family history, hypermetrophy, injury or operation, diabetes, hypertension, vascular disorders, prolonged anti-inflammatory treatment with steroids. If the condition is detected early enough, the progression could be slow down with medical or surgical means.
With ophthalmic examination of the vascular system – especially on the fundus of the eye – professionals can derive data about onset of hypertension or diabetes, both damage retina on the long run.
Gastroenterology
The screening of gastrointestinal tract can reveal even asymptomatic diseases for immediate intervention. Gastrointestinal tract, gall bladder, liver, stomach, oesophagus and pancreas are checked in general through abdominal ultrasonography, stool sampling and laboratory tests. Special attention has payed to pancreas infection and inflammation, colon cancer and food allergies.
Internal medicine
Besides the measurement of the most-significant internal diseases the internist evaluates and summarizes the results of all executed tests and surveys, draws up recommendations for patient about lifestyle, medication and other therapeutic devices.
If the screening's result is positive for a given illness or condition, Hospital Kelen can offer personalized assessment plan including additional labor tests and diagnostic examinations (e.g. mammography in suspected mamma cancers).
Packages and prices for women
1.Women 40 -
Laboratory: Complete Blood Count (CBC), aspartate transaminase (ASAT), alanyne transaminase (ALAT), gamma-glutamil transpeptidase (GGT), serum alkaline phosphatase (SAP), lactate dehydrogenase (LDH), plasma bilirubin level, blood sugar, hemoglobin A1c (HgbA1c), blood urea nitrogen (BUN), blood creatinine, potassium, sodium, total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), thyreoglobulin (TG), serum iron, uric acid, erythrocyte sedimentation rate (ESR), thyroid stimulating hormone (TSH), urinalysis
X-Ray: Chest X-ray
Ultrasonography: abdominal, pelvic
Electrocardiography: 12-lead resting ECG
Dentistry: Oral cancer screening, dental status, oral mucous membranes, consultation
Gynecology: Gynecological checkup
Dermatology: Skin cancer screening
Ophthalmology: Visual acuity test, fundus exam, (glaucoma,cataract)
Internal Medicine: General checkup and medical evaluation
Price: 220 €
2.Women 40 +
Laboratory: Complete Blood Count (CBC), aspartate transaminase (ASAT), alanyne transaminase (ALAT), gamma-glutamil transpeptidase (GGT), serum alkaline phosphatase (SAP), lactate dehydrogenase (LDH), plasma bilirubin level, blood sugar, hemoglobin A1c (HgbA1c), blood urea nitrogen (BUN), blood creatinine, potassium, sodium, total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), thyreoglobulin (TG), serum iron, uric acid, erythrocyte sedimentation rate (ESR), thyroid stimulating hormone (TSH), urinalysis, ovarian cancer tumor marker (CA 125)
X-Ray: Chest X-ray
Ultrasonography: abdominal, pelvic, cardiac
Electrocardiography: 12-lead resting ECG
Dentistry: Oral cancer screening, dental status, oral mucous membranes, consultation
Gynecology: Gynecological checkup
General and Vascular Surgery: Physical examination including rectal exam, circulatory system screening
Dermatology: Skin cancer screening
Ophthalmology: Visual acuity test, fundus exam, (glaucoma,cataract)
Internal Medicine: General checkup and medical evaluation
Price: 310 €
3.Women 40 + extended
Laboratory: Complete Blood Count (CBC), aspartate transaminase (ASAT), alanyne transaminase (ALAT), gamma-glutamil transpeptidase (GGT), serum alkaline phosphatase (SAP), lactate dehydrogenase (LDH), plasma bilirubin level, blood sugar, hemoglobin A1c (HgbA1c), blood urea nitrogen (BUN), blood creatinine, potassium, sodium, total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), thyreoglobulin (TG), serum iron, uric acid, erythrocyte sedimentation rate (ESR), thyroid stimulating hormone (TSH), urinalysis, ovarian cancer tumor marker (CA 125)
X-Ray: Chest X-ray
Ultrasonography: abdominal, pelvic, cardiac
Cardiology: Medical checkup, echocardiography, resting or excercise ECG (considering the patient's loadibility)
Dentistry: Oral cancer screening, dental status, oral mucous membranes, consultation
Gynecology: Gynecological checkup including expert manual mammal examination
General and Vascular Surgery: Physical examination including rectal exam, circulatory system screening
Dermatology: Skin cancer screening
Ophthalmology: Visual acuity test, fundus exam, (glaucoma,cataract)
Internal Medicine: General checkup and medical evaluation
Price: 425 €
4.Women 40 +exclusive
Laboratory: Complete Blood Count (CBC), aspartate transaminase (ASAT), alanyne transaminase (ALAT), gamma-glutamil transpeptidase (GGT), serum alkaline phosphatase (SAP), lactate dehydrogenase (LDH), plasma bilirubin level, blood sugar, hemoglobin A1c (HgbA1c), blood urea nitrogen (BUN), blood creatinine, potassium, sodium, total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), thyreoglobulin (TG), serum iron, uric acid, erythrocyte sedimentation rate (ESR), thyroid stimulating hormone (TSH), urinalysis, ovarian cancer tumor marker (CA 125)
X-Ray: Chest X-ray
Ultrasonography: abdominal, pelvic, cardiac
Cardiology: Medical checkup, echocardiography, resting or excercise ECG (considering the patient's loadibility)
Dentistry: Oral cancer screening, dental status, oral mucous membranes, consultation
Gynecology: Gynecological checkup including manual mammal examination
General and Vascular Surgery: Physical examination including rectal exam, circulatory system screening
Dermatology: Skin cancer screening
Ophthalmology: Visual acuity test, fundus exam, glaucoma and cataract screening
Gastroenterology: Screening for inflammatory bowel diseases
Internal Medicine: General checkup and medical evaluation
Price: 500 €
Packages and prices for men
1. Men 40 -
Laboratory:
Complete Blood Count (CBC), aspartate transaminase (ASAT), alanine transaminase (ALAT), gamma-glutamate transpeptidase (GGT), serum alkaline phosphatase (SAP), lactate dehydrogenase (LDH), plasma bilirubin level, blood sugar, hemoglobin A1c (HgbA1c), blood urea nitrogen (BUN), blood creatinine, potassium, sodium, total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), thyreoglobulin (TG), serum iron, uric acid, erythrocyte sedimentation rate (ESR), thyroid stimulating hormone (TSH), urinalysis
X-Ray: Chest X-ray
Ultrasonography: abdominal, pelvic
Electrocardiography: 12-lead resting ECG
Dermatology: Skin cancer screening
Dentistry: Oral cancer screening, dental status, oral mucous membranes, consultation
Ophthalmology: Visual acuity test, fundus exam, glaucoma and cataract screening
Internal Medicine: General checkup and medical evaluation
Price: 220 €
2. Men 40 +
Laboratory: Complete Blood Count (CBC), aspartate transaminase (ASAT), alanine transaminase(ALAT), gamma-glutamil transpeptidase (GGT), serum alkaline phosphatase (SAP), lactate dehydrogenase (LDH), plasma bilirubin level, blood sugar, hemoglobin A1c (HgbA1c), blood urea nitrogen (BUN), blood creatinine, potassium, sodium, total cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), thyreoglobulin (TG), serum iron, uric acid, erythrocyte sedimentation rate (ESR), thyroid stimulating hormone (TSH), urinalysis, prostate-specific antigen (PSA) tumor marker
X-Ray: Chest X-ray
Ultrasonography: abdominal, pelvic
Electrocardiography: 12-lead resting ECG
Dentistry: Oral cancer screening, dental status, oral mucous membranes, consultation
Urology: Prostate exam, consultation
General and Vascular Surgery: Physical examination including rectal exam, circulatory system screening
Dermatology: Skin cancer screening
Ophthalmology: Visual acuity test, fundus exam, glaucoma and cataract screening
Internal Medicine: General checkup and medical evaluation
Price: 310 €
3.Men 40 + extended
Laboratory:
Complete Blood Count (CBC), aspartate transaminase (ASAT), alanyne transaminase (ALAT), gamma-glutamil transpeptidase (GGT), serum alkaline phosphatase (SAP), lactate dehydrogenase (LDH), plasma bilirubin level, blood sugar, hemoglobin A1c (HgbA1c), blood urea nitrogen (BUN), blood creatinine, potassium, sodium, total cholesterol, high-density lipoprotein (HDL), low- density lipoprotein (LDL), thyreoglobulin (TG), serum iron, uric acid, erythrocyte sedimentation rate (ESR), thyroid stimulating hormone (TSH), urinalysis, prostate- specific antigen (PSA) tumor marker
X-Ray: Chest X-ray
Ultrasonography: abdominal, pelvic, cardiac
Cardiology: Medical checkup, echocardiography, resting or exercise ECG (considering the patient's loadibility)
Dentistry: Oral cancer screening, dental status, oral mucous membranes, consultation
Urology: Prostate exam, consultation
General and Vascular Surgery: Physical examination including rectal exam, circulatory system screening
Dermatology: Skin cancer screening
Ophthalmology: Visual acuity test, fundus exam, glaucoma and cataract screening
Internal Medicine: General checkup and medical evaluation
Price: 425 €
4.Men 40 + exclusive
Laboratory: Complete Blood Count (CBC), aspartate transaminase (ASAT), alanyne transaminase (ALAT), gamma-glutamil transpeptidase (GGT), serum alkaline phosphatase (SAP), lactate dehydrogenase (LDH), plasma bilirubin level, blood sugar, hemoglobin A1c (HgbA1c), blood urea nitrogen (BUN), blood creatinine, potassium, sodium, total
cholesterol, high-density lipoprotein (HDL), low-density lipoprotein (LDL), thyreoglobulin (TG), serum iron, uric acid, erythrocyte sedimentation rate (ESR), thyroid stimulating hormone (TSH), urinalysis, prostate-specific antigen (PSA) tumor marker
X-Ray: Chest X-ray
Ultrasonography: abdominal, pelvic, cardiac
Cardiology: Medical checkup, echocardiography, resting or excercise ECG (considering the patient's loadibility)
Dentistry: Oral cancer screening, dental status, oral mucous membranes, consultation
Urology: Prostate exam, consultation
General and Vascular Surgery: Physical examination including rectal exam, circulatory system screening
Dermatology: Skin cancer screening
Gastroenterology: Screening for inflammatory bowel disease
Ophthalmology: Visual acuity test, fundus exam, glaucoma and cataract screening
Internal Medicine: General checkup and medical evaluation
Price: 500 €