The following components are included in your executive exam*: (click the component to learn more)
Medical History and Physical Exam by Your Physician
A review of current medical data with physician, to include history of medical issues, family and other relevant health information. Pap smear (females) as indicated.
Treadmill Test + Functional Fitness Assessments
Tests for patients' aerobic fitness and screens for cardiovascular disease; analyzes core strength, leg strength, and balance.
Nutritional Analysis
Nutritional assessment questions provided by a Registered Dietitian.
Comprehensive Lab Evaluation
Comprehensive lab evaluation including complete blood count, chemistry profile including cholesterol/HDL/LDL/triglycerides, thyroid profile with TSH, ferritin, phosphorus, C-reactive protein, prostate-specific antigen for men as indicated, vitamin D, GGT (liver), Hemoglobin A1C, uric acid, and insulin.
Cleveland Heart Lab Assessment of Vascular Inflammation and Disease: Provides additional and complementary insight into cardiovascular risk beyond cholesterol testing alone.
Urine testing: Urinalysis, Microalbumin (w/ Creatinine).
Occult Blood Testing for Hidden Blood in Stool: A test that checks for occult (hidden) blood in the stool. Blood in the stool may be a sign of colorectal cancer or other problems, such as polyps, ulcers, or hemorrhoids.
Mental Health & Sleep Apnea Screenings
Screens patient for anxiety and depression.
Utilization of a screening tool to improve identification of patients at high risk for sleep apnea.
Hearing and Vision Testing
Tests for patients' visual acuity, color vision, glaucoma, depth perception, and macular degeneration, as well as hearing loss.
DEXA Bone Density Scan and Body Composition
What’s the purpose of the scan?
The DEXA Body Composition Scan provides information on your body’s fat tissue, muscle mass, and bone density. There are two components to the scan (not everyone will need both components):
At your follow-up appointment results will be reviewed and plan of care discussed, you will be given a printout with percentages and images of the data obtained that you can keep as a reference.
What to expect during a DEXA:
After measuring your height and weight, you will be escorted to the scanning table and asked to lie down and get comfortable. The scanning arm extends across the table, over your body, and works by sending a low dose x-ray beam that allows both soft tissue and bone measurements. The scan is painless and takes about 30 minutes to complete both parts of the study.
Make sure you are well hydrated and do not wear anything metal (zippers, metal snaps, etc) on the day of your test.
What your DEXA results mean:
The body composition measurements provide individualized information on lean mass and body fat, including where your body fat is concentrated. Abdominal cavity fat, or visceral fat, is a risk factor for cancer, diabetes, heart disease and dementia.
Bone density information results compare your findings to someone your age (Z-score) and to a healthy 30-year-old of the same sex (T-score). This allows prediction of potential fracture risk and provides valuable information for you and your doctor to discuss prevention, diagnosis and potential treatment of osteoporosis through risk factor modification and when indicated, medication.
Carotid Intima-Media Thickness (CIMT) Measured by Ultrasonography
What’s the purpose of the test?
The CIMT test measures the thickness of the inner two layers (the intima and media) of the carotid artery (a large artery in your neck) to predict potential for increased risk of heart disease and stroke in patients 45 and older with undiagnosed cardiovascular disease. Thickening of these two layers or early evidence of plaque, can be the very first signs of cardiovascular disease.
Pros of the CIMT Test:
What to expect during a CIMT test:
You will be escorted to the scanning area and asked to lie down on a table and make yourself comfortable. A licensed medical sonographer will perform the test. A thick gel is applied to the skin of the neck and an ultrasound transducer is used. The transducer makes sound waves that will bounce off the carotid arteries, creating an "echo" that is processed into pictures by a computer. The test is painless and takes about 15 minutes.
What your CIMT test results mean:
A CIMT measurement is provided for both sides of the neck and may indicate the need for more aggressive management of risk factors associated with heart disease and stroke.
Heart disease risk is influenced by multiple variables and the result of this test adds another potentially unique perspective. Your doctor will include this information in their comprehensive review of your personal risk factors. Risk factors may include a personal history of pre-eclampsia, early menopause, diabetes, hypertension, high cholesterol, chronic inflammatory diseases and smoking as well as your family history and certain blood test results.
DermEngine Total Body Photography
AI-enabled skin cancer screening tool for imaging, documentation and analysis of skin conditions.
For more information and an educational video click here.
For new patients or as directed by a physician, we can perform the following tests: Vitamin B12 with Methylmalonic Acid, Hepatitis C Antibody, Carotid Doppler Ultrasound, Abdominal Aortic Aneurysm Screening, Thyroid Ultrasound, Multi-cancer early detection test to detect common cancer signals across more than 50 types for select patients with elevated risks.