Wellness Exam For Adults & Children

Wellness exams for adults and children are annual comprehensive exams focusing on preventative care. The annual exam typically does not involve new health diagnosis or a detailed review of chronic illnesses.

Wellness Exam For Adults & Children - Kalo Health

Wellness Exams For
Men & Women

Wellness exams are annual comprehensive exams focusing on preventative care. As well as therapy optimization of any prior chronic conditions.

Annual these exams can help you stay healthy and allow for early detection of medical diseases. Early detection allows for early intervention and prevention of chronic complications. Further tests may be ordered by your doctors during the exam based on your age and genetic history.

Wellness exams are different from going to see your physician for a specific problem. The purpose of an annual exam is to screen for potential health problems and create a plan to keep you healthy year round.

What should you expect during a wellness exam?

Questions regarding:

1. Past medical history,social history family history, and current signs and symptoms
2. Health habits
3. Use of medication, vitamins or supplements
4. Sexual partners and sexual health
5. Relationships and safety
6. Physical activity
7. Eating Habits
8. Mental health history
9. Use of alcohol, tobacco and other drugs

Physical Exam:

  • Height and Weight
  • Measuring BMI
  • Temperature
  • Blood Pressure
  • Heart Rate
  • Oxygen saturation, respiratory rate

  • Listen to heart, lungs, and abdomen

  • Palpation of abdomen

  • Range of motion of limbs and spine

  • Neurological exam testing strength, deep tendon reflexes, and cranial nerves

  • Head, ears, eyes, mouth, and throat

  • Neck exam checking soft tissues, lymph nodes, and thyroid.

  • Check skin for suspicious moles or lesions
  • Vision Test

Women’s wellness exams may include a clinical breast exam to check for lumps or other changes as well as a pelvic exam if necessary. Routine tests for sexually transmitted diseases may be done as well as a pap test to screen for cervical cancer.

Men’s wellness exams may include a testicular exam to check for lumps or other changes, as well as check the penis for any evidence of infection. A hernia exam will check for weaknesses in the abdominal wall between the intestines and the scrotum. A prostate exam (digital rectal exam) can also be done to check for size, texture, and masses on prostate.

Personalized Prevention Plan:

Your physician is able to get a look at your current health as a whole and develop a personalized plan to reduce your risk of developing illnesses, manage current chronic issues and maintain good health. Further diagnostic tests such as mammograms and colonoscopies may be recommended based on a patient’s age and genetic history.

Gynecological Exams

Gynecological exams are important to check female organs and ensure good gynecological health. Women should begin annual gynecological exams at age 21 or earlier if they are sexually active.  Pap smears are performed annually or every 3 to 5 years depending on age, HPV (Human papilloma virus ) status, and pap results. Any irregularities with menstrual cycles, breast lumps, pelvic or vaginal pain or any other vaginal abnormalities are signs that an exam should be scheduled sooner.

Medical History and Habits:

As part of your exam your physician will ask questions regarding your menstrual cycle, sexual activities, pregnancies, contraceptive use, and any surgeries or illness. They will discuss any issues you may have and discuss prevention of sexually transmitted diseases and go over medical history. The physician will be able to get a better knowledge of your overall gynecological health.

Physical Exam:

The physical exam includes a urine sample, pelvic exam, and breast exam. The urine sample will be tested to detect pregnancy, infections, or kidney problems.

During the breast exam the physician manually palpates your breast, looking for any lumps or irregularities in the tissue.

The pelvic exam consists of the external exam where the physician examines your vulva and labia, looking for any signs of infection or disease. The bimanual exam is when the physician will use one or two gloved and lubricated fingers to palpate the inside of the vagina, checking the position and shape of your uterus, cervical tenderness, and ovarian size.

The speculum exam is when the physician gently slides a speculum into your vagina to separate the walls and examine your cervix. They are also able at this time to do a pap smear, where they take a small sample of cells from the cervix to test for precancerous cells or STDs.

The physical exam does not usually cause pain and typically takes just a few minutes. Be sure to discuss your level of comfort or any problems during the exam as the practitioner may be able to adjust the exam accordingly.

Implanon Removal, Intrauterine Device Removal

If your birth control implant or intrauterine device has expired or you choose to remove it, the process can be done right at Kalo Health.

Implanon or Nexplanon birth control implants that have been inserted under the skin in the upper arm expire in 5 years, and after that it must be removed. The removal process takes around 20 minutes and begins with a shot to numb a small area of your arm. Then a small incision is made, the implant is taken out and a bandage placed and left on for 24 hours. A new device can be implanted if you choose to continue using this method of birth control after the incision site is healed.  

The area of your arm may be sore for 1-2 days with minimal bruising for a short time. It is important to discuss birth control options with your healthcare provider if you decide to discontinue use long term.

If you plan to get pregnant, want to switch methods of birth control, or your intrauterine device (IUD) has expired it can be removed by a simple procedure. Your healthcare provider will use a a speculum to clearly visualize the cervix and use ring forceps to grasp the IUD by the threads. The IUD will typically will collapse upwards allowing the device to slide out. A new IUD can be inserted after removal if you choose to continue using this method of birth control.

There are rarely side effects with the intrauterine device removal, but you may have minimal cramping or light bleeding following the procedure.

Wellness Exams For Children

Children grow rapidly so it is important to have scheduled wellness exams for children to screen health and assess if the child is reaching milestones. The American Association of Pediatrics developed a periodicity schedule for children recommending how often these wellness exams need to be done.

Schedule of Well-Child Visits:

  • The first week visit (3 to 5 days old)
  • 1 month old
  • 2 months old
  • 4 months old
  • 6 months old
  • 9 months old
  • 12 months old
  • 15 months old
  • 18 months old
  • 2 years old (24 months)
  • 2 ½ years old (30 months)
  • Yearly from age 3-21
Much like wellness exams for adults, a child’s wellness exam focusing on preventative health. Your child can get scheduled immunization to prevent illnesses as well as discuss child safety concerns in the home and school. The physical exam is also similar to an adult wellness exam, consisting of height and weight, vision and hearing, checking heart and lungs, blood pressure and heart rate and temperature. There are different assessments done as well depending on the age of the child.

Birth to 2 Years

Due to rapid growth and development at this age the physician will also assess things like head circumference, gross motor skills, fine motor skills, and speech. They will also look for signs of autism and discuss any concerns in development, nutrition and/or sleep patterns.

3 to 13 years

During these years wellness visits are annually and look for developmental milestones such as cognition, movement and speech. In the younger years the physician will look for signs of school readiness and will continue discussions throughout the years regarding any social or academic concerns. Puberty will be discussed in later years depending on your child’s development.

13 to 21 Years

In the teenage years puberty is often discussed as well as safe sex habits, preventing pregnancy and the negative side effects of drugs and alcohol. Mental health, social and academic issues specific to teenagers may be discussed. In the later years the physician might go over safe driving habits and how to maintain health after they have moved out of their home. Some teenagers may prefer to have these exams or discussions privately to feel more comfortable speaking with the physician.

Sports Physicals

Often schools, camps and club sports require a sports physical in order to participate in physical activities. Preparticipation physical exams can help identify risk of injury or underlying medical conditions to ensure that the individual is healthy enough to participate in the specific activities required. They are usually required annually and are performed by primary care physicians, pediatricians, and sport medicine physicians.

A sports physical consists of a medical history including questions regarding:

  • Past medical history
  • Previous Injuries
  • Previous hospitalizations
  • Surgeries
  • Family Illnesses
  • Allergies
  • Medications
  • Issues brought on by exercise

It also includes a physical examination consisting of:

  • Recording height and weight
  • Vital signs (pulse, oxygen saturation, temperature, respiratory rate, and blood pressure)
  • Head, ears, nose throat, neck, thyroid
  • Heart auscultation
  • Lung auscultation
  • Abdomen auscultation and palpation
  • Limb range of motion
  • Neurological exam (strength, deep tendon reflexes, cranial nerve evaluation)
  • In male’s hernia exam if requested by sports institution.
  • Vision

Through both the medical history and physical exam, the physician can determine if the individual has any health concerns that may prevent them from being able to participate in sports. Risk factors linked to the specific sport or activities can also be discussed. Individuals that have a previous history of sports induced illness, such as asthma, can develop the best plan and medications to be able to safely participate.

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