Executive Health Services

St. Luke’s ExecuHealth has transformed the traditional executive physical from a data gathering exam into a fully integrated, head-to toe evaluation. The following diagnostic tests and assessments are performed by our experts because when they are combined and evaluated as a whole, they give us the most complete picture of your current health status.*

The following executive health services are included in your ExecuHealth Physical:

Assessments

• Audiology Assessment - The audiological assessment is a comprehensive hearing test which evaluates general ear health. It identifies pitch range, while assessing the ability to detect and understand speech and language.
• Depression Screening- The PHQ-2 and PHQ-9 are tools used for screening and diagnosis of depression. The PHQ 2, comprising the first 2 questions of the PHQ-9, inquires about the degree to which an individual has experienced depressed mood over the past 2 weeks. Individuals who screen positive are further evaluated with the PHQ-9 to determine whether they meet criteria for a depressive disorder.
• Fitness Assessment- The fitness assessment is a comprehensive computerized measurement of five basic fitness parameters - body composition, flexibility, cardiovascular endurance and muscular strength/endurance of the upper and lower extremities.
• Nutrition Assessment- The nutrition assessment evaluates dietary status and requirements based on data obtained from body composition, medical history, physical exam and laboratory values. Nutrition plans will be recommended including macronutrient and energy needs.
• Vision Assessment- The vision assessment utilizes a Snellen eye chart measuring the ability to discern details of a letter or symbol from a specific distance.

Dermatology Screening

• The dermatology screening is an examination of your entire skin surface looking for skin changes and moles or freckles with unusual features such as asymmetry, irregular borders, blotchy color or increasing size, including areas not usually exposed to sunlight. The Dermatologist may also examine suspicious spots using a hand held microscope called a dermatoscope; and may measure the size of moles or freckles.

Physical Exam

• A comprehensive physical performed by our lead physician which includes vital signs, vital statistics and Snellen eye chart. Additionally, a complete assessment of the head, eyes, ears, nose and throat through ophthalmoscopy is performed. The lymphatic system, arterial and venous vascular systems is also evaluated. The neck is assessed focusing on carotid arteries and the thyroid gland. The chest is tested by auscultation and percussion of the lungs and heart, as well as the back including the spine and the costovertebral angles. Lastly, the skin, abdomen, joints, muscles, and a comprehensive neurological examination is performed. A rectal exam is included for males to check the prostate.

Labs

• Complete Blood Count with Differential (CBC/PLT/DIFF)- The complete blood count measures red cells, white cells and platelets. Comprehensive Metabolic Panel (CMP) The comprehensive metabolic panel is a panel of 14 tests which provides important information regarding current metabolism status.
• High Sensitivity C-Reactive Protein (HS-CRP)- The high sensitivity C-reactive protein test helps evaluate the risk of developing coronary artery disease, a condition in which the arteries of the heart are narrowed.
• Hemoglobin, Glycosylated (A1C)- The glycosylated hemoglobin test measures the average level of blood sugar over the past two to three months.
• Lipid Panel Fasting with Direct Low-Density Lipoprotein (LDL) Reflex- The lipid panel with reflex measures total cholesterol, triglyceride levels, HDL and LDL cholesterol and helps determine the risk of heart disease.
• Prostate-Specific Antigen (PSA) Screen (male)- Prostate-specific antigen, or PSA, is a protein produced by normal as well as malignant cells of the prostate gland.This test measures the level of PSA to screen for prostate cancer.
• Thyroid-Stimulating Hormone (TSH) with Free Thyroxine (FT4) Reflex- The TSH test determines if the thyroid gland is working properly.It measures how much thyroid stimulating hormone is present, and can detect a thyroid disorder before symptoms occur.
• Urinalysis- The urinalysis checks the appearance, concentration and content of urine.It is used to detect and manage a wide range of disorders.
• Vitamin D 25-Hydroxy- The Vitamin D test determines if vitamin D levels are too high or too low.

General Studies

• Complete Abdominal Ultrasound- The abdominal ultrasound is a noninvasive imaging test used to examine organs and blood vessels within the upper abdomen.
• Pelvic Ultrasound (female)- The pelvic ultrasound is a noninvasive procedure used to measure and evaluate organs and structures within the pelvis.
• Transvaginal Pelvic Ultrasound (female)- The transvaginal ultrasound is a noninvasive imaging test that utilizes sterile gel and a transducer inserted into the vagina to measure and evaluate the uterus and ovaries.

Cardiology Studies

• Computed Tomography (CT) Heart Cardiac Calcium Scoring- CT Heart Cardiac Calcium Scoring is a non-invasive procedure used to obtain information about the presence, location and extent of calcified plaque in the coronary arteries – the vessels which supply oxygen-containing blood to the heart muscle.Significant plaque can increase the risk of heart attack and stroke.
• Electrocardiogram (EKG)- The electrocardiogram records the electrical activity within the heart to evaluate heart rate and rhythm, and detect signs of heart disease.
• Regular/Structural Echocardiogram- The echocardiogram is an ultrasound of the heart which evaluates its size, thickness and pumping action.It can also help evaluate murmurs, valve problems or fluid around the heart.
• Stress Echocardiogram (Stress Test or Stress Echo)- The stress echocardiogram is a procedure which determines how well the heart and blood vessels work during physical activity.Exercise on a treadmill is required while the cardiologist monitors breathing, blood pressure and heart rhythm.Since exercise makes the heart pump harder and faster, an exercise stress test can reveal blood flow problems within the heart.

Vascular Studies

• Abdominal Aortic Ultrasound (AAA)- The ultrasound of the abdominal aorta is a non-invasive test used to image the main blood vessel leading away from the heart to screen for Abdominal Aortic Aneurysm.
• Carotid Artery Ultrasound- The carotid ultrasound tests for narrowed carotid arteries, which increase the risk of stroke.Carotid arteries are usually narrowed by a buildup of plaque made up of fat, cholesterol, calcium and other substances which circulate in the bloodstream.Early diagnosis and treatment of a narrowed carotid artery can decrease stroke risk.
• Arterial Vascular Ultrasound- The vascular ultrasound is a non-invasive test used to image blood vessels.This ultrasound helps detect abnormal blood flow within arteries and veins.

If necessary:

Low Dose CT Lung Screening- Low Dose computerized tomography uses x-rays to make detailed images of the lungs in order to detect lung cancer before any symptoms occur.

Iron- The iron test evaluates the amount of iron in the body by measuring several substances to detect deficiency or overload.

Ferritin- This test measures the amount of ferritin to detect overall stored iron levels.

3-D Mammogram- 3-D mammography is an advanced technology which takes multiple images of breast tissue to create a 3-D picture used to detect and diagnose breast cancer.

Hepatitis C- Hepatitis C is a virus which causes an infection of the liver that is characterized by liver inflammation and damage.  It is a group of tests performed to detect and diagnose a Hepatitis C viral infection for patients born between 1946 and 1964.

Coordination/Scheduling for Annual Women’s Wellness Exam- Upon request, ExecuHealth will coordinate with St. Luke’s Riverside Women’s Healthcare to schedule your annual women’s wellness exam immediately following your ExecuHealth Full Day Physical. Please note, insurance can be accepted, as this appointment will be separate from your physical.

*If medically necessary, additional services /studies may be recommended and can be coordinated/scheduled as a continuation of the St. Luke’s ExecuHealth process. This means you can expect the same Care Manager and high level of service throughout the scheduling process. These services are typically performed on a separate day from your St. Luke’s ExecuHealth assessment and billed through your insurance.