General Medicine
The Annual Health Check: What Is Worth Testing
A useful yearly check is six or seven cheap tests, not a fifty-test package. What to ask for at each age, what to skip, and how to read the report.
30 Aug 202610 min read
Also known as Sonography, Ultrasound scan, USG
An ultrasound scan builds images from high-frequency sound waves reflected back off the body's tissues. It uses no radiation, which is why it is the scan used in pregnancy.
A probe emits sound far above the range of hearing and listens for the echoes. Different tissues reflect differently, and the machine converts the timing and strength of those echoes into a live image. Because it is real-time it shows movement — a beating heart, a moving fetus, blood flowing through a vessel — which no still image can.
Sound travels well through fluid and soft tissue and badly through bone and air. So ultrasound excels at the liver, gallbladder, kidneys, bladder, uterus, ovaries, and superficial lumps, and it is the basis of an . It is largely defeated by the lungs and by bowel gas, and it cannot see through bone into the adult brain — which is where a or takes over.
Ultrasound is also used to guide procedures in real time — placing a needle for a or draining a collection — where seeing the needle enter the target is what makes the procedure both accurate and safe.
General Medicine
A useful yearly check is six or seven cheap tests, not a fifty-test package. What to ask for at each age, what to skip, and how to read the report.
30 Aug 202610 min read
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