What are the items included in the onboarding medical examination report

The entry physical examination report usually includes blood routine, urine routine, liver function, kidney function, electrocardiogram, chest X-ray, abdominal ultrasound and other items. Different employers may adjust the inspection content according to job requirements, but the basic projects mainly cover the above-mentioned categories.

1. Blood routine

Blood routine examination evaluates the presence of anemia, infection, or hematological diseases by detecting indicators such as red blood cells, white blood cells, and platelets. Before the examination, it is necessary to fast for 8-12 hours to avoid vigorous exercise that may affect the results. If abnormalities are found, further examinations such as bone marrow puncture may be necessary.

2. Routine urine examination

Routine urine examination: urine color, specific gravity, pH, protein, sugar, red blood cells, etc. can screen urinary system diseases or diabetes. Collecting mid stream urine is more accurate, and women should avoid the menstrual period. When urine occult blood is positive, it is necessary to combine with urinary system ultrasound to investigate the cause.

3. Liver function

Liver function tests include indicators such as transaminase, bilirubin, protein, etc., reflecting liver metabolism and detoxification function. Drinking alcohol, staying up late, or taking medication may cause temporary elevation of indicators. If alanine aminotransferase continues to be abnormal, it is necessary to screen for viral hepatitis or fatty liver.

4. Renal function

Renal function is evaluated by indicators such as creatinine and urea nitrogen to assess renal filtration function. Three days before the examination, high protein diet should be avoided, and patients with chronic kidney disease need to undergo urine trace protein testing. Elevated blood creatinine may indicate a decrease in glomerular filtration rate.

5. Electrocardiogram

The electrocardiogram records cardiac electrical activity and can detect abnormalities such as arrhythmia and myocardial ischemia. During the examination, it is necessary to breathe calmly as metal objects may interfere with the results. Occasional premature beats, if asymptomatic, usually do not require treatment, but frequent ventricular premature beats require further dynamic electrocardiography.

6. Chest X-ray

Chest X-ray can screen for lesions such as tuberculosis, pneumonia, and lung mass. Pregnant women should inform their doctors in advance and use lead aprons for protection if necessary. When discovering pulmonary nodules, it is necessary to combine CT to clarify their nature. For nodules smaller than 3 millimeters, follow-up observation is recommended.

7. Abdominal ultrasound

Abdominal ultrasound examination can detect the morphology of organs such as liver, gallbladder, pancreas, spleen, and kidney, and may reveal stones, cysts, or tumors. Fasting for 8 hours is required before the examination, as excessive intestinal gas may affect observation. When the gallbladder polyp is less than 5 millimeters and there is no blood flow signal, regular follow-up is usually sufficient. After the physical examination for employment, one should maintain a regular schedule and avoid staying up late and drinking alcohol to interfere with the results of the re examination. There is no need to be overly nervous when discovering abnormal indicators, and a review can be conducted 1-2 weeks later to rule out transient abnormalities. Patients with chronic diseases should carry past medical records for doctors' reference. Patients with hypertension or diabetes can take medicine normally on the day of examination. Employers shall not force them to provide physical examination items that exceed the job requirements. If hepatitis B and other discriminatory examinations are involved, they can complain to the labor department.