How does in-depth medical examination differ from the general one?

Currently, Russian citizens in the country's polyclinics can undergo 3 main types of preventive examinations – medical examination, in-depth medical examination and occupational examination.

Medical examination is a fast, reliable, absolutely free way to check your health, identify diseases and the risks of their occurrence in just 1-2 days in a polyclinic at your place of residence. This should become the norm and a useful habit of everyone, the same as brushing your teeth, washing your face and saying "hello" when you meet.

During medical examination, they are examined every 3 years up to 40 years (at the age of 18, 21, 24, 27, 30, 33, 36, 39 years), and then annually, having previously signed up for any day at the registry office or through the EDS.

The employer is obliged to provide you with 1 paid day for this every 3 years, and then you will bring him a certificate confirming the medical examination (without a diagnosis and information about your health).

In-depth medical examination (UD) is carried out to patients who have undergone a new coronavirus infection (NCVI) no earlier than 60 days after the disease in accordance with the Order of the Ministry of Health of the Russian Federation dated 01.07.2021 No. 698n "On approval of the Procedure for sending citizens to undergo in-depth medical examination, including categories of citizens undergoing in-depth medical examination as a matter of priority."

This is necessary to identify complications of NCVI (postcovid syndrome in its various manifestations).

First of all, patients at high risk of complications aged 65+ and having 2 or more chronic diseases (mainly diabetes mellitus, cardiovascular diseases and severe respiratory diseases) should undergo in-depth medical examination.

The UD has its own set of studies: everyone, without exception (Ietap), is measured by blood oxygen saturation, spirometry, general blood analysis, biochemical blood analysis (cholesterol, fats, ALT, AST, LDH, creatinine).

With moderate and severe covid, a 6-minute walk test is performed, the concentration of D-dimer in the blood. If the patient's blood oxygen concentration is reduced and he walks a short distance in 6 minutes, then the patient automatically switches to the second stage of the UD, where he is given an ultrasound examination of the heart, as well as a computed tomography of the lungs.

If the normal level of oxygen concentration in the blood is maintained, but deviations are detected during the 6-minute walk test, the patient is given an ultrasound examination of the heart as part of the IIITAP of in-depth medical examination. If the D-dimer values are elevated (microthrombs are present in the blood), then the veins of the lower extremities are additionally examined by ultrasound in order to detect blood clots as a risk of sudden death from blockage of these blood clots of the vessels of the head (ischemic stroke), heart (myocardial infarction) or lungs (pulmonary embolism).

The data of in–depth medical examination are entered into the outpatient chart, and the attending (district) doctor takes preventive measures to prevent life-threatening situations (if the patient does not take basic therapy, the full volume of treatment of major diseases is prescribed in combination with blood-thinning drugs and the frequency of further observation and examination is assigned in each case individually).

We invite everyone to the examination! This should be done by every literate person who is going to live happily ever after!

Chief Medical Officer GUZ "Lipetsk city
Hospital No. 4 "Lipetsk-Med",
Agapova Yulia Refatovna