wellness visit

Temperature

Normal: 97°F (36.1°C) to 99°F (37.2°C) 

Fever: Over 100.4°F (38°C) 

Heart Rate (/min)

Normal: 60 to 100 (Tachycardia: >100; Bradycardia: <60)

Respiratory Rate

Normal: 12-20 (Abnormal: >20)

Blood pressure (mmHg)

Normal：Systolic BP<120; Diastolic BP<80

Elevated BP：SBP 120-129; DBP < 80

Stage 1 hypertension：SBP 130-139；DBP 80-89

Stage 2 hypertension：SBP >= 140; DBP >= 90

Pain

Normal: 0 (Rate the pain between 0 to 10)

Normal: 18.5 to <25 (Asian <23)

Overweight: 25.0 to <30 (Asian 23-27.9) 

Obesity: >=30.0 (Asian >=28)

BMI Calculator  - CDC

*Eligible for medical weight loss (Insurance covered)

if BMI >30 or BMI>25 with Obesity related situation (Hypertension/Diabetes/Hyperlipidemia, etc)

Hemoglobin (Hb): Male 13.2-16.6 g/dL; Female 11.6-15.5 g/dL

Platelet (PLT): 150,000 to 450,000 platelets/ml

Bad cholesterol (LDL): Normal<100 mg/dL; Acceptable if no comorbidity 100-129 mg/dL; Borderline 130-159 mg/dL; High 160-189 mg/dL or higher. Cardiovascular Disease Calculator

Good Cholesterol (HDL): Normal >=60 (higher is better); Borderline 60-40; Low <40

Triglyceride: Normal<150; Borderline 150-199; High 200-499; Very high >=500

Liver function: ALT (<41 units/L); AST (<40 units/L)

Kidney function: BUN (7-20 mg/dL); Creatinine (Male 0.9-1.3 mg/dL, Female 0.6-1.1 mg/dL)

Thyroid function: TSH (0.5-5.0 mIU/L)

Vitamin D (Optional): normal 20-40 ng/mL (For immune purpose 30-50 ng/mL or higher, toxic if >100 ng/mL )

HBA1c: Normal 4-5.6%, Pre-diabetes 5.7-6.4%, Diabetes >= 6.5%

DM treatment Target: HbA1c < 7%

*different labs may have slightly different normal range.

Alcohol: Male 1-2 drinks/day or less; Female 1 drink/day or less

Smoke: NO

Physical activity : 150 minutes of moderate activity every week

Cervical Cancer: Female >=21, till 65, every 3 years

Breast Cancer: Female >=40 , till 75, every 1-2 years

Colon Cancer: >=45, till 75 (Colonoscopy vs Cologuard)

Lung Cancer: 50-80 with smoking history (>=20 pk/year)

Prostate Cancer: Male 55-69 with risks

Thyroid Cancer: Case by case; Risk factors: h/o radiology, Hashimoto, East Asian population

Gastric Cancer: Case by case; Risk factors: H.pylori infection, East Asian population

Liver Cancer: Case by case; Risk factors: Hepatitis B/C, Fatty liver

HIV: 15 to 65 years old

Hepatitis C virus (HCV): 18 to 79 years old

Hepatitis B virus (HBV): Adolescents and adults at increased risk for infection.

Chlamydia/Gonorrhea: Sexually active female <25 or >=25 with risk factors.

Syphilis: 18-45 years old

Depression: If PHQ-2 positive, PHQ-9: Mild 10-14, Moderate 15-19, Severe >=20

Alcohol: Over 18 years old, AUDIT scored over 8, needs behavioral counseling

Osteoporosis: Female >=65 years old; post-menopausal with risk factors; Male >=70 years old; 50-69 years old with risk factors

Abdominal Aortic Aneurysm (AAA): 65 to 75 years old who have ever smoked.

Seniors: Fall risk evaluation, Code status and Power of Attorney.

Flu-shot: Annually

Tdap/Td: every 10 years 

Hepatitis B Vaccine: till 59 years old or older if having risk factors

Shingles: >=50 years old or >=19 years old with immunosuppression

Pneumonia Vaccine: >= 50 years old

RSV Vaccine: >=75 years old or >=60 with chronic diseases