Do Family Medicine Doctors Conduct All Necessary Tests? - Family Medicine

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Does family medicine perform all types of examinations?


I have many various ailments, including occasional swelling in my legs (which has now resulted in hyperpigmentation).
Both my blood sugar levels and cardiovascular assessments have been reported as normal.
I experience blurred vision and dizziness after eating.
There is a sensation of blockage in my blood flow throughout my body, and my muscles often feel numb.
Sometimes, I have discomfort in my stomach area, and my gums are swollen.
The range of symptoms is quite broad, and I'm unsure which specialty to consult.
I plan to undergo a health check-up, and the hospital's health examination center has suggested visiting a family medicine department.

Could you please clarify if the family medicine department will conduct all necessary tests before referring me to other specialties for treatment if any abnormalities are found? Or will I need to visit multiple specialties and arrange separate tests? I'm considering whether to see a family medicine doctor first or to proceed with the health check-up.
Additionally, is it possible that the health check-up may not reveal everything?

Xiao Sheng, 40~49 year old female. Ask Date: 2018/03/24

Dr. Huang Xunying reply Family Medicine


Your condition may not be fully addressed through a health check-up, but we sometimes recommend conducting preliminary tests to rule out certain diseases.
Generally, it is still advisable for you to visit a primary care physician!

Reply Date: 2018/03/24

More Info


When it comes to managing a wide array of health concerns, family medicine doctors play a crucial role as primary care providers. They are trained to handle a variety of health issues and can conduct many necessary tests to assess your overall health. However, the extent of tests they can perform may vary based on the specific symptoms and conditions presented.

In your case, with multiple symptoms such as swelling in your legs, black pigmentation, blood sugar issues, blurred vision, dizziness after eating, muscle numbness, gastrointestinal discomfort, and swollen gums, it is indeed wise to start with a family medicine doctor. Family physicians are equipped to evaluate these symptoms holistically and can order a range of diagnostic tests to identify underlying issues.

Typically, a family medicine doctor will begin with a comprehensive health assessment, which may include:
1. Physical Examination: This will involve checking vital signs, examining affected areas, and assessing overall health.

2. Blood Tests: Common tests include complete blood counts (CBC), metabolic panels, and specific tests for blood sugar levels, cholesterol, and liver function.

3. Urinalysis: This can help identify issues related to kidney function or diabetes.

4. Imaging Studies: Depending on your symptoms, they may order X-rays, ultrasounds, or other imaging tests to visualize internal structures.

After these initial evaluations, if the family physician identifies any abnormalities or if your symptoms suggest a specific condition, they will refer you to the appropriate specialist. For instance, if your blood tests indicate issues with your heart or vascular system, you might be referred to a cardiologist. If gastrointestinal problems are suspected, a gastroenterologist may be the next step.

Regarding your question about whether family medicine doctors conduct all necessary tests before referring to specialists, the answer is that they will perform a thorough assessment and order relevant tests based on your symptoms. However, they may not conduct every possible test available. Instead, they focus on the most pertinent tests that align with your symptoms and medical history. This approach helps streamline the diagnostic process and ensures that you receive targeted care.

As for health check-ups, while they can provide a broad overview of your health, they may not always detect every underlying condition, especially if symptoms are vague or multifaceted. Health screenings are designed to catch common issues, but if you have specific concerns or a complex array of symptoms, a more tailored approach through a family medicine doctor may yield better results.

In summary, starting with a family medicine doctor is a prudent choice given your diverse health concerns. They will conduct initial assessments and tests, and based on the findings, they can refer you to specialists as needed. This coordinated approach ensures that you receive comprehensive care tailored to your specific health needs. If you feel that your symptoms are severe or worsening, do not hesitate to seek medical attention promptly.

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