Clinic Services
Comprehensive Annual Exam The annual physical is encouraged for all of our patients. This provides an opportunity for the patient and the physician to review the patients general health. The doctor may advise the patient of recommended health care interventions needed to maintain good health. Back to Top
Preoperative Physical Exam Prior to surgery the surgeon may request that the patient's primary care doctor provide an exam and associated testing. This ensures the patient has no medical problems that need to be addressed prior to the surgery or to alert the surgeon of any conditions requiring attention before, during, and after the operation. This is usually a less comprehensive exam than an annual physical. Back to Top
Comprehensive Corporate Exams Some companies require their executives to undergo a more comprehensive exam. The clinic works with individual companies to tailor the exams to meet the companies needs. Back to Top
School Exams Our physicians provide school exams and sports physicals for patients 16 years and older. Back to Top
Pap Smears and Gynecologic Exams All of our primary care physicians perform routine Pap Smears and routine gynecologic exams either as part of an annual physical or as needed. Back to Top
Immunizations Our clinic provides the following immuniztions: flu vaccines, pneumovax, DTAP (diphtheria, tetanus, pertussis), shingles, Hepatitis (A and B), and Gardisil (human papilloma virus). Your doctor will determine which immunizations are appropriate to your needs. Back to Top
Contraceptive Counseling and Diaphragm Fitting Either as part of the annual physical exam or as a special visit, we provide contraceptive counseling and offer the following options: birth control medication, Depoprovera injections, and diaphragm fittings. Back to Top
Minor Dermatological Procedures Our physicians provide the following minor skin procedures: biopsies, minor excisions, and freezing warts and benign lesions. Patients with more complex skin problems will be referred to a dermatologist for further care. Back to Top
EKG/ECG An EKG/ECG (electro-cardiogram) is a non-invasive test where sensors are placed on the chest to record the electrical activity of the heart. Doctors frequently order this as a baseline test of the heart for comparison to future tests. It is also frequently required as a pre-operative test for a surgical procedure. Lab personnel perform this test on site in the Primary Care clinic. Back to Top
Ambulatory Blood Pressure Monitor Blood pressure is typically checked each time that you're in for a visit. Under certain circumstances it is desirable to know how the pressure varies throughout the entire day. In these cases, the doctor may order a 24-hour ambulatory blood pressure monitor. A cuff is applied to the arm that is attached to a small recorder. The results extracted from the recorder are translated into a report that graphs the blood pressure. The doctor uses this to determine if you have hypertension or whether the patient with high blood pressure is controlling it wiht medication. Back to Top
Spirometry In cases where patient are complaining of breathing problems, a lung function test (Spirometry) may be appropriate. Asthma or some other lung disease may be suspected. The test involves breathing into a tube connected to a machine that muasures the amount of air moving in and out of the lungs. This test takes about 15 minutes. Back to Top
Nebulizer Treatment Length of time for albuterol nebulizer treatment is about 5 – 10 minutes Back to Top
Hearing Test We provide a simple screening test to detect hearing loss. If the results are positive, then the patient may be referred to a specialist for a more formal hearing evaluation. Back to Top
Bone Density/DEXA SCAN Overlake Internal Medicine has a state-of-the art bone density scanner. It is used to measure the bone density of the two most important parts of the skeleton (the spine and the hip) which are at risk for " weakening" of the bone structure, known as osteoporosis. The test uses a minute amount of X-ray exposure and takes about 15 minutes. A report is provided that compares the patient's density to a standard (or control) value. The test is used to detect osteoporosis as well as to monitor response to therapy for this condition. Back to Top
Heel Ultrasound Screening (Screening for Osteoporis) Whereas the Dexascan, above, is the "gold standard" for measuring bone density, the heel test is used as a screening test to assess if the patient is at risk for osteoporosis. It does not involve x-rays and is a simple test where the heel is placed in a boot-shaped instrument to obtain the reading in just a few minutes. Back to Top
Bladder Ultrasound If you and your doctor suspect you have a problem completely emptying your bladder, a condition prevalent in some older patients, he or she may recommend the bladder ultrasound. The test employs ultrasound to detect urine held in the bladder after the patient has urinated. If this is detected, then the patient is usually referred to a urologist for further evaluation. It is a painless test taking less than 15 minutes. Back to Top
Endometrial Biopsies In cases where female patients have abnormal uterine bleeding or other conditions, one of our primary care physicians are able to perform this procedure. It involves taking a sample of tissue from the lining of the uterus. Back to Top
Flexible Sigmoidoscopy The Flexible Sigmoidoscopy allows the physician to examine the lower half of the colon to detect any cancerous or pre-cancerous lesions. It is recommended for all patients over 50 years of age. The tests are performed in our GI specialty clinic in the Overlake Medical Tower. Back to Top
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