From the Guidelines
For a 34-year-old man with no prior adult primary care, appropriate routine screening bloodwork should include a complete blood count (CBC), comprehensive metabolic panel (CMP), lipid panel, and hemoglobin A1C, as well as serum total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, fasting serum triglycerides, serum potassium and sodium, serum uric acid, and serum creatinine with estimation of GFR, as recommended by the 2013 European Society of Hypertension and European Society of Cardiology guidelines 1.
Routine Screening Tests
The following tests are recommended:
- Complete blood count (CBC) to evaluate for anemia, infection, and blood disorders
- Comprehensive metabolic panel (CMP) to assess kidney and liver function, electrolyte balance, and blood glucose levels
- Lipid panel to measure cholesterol levels (total, HDL, LDL, and triglycerides) and evaluate cardiovascular risk
- Hemoglobin A1C to screen for diabetes or prediabetes
- Serum total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol
- Fasting serum triglycerides
- Serum potassium and sodium
- Serum uric acid
- Serum creatinine with estimation of GFR
Additional Considerations
Additional tests to consider include:
- Hepatitis C screening (recommended once for all adults born between 1945-1965)
- HIV testing
- Thyroid stimulating hormone (TSH) to check thyroid function
- Urine analysis, including microscopic examination, urinary protein by dipstick test, and test for microalbuminuria
- 12-lead ECG The patient should fast for 8-12 hours before testing to ensure accurate lipid and glucose measurements. Results should be reviewed with a healthcare provider who can recommend appropriate follow-up based on findings and the patient's individual risk factors and family history. Prostate cancer screening is not recommended for men under 40 years old, according to the American Cancer Society guidelines 1.