For You, For Them

YOUR

Consultation

Prostate, Kidney and Bladder Health

IPSS Prostate score

RUIS incontinence score

DRE examination

Abdominal examination

Urine dip +/- MC&S

PSA, T, U/E

USS KUB

Ongoing PSA monitoring as needed

Commence therapy (self, medication,

urology

Screening and testing for prostate and other urological cancers

3 month and 6 month progress f/u appointment

Sexual and Genital Health

IIEF/SHIM ED questionnaire

Premature ejaculation, Erectile dysfunction, loss of libido

STI screening and testing including chlamydia, gonorrhoea, syphilis, HIV, Hepatitis

Genital examination (including testis +/- prostate)

Blood and urine panel screening for STI and causes of sexual dysfunction

Treatment and referral as required

Sexual health education, testicular self-examination education

3 month and 6 month progress f/u appointment

Weight and Metabolism Health

Nutrition and diet history

Diabetes risk calculator

Liver questionnaire

Alcohol history

FIB 4 score-estimate of liver fibrosis

Height, weight, waist, BMI, body fat

Examination; as appropriate

Blood tests: TFT, hba1c, glucose, OGTT, T, lipids/Hdl, cortisol, b12/folate, iron studies, u/E, LFT, magnesium

Liver imaging

Weight, diet and lifestyle advice

Statin therapy

Diabetes and pre-diabetes management

Fatty Liver management

Weight loss management - medication and surgical options discussed

Dietitian and Exercise physiology input

3 month and 6 month progress f/u appointment

Fatherhood and Fertility

Fertility optimisation ; smoking cessation, alcohol reduction advice, lifestyle factors, weight loss advice and therapy

Semen analysis referral.

Metabolic and fertility screening; STI screening, underlying causes for infertility investigated and rectified

Preparation for fatherhood

Health optimisation pre-fatherhood

Education and basic first aid for children

Post natal depression in men

Mental health and well-being screening and advice

Optimum health for new dads

3 month and 6 month progress f/u appointment

Skin, hair and nail Health

Assessment of and screening for common skin conditions including acne, eczema, psoriasis, generalised rashes, dry scalp, itchy scalp, hair loss, fungal nails and nail disorders.

Consideration of allergy testing

investigation for common deficiencies that can contribute to skin, hair and nail symptoms

Treatment of conditions that may include topical treatment (creams, gel, ointments, foam) and oral treatment (antibiotics, supplements).

Referral to specialist where appropriate

3 month and 6 month progress f/u appointment

Heart and Lung Health

Thorough personal and family history collection

Exposure history

Diet and exercise analysis

Lifestyle analysis

Sleep apnoea screening

Cardiac risk evaluation (individualised chance of heart disease)

Cardiovascular and Pulmonary examination

Cholesterol check

Lung function testing (spirometry)

Sleep study referral

CXR or CT scan of lungs for those at higher risk of lung cancers

Baseline ECG +/- ECHO, stress/treadmill testing/Coronary CT scan

CT calcium scoring scan

Heart disease Therapy including discussion about cholesterol, statins, aspirin, BP control, and management of risk factors for heart disease

Smoking cessation therapy

Treatment of lung disease including inhaler therapy

Nutrition advice and planning

Exercise rehabilitation referral

Dietitian referral

Pulmonary rehabilitation referral

Cardiologist and Respiratory Medicine referral

3 month and 6 month progress f/u appointment

Bone and Joint Health

Full body joint questionnaire

FRAX/Garvan questionnaire for fracture risk scoring

Pain scoring

Gout risk assessment

Examination and imaging to include x rays, US, CT and MRI as required

Bloods: calcium, PTH, Vitamin D, urate, TFT, Rheumatoid and arthritides screening, fasting metabolic bone study

Bone Density Scanning where appropriate (DEXA)

Treatment of focal joint conditions : medication, physio, self-exercises, joint injections, exercise rehab, orthopaedic referral

Treatment of bone disorders; osteopenia and osteoporosis.

3 month and 6 month progress f/u appointment

Stomach and Gut Health

Diet and nutrition screening

Weight, BMI

Symptom checker and red flag screening for cancer and IBD

Stool analysis - bacteria, virus, parasitic, inflammatory pathologies

Helicobacter screening (blood, breath, stool where appropriate)

Bloods: pancreas health, liver health, gallbladder health. TFT

Bowel cancer screening where appropriate

Celiac disease, IBD, IBS, and food intolerance screening

Gastroscopy and Colonscopy referrals where appropriate

CT and US imaging where appropriate

Symptom control; medication, dietary advice.

3 month and 6 month progress f/u appointment

Mental and Cognitive Health

K-10, DASS-21, GAD-7 questionnaires

Thorough mental well-being screening

Formal Cognitive and memory testing (MOCA)

Memory and cognition blood panel screening

CT head or MRI scan if appropriate

Psychologist assessment/referral

Advice and education for cognition optimisation

3 month and 6 month progress f/u appointment