Prior to a breast reduction, we review the patient's medical history and perform a detailed physical exam. The preop labs usually include the following: Complete Blood Count (to screen for anemia or occult infection), Basic Metabolic Panel (to screen for normal levels of electrolytes & glucose), pregnancy test for women of child bearing age, nasal swab (to exclude an asymptomatic carrier status. Many individuals carry Staph aureus and do not exhibit any symptoms), Hepatitis and HIV panels and EKG for women>60 or any with prior cardiac history. This approach isn't standard but reflects my person practice. I do not screen for STDs.
I go over the medical history and perform an examination in person. I get routine blood work were indicated but I do not routinely get blood work for STD's