Approach To Health And Maintenance Counseling Flashcards
What is gold standard for studies?
Systematic reviews is best, followed by RCTs.
Primary Prevention
Intervention to prevent disease
- vaccine
- diet counseling, tobacco counseling
Secondary prevention
Screening tests for a disease early, while pt is asymptomatic
- blood pressure checks
- labs
- mammogram
Tertiary prevention
Clinical intervention when pt already has a disease
- medication for HTN
- Chemo
- Diet and counseling can help here
What interventions got a screening recommendation of A?
Cervical Cancer
-PAP smear 21-65
Colorectal Screening from 50-75
HIV Screening from 15-65
HIV PrEP (for high risk)
High blood pressure
Syphilis Screening for asymptomatic, nonpregnant
Tobacco smoking cessation
What is clinical rule of thumb for checkups?
Every 3 years for <49yo adults w/o chronic health problems
Every year for >50yo pts w/o chronic health problems
Pts w diabetes need A1C monitoring how often?
Usually every three months
Pts w HTN should have a screening how often?
Follow up every 3-6 months depending of BP control
When to screen for colon cancer (for both men and women)?
Colonoscopy between 50-75yo
When to do lung cancer screen for both genders?
Low does lung CT for ages 55-74 w/ at least 30 year pack history
Cervical pap screen recommendation?
21-65 yo
Breast Cancer Screening?
50-65, but can recommend as early as 40 depending on case
Pts aged > 20 YO should undergo CV risk assessment how often?
Every 3-5 years
-more often if have risk factors
Influenza recommendation
Every year
To/Tdap is recommended how often?
Every 10 years
