deck 9 Flashcards
most screening is what type of prevention
secondary (patients asymptomatic or have preclinical disease)
when to screen for DM2
asymptomatic adults with sustained blood pressure greater than 135/80
when to screen for dyslipidemia
men older than 35 and woman over 20 with cardiovascular RFs
USPSTF mammogram recommendation
every 2 year for all women aged 50-74
Pap testing USPSTF recommendation
at least every 3 years in women aged 21-65
Pap testing with HPV testing USPSTF recommendation
every 5 y in women aged 30-65
bone mineral density testing USPSFT rec
women older than 65 and at risk women younger
AAA screening rec USPSTF
once for men 65-75 who have ever smoked
options for CRC screening
- yearly FOBT
- sigmoidoscopy q5 years w/ FOBTs q 3 years
- colonoscopy q10 years
overweight defined as BMI over
25
STI screening guideline
- all sexually active women aged less than or equal to 24 should be screened for chlamydial and gonorrhea infection
- anyone with RFs –> chlamydia, syphilis, gonorrhea
Hep C screening
all adults born between 1945-1965
influenza vaccination recommendation
annual for everyone older than 6 months
live vaccines
MMR
varicella
rotavirus
yellow fever
HPV vaccine recommendations
females 11-26
males 11-26
zoster vaccination recommendations
all adults over 60 (regardless of history of shingles, can get shingles twice)
meningococcal vaccine rec
- single dose recommended for young adults, particularly living in dorms
involuntary weight loss definition
5% or more over 6 months
10% over 1 year
sarcopenia
age-related muscle loss
cachezia
weight loss associated with an underlying inflammatory condition
abnormal labs in cancer patients
ESR increased
albumin decreased
alk phos elevated
antiviral therapy indications for influenza
- hospitalized patients and those with severe, complicated, or progressive illness
treatment of upper airway cough syndrome
- non sedating antihistamines + decongestant
hallmark syndrome of chronic bronchitis
cough with sputum
bronchiectasis treatment
abx + chest physiotherapy
hemoptysis management
CXR, if negative and RF’s present –> chest CT + bronchoscope