Intro to Well Patient Exam Flashcards
purpose of well patient exam
screen for diseases asses risk of future medical problems update vaccinations encourage a healthy lifestyle maintain a relationship with a health care provider in case of an illness
define morbidity
condition of being diseased
relative incidence of a particular disease
quality of being unhealthy and generally bad for you
top three leading causes of death in the US
heart disease
cancer
chronic lower respiratory disease
number one accidental cause of death
unintentional poisoning
leading cause of cancer in males and females
prostate
breast cancer
top three cancers by death
lung and bronchus
breast
prostate
what is the leading cause of injury mortality in the us?
unintentional poisoning
what is the leading cause of mortility in the US
cardiac disease
what did the USPSTF do
us preventative services task force
improves health of americans by making evidence based recommendaitons about clinical preventative services such as screenings, sounseling services, and preventative medications
USPSTF grades A B C D I
A and B - (high to moderate benefit) offer/provide this servcie
C - selective offering based on individual circumstances
D - do not recommend this service
I - insufficient evidence
areas considered for SORT
Strenght of recommendation grades
consistency
quality
outcomes that matter to patients and help them liver longer/better lives
patient-oriented outcomes
histopathologic, physiologic or surrogate results that may or may not reflect improvement sin patient outcomes
BP, blood glucose, coronary plaque thickness, carotid artery thickness
disease oriented outcomes
screening vs testing
screening - asymptomatic patient is tested
testing - symptomatic patient is tested due to some sign/symptom indicated the test should be performed
influenza recommendation
all people older than 6 months
65 or older can opt for higher dose
pneumococcal vaccine recommendations
PCV13 and PPSV23
PCV13 - all children younger than 2 and adults over 65, or those in between with certain medical conditions
PPSV23 - adults 65 or older, people 2-64 with certain medical conditions
adults 19-64 who smoke
HPV vaccine recommendations
3 doses for all girls age 11-26
3 doses for all boys age 11-21
3 doses for men who have sex with other men and hwo have risk factors to age 26
MenACWY and MenB meningococcal vaccine recommendations
MenACWY is routine
MenB is for special populations
administer a single dose of menactra or menveo vaccine at age 11,12 with booster at 16
recommended in upper teens as they approach communal living areas like dorms or military
Tdap recommendation
T - tetanus
d- diptheria
ap - acellular pertussis
one dose and a booster every 10 years after
for people around infants, may wish to give a Tdap to protect the adult as well as infants they care for from pertussis (whooping cough)
give Tdap once per pregnancy, usually around 27-36 weeks gestation regardless of last
Varicella recommendations
two doses for anyone who doesnt have documenation of 2 varicella vaccines in their lifetime
contraindicated in pregnancy, immune compromised people with HIV and CD4 count less than 200
immunizations contraindicated in pregnancy, immune-compromised conditions and HIV and CD4 count <200
varicella
varicella zoster
measles, mumps, rubella
varicella zoster vaccine recommendations
starting at age 50, all adults hsould get one, whether or not they have had a previous case of shingles
goal is to prevent a painful rash and postherpetic neuralgia
MMR vaccine recommendations
adults born before 1957 are immune
certain adults need second booster
contraindicated in pregnancy, immune-compromised conditions with HIV an d CD4 count <200
