Office- Preventive care Flashcards
What is the goal of the annual visit?
Help patients maintain a healthy lifestyle and minimize health risks
When should the first annual visit take place?
13-15 years old
What should be included in the first annual visit?
Patient education
No pelvic exam
What is the most important part of a well woman visit?
Comprehensive history
What is included in a comprehensive history for well woman visit?
Medical, surgical, family, social, obstetric, gynecologic
Symptoms
Life stressors
Diet
Exercise
Sexual function
Spouse abuse
Depression
Urinary incontinence
Menopausal symptoms
New medications
Substance abuse
What physical exam components should be included in well woman visit?
Vitals
Weight/height/BMI
Breast exam (not under age 20)
Neck
Abdomen
Pelvic exam (not indicated under 21)
Vaginal exam
Rectal exam (if symptoms)
What counseling should be provided at well woman visit?
- Exercise= cardio, weight bearing, Kegel
- Breast self awareness
- Diet=
- decrease caffeine, cholesterol, calories
- increase calcium supplementation, vitamin D supplementation, Fiber, Folate - STD, contraception, HRT
- Driving habits and seat belts
- Smoking/alcohol/drugs
- Prepregnancy/infertility
When should you screen for GC/Chlamydia?
Age 13-24 if sexually active
25 or older if high risk
When should you screen for diabetes?
Annually if high risk
Every 3 years at age 45
When should lipid profile be performed?
Every 5 years beginning at age 21
When should dexa screening be performed?
Every 2 years at age 65 unless risk factors
When should you screen for HIV?
High risk= 13-64 y/o
Low risk= once in the lifetime
When should you screen for Hepatitis C?
18y/o once in lifetime
What is a screening tool for alcohol abuse?
TACE
What does TACE stand for for alcohol abuse?
Tolerance
Annoyed
Cut down
Eye opener
What is the screening tool for smoking cessation?
5 As
What does the 5As in smoking cessation stand for?
Ask- degree of smoking
Advice- to stop smoking
Assess- patient willingness to stop smoking
Assist- with counseling, support groups
Arrange - follow-up
What are the health effects smoking?
Lung, bladder, renal, gyn cancer
CHD
VTAE
Osteoporosis
COPD
What are the health effects of smoking in pregnancy?
IUGR
PPROM
LBW
Previa
Abruption
increased risk of abortion or death
What is the recommendation for vitamin D supplementation?
600 IU from age 1-70
800 IU >70
