Oncology/preventive medicine Flashcards
tamoxifen toxicitiy
endometrial cancer
clots
aromatase inhibitos tox
osteoporosis
traztuzumab
decreases risk and recurrent disease
adjuvant chemotherapy indication
1-.lesions larger than 1 cm
2-.positice axillary lymph nodes are found
lower mortality in breast cancer
- mammography
- ER/PR testing,then tamoxifen/raloxifen
- aromatase inhibitor
- adjunvant chemoterapy
- lympectomy and radiation
- modified radical mastectomy
- trastuzumab
- prophylaxis with tamoxifen
lung cancer screening
low dose chest CT in a patient with 30 pack-years smoking history YEARLY from 55-80
HPV vaccine indication
every womenbetween ages 11-26
pap smear infiaction
after 21 every 3 years, or every 5 if HPV DNA testing its made. STOP at 65
ASCUSn + … next step
do a HPV DNA test,
-if positive colposcopy.
brest cancer screening indication
startin al 4o every 2 year, stop at 75
colonoscopy screening
every 10 years after 50 years
shingles vaccine indication
everyone over 60
Td indication
every 10 years
osteoporsosis screening indication
women>65 DEXA
AAA indication
all men ever smoking at 65
lipid screening indication
men over 35
women over 45
screening for diabetes
any patient with hypertension or hyperlipidemia
GENERAL POPULATION IS NO CLEAR
patient over 50
use inactivated (DEAD) flu vaccine
hepatitis B vaccine indication
- end stage renla disease( dialysis)
- healthcare workers
- diabetes
hepatitis A vaccine indication
travelers to coundtries of high endemicity
DEXA scan indication
at the age of 65
most common finding lipid profile in methabolic syndrome
increase TGC and low HDL
Live vaccines
- MMR
- zoster
- varicella
- live influenza
Malarie prophylaxis for chloroquine-sensitive areas(CENTRAL AMERICA)
- caribean
- mexico
- costarica
- argetina
- el salvador
- paraguay
- chloroquine
- atovaquone/proguanil(co traindicated in Renal clearance below 30)
- doxycycline