Screening Flashcards
What age start breast screening and how often?
40 q yearly
What age to start CRC screening?
50 (45 in african americans)
What infections do you screen for 13-25 yrs?
Gonorrhea, chlamydia, HIV
What age to start DM screening and how often?
45 q 3 years
What age to start lipid screening?
45 q 5 years
What age to start thyroid screening?
TSH q 5 years
What age to start ostoporosis screening?
65
What are U/A guidelines?
Yearly after 65
Cervical screening 21-29
Cytology q 3 years
Cervical screening 30-65
HPV and cytology cotesting (preferred) q 5 years, OR
Cytology alone q 3 years
Cervical screening >65
None, if negative prior screening. If hx of CIN2, CIN3, AIS should continue for 20 years beyond tx
Indications for cervical screening <21
HIV+ or immunocompromised
Indications for breast screening <40
Based on RF (ie. FDR with young breast ca, 2 relatives with breast ca any age, family hx of male breast ca)
Indications for CRC screening <50
45 for African americans CRC or polyps in a FDR <60 CRC or polyps in 2 FDR any age Fam hx of FAP Fam hx of HNPCC Hx of CRC, polyps, IBD
Indications for osteoporosis screening <65
9.3% FRAX score or other risk factors (hx fragilty fracture, wt <127 lbs, meds/diseases that cause bone loss, smoker, EtOH, RA)
Indications for DM screening younger than 45 or more frequent than q 3 years?
- parents or siblings with DM
- IBW >120% or BMI >27
- Hx of GDM or infant with BW >4 kg
- Ethnic grp: native american, hispanic, african american, pacific islander, asian american
- HTN
- TG >250 mg/dl
- PCOS
Diagnostic result for DM
FBS glucose >125
Random BS >200
75 G 2 hr glucola >200
Total cholesterol results
240 - high
LDL cholesterol results
190 - very high
HDL cholesterol results
60 - high
TG results
500 - very high
Categories of T scores from DEXA scan
> -1.0 = normal
-1 to -2.5 = ostopenia
< 2.5 = ostoporosis
