Screening Flashcards
Mammo
q1-2 yrs for 50-74 (if life expectancy > 10 yr)
- USPSTF = 2 years
Pap only & Pap+HPV
q3y for 21-65 (if results negative) and q5y (offering for > 30)
DEXA for Osteoperosis
> 65 y and elder, or younger female with incresaed risk of fractures
- If normal or mild osteopenia, repeat in 15 yrs
- if moderate, repeat in 3-5 yrs
- If advanced, repeat in 2 years
Colon
q10y, 50-75
PSA
not recommended by CDC or USPSTF
AAA
with U/S 65-75 male smoker or fam hx of AAA
Low dose CT scan (LDCT) for lung cancer
55-80 yr if smoke > 30 pack-yrs (current smokers or quit within 15 yrs)
Lipid
q5y, men > 35, women > 45
Fasting glucose/2hr GGT/A1c
q3y, all genders > 45 or any one with bp > 135/80
TSH
no longer recommended
HIV
1 time in adulthood
hepatitis C
when born 1945-65
BP
Annual
Weight, Height
Annual
Vision
Annual
EtOH & Tobacco
Annual
Depression
Annual
ASA to prevent CVD and CR Ca in age 50-59
Low-dose ASA if risk > 10% for all genders 50-59 yrs
ASA to prevent CVD and CR Ca in age 60-69
based on individual risk of CVD versus risk of bleeding
Screening turning 50 yr
Female: Mammo, Colon
Male: Colon
Screening turning 65 yr
Female: DEXA, AAA
Male: AAA
Stop screening: Pap
Pneumovax
Screening turning 75 yr
Stop: Mammo, Colon, AAA,
Calcium + Vitamin D
- Ok for community-dwelling elderly > 65, at increased risk of falls
- Other ages not recommended, inc risk renal stone
At age 60 yo
Zoster (in immunocompetent individual)
Zoster
Age 60 for immunocompetent
Pneumovax
Age 65, unless > 60 patients with chronic lung, liver, CVD, and CKD
PCV13
- All adult > 65
- Immunocompromised patient (HIV infection, organ transplantation, leukemia, lymphoma, and severe kidney disease) > 19 yo
PPSV23
- All adult > 65
- Smoker or Asthma pt > 19 yo
Tadp
once in adult lifetime
Td
q10y
Influenza
Annual
