Screening Recommendations and Prevention Flashcards
Value of FIT testing Compared to this colonoscopies
Stool testing every two years compared with colonoscopy every 10 years shows similar rates of detection of colon cancer and Advanced adenoma’s
Guidelines from the American College of physicians regarding mammograms
40-49 shared decision making, 50-74 years old every two years. Usually discontinuing at age 75 or until life expectancy is less than 10 years
Risk factors for male osteoporosis risk screen
Age <55 0
56-74 3 points
>76 4 points
COPD 3 points
Weight
<154. 6 points
155-176 4 points
>176 0 points
6 points or higher meets criteria
When to screen for hepatitis B. And what test should we use?
From adolescence to adulthood in people who have been born outside of United States in high-risk areas is greater than 2% such as Asia, Africa, the islands and some parts of South America
People born in the United States with IV drug use history, household contacts with people who have hepatitis B surface antigen positivity, men who have sex with men, HIV patience.
Sensitivity and specificity of of surface antigen test 98% or greater.
Chest CTs annually to screen for lung CA in who?
adults 50-80 with at least 20 pack year hx who currently smoke or quit <15 yrs ago. Must document smoking cessation and counseling to get screening covered. Stop when another health condition is severe.
Breast exam recommendations in asymptomatic women
Surveillance in women with breast cancer
Patients with history of chest radiation?
1- clinical or self breast exams no longer recommended. Ask pts if they want a breast exam. Mammos every 2 yrs for average risk women above age of 40 including those with breast augmentation.
2- monthly self breast exams, annual mammo
3- same as #2
Who do you refer for BRCA testing?
any first degree male relative with breast cancer. any female first degree relative with breast cancer earlier than age 55. any first degree relative with bilateral breast cancer.
if anyone has both breast and ovarian in family.
BRCA increases chances of breast cancer by 35-84%
increases chances of ovarian cancer by 10-50%
Some ways to monitor colon cancer survivors
annual CEA and CT scan
Follow up recommendations for prostate cancer survivors?
PSA tests every 6 months, yearly DRE. x 5 yrs.
Prostate CA pearls?
Black men much higher risk of dx and mortality of prostate cancer
age single most important risk factor
80% of cancers dx in men >65 yo
Link between high fat diets and prostate cancer
USPSTF recommends 55-69 individual discussion about checking PSA
recommends not to test >70yo due to false pos, unneeded bx etc
who should be screened for Hep C?
all pts 18-64 yo should have one screening per lifetime. Anti-HCV antibody test.
When to Check AAA?
One time for men between ages 65-75 if they have ever smoked at least 100 cigarette’s in a life time.
AAA screening recommendations
all males with a smoking hx between ages 65-75. High risk if 1st degree relative with AAA,
