Well-patient exam Flashcards
order of abdomen exam
Inspect, auscultate, percuss, palpate
PLAN during well patient visit
recommend specific immuniztions
recommend lifestyle chagnes
recommend screening based on age or testing based on symptoms
sources for recommendations
US preventive services taske force
CDC
american cancer society
AAFP
what is Tdap
Td is Tetanus diphtheria
ap for acelular pertussis
dosage of Tdap
booster every __ years
puncture wound people
tdap and preg
one dose of Tdap
- booster every 10 years after
- people with puncture wound or laceration get updated unless Td booster within previous 5 years
- give tdap once per pregnancy around 32-36 weeks
HPV vaccine and women
3 doses up to age 26
HPV vaccine and men
-gay men
3 doses up to age 21 for men
-up to age 26 for gay men
HPV vaccine is recommended for all boys and girls starting at age __
11
varicella dose
2 doses for anyone who doesn’t have documentation of 2 varicella vaccines in lifetime or who hasn’t had chicken pox
pneumococcal vaccine reccomendation
all adults 65 or older all adults who smoke residents of nursing homes all adults who are diabetic, have chronic lung disease, CV disease, renal disease, nephrotic syndrome, liver disease, alcoholism, asplenia -
5 years after first dose of pneumococcal vaccine, re-dose people with
chronic renal failure, chronic renal railure, nephrotic syndrome, anatomic asplenia
everyibe who has a dose of pneumonia vaccine before age 65 gets another dose when?
at 65 or after age of 65
varicella zoster shot should be given to who
all adults starting at age 60
-unless contraindication such as pregnancy or severe immunodeficiency
who should get flu vaccine
all people age 6 months or older annually
- contraindications: egg allergies
- age 65 or older may opt for high-dose vaccine
screening vs testing
screening is testing an asymptomatic patient for specific disease as recommendation
-testing is testing symptomatic patient for specific disease
when to start pap smears and then how often
age 21 then every 3 years until 65
-for women age 30+ opt to do pap plus HPV screening every 5 years
when paps not rec
for women after 65
for women with hysterectomy with cervix removal unless high grade precancerous lesion or cervical cancer
AAFP recommends mammograms begin at age ___ then do every ___ years until age __
50, 2, 75
american cancer association recommends mammograms start at age __
40
rec screening for gonorrhea and chlamydia
in women age 24 and younger and in older women at increased risk or disease
who should be screened for HIV
adults age 18-65
-all pregnant women
colon cancer screening
begin at 50 until 75 years old
-recommend against screening age 76 to 85
cancer screening prostate specific antigen
USPSTF/AAFP
recommend against routine screening of PSA
american cancer society and prostate screeing
rec discussion with each man and evaluation of risk factors
- men with primary relative with prostate cancer, consider testing at age 45
- other men, age 50
