Prevention Book

Adult Health Care

Miscellaneous

Refugee

http://www.fpnotebook.com/

Adult Health Maintenance ScreeningAka: Health Maintenance in Adults

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  1. Cardiovascular Disease Prevention
    1. Screen for Hyperlipidemia every 5 years
    2. Abdominal Aortic Aneurysm screening with ultrasound
      1. USPTF recommends for men 65-75 with Tobacco history
      2. (2005) Am Fam Physician 71(11):2144
  2. Ophthalmologic Disease Prevention
    1. Glaucoma screening yearly over age 40 years
  3. Colon Cancer prevention
    1. Rectal Exam
      1. Yearly after age 50 years
      2. Physician discretion over age 40 years
    2. Occult Blood in stool: Yearly after age 50 years
    3. Flexible Sigmoidoscopy: Every 5 years after age 50 year
    4. Colonoscopy: Every 8 years
  4. Gynecologic cancer prevention
    1. See Cervical Cancer Screening
    2. See Breast Cancer Screening
    3. Chlamydia Screening in high risk populations
    4. Pelvic Exam yearly
  5. Prostate Cancer Screening
    1. Prostate Specific Antigen (PSA) yearly after age 50
  6. Immunizations
    1. Tetanus Vaccine
      1. Given every 10 years
    2. Measles Vaccine
      1. Booster for 1 dose if born after 1956
    3. Rubella Vaccine
      1. Fertile woman without proof of immunity
    4. Influenza Vaccine
      1. See Influenza Vaccine for indications
    5. Pneumococcus Vaccine
      1. One dose over age 65 years or Asplenic
    6. Tuberculin Skin Test (Purified Protein Derivative)
      1. Recommended for high risk patients for Tuberculosis
    7. Hepatitis B Screening and Immunization
      1. See Hepatitis B Vaccine for Immunization indications
      2. See Hepatitis B Serology for screening indications

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