Guidelines for Health Assessment of the Patient Flashcards
(15 cards)
Complete PE includes what?
Height/weight (check for eating d/o)
Skin exam
Oral cavity
Hearing
Abuse/neglect/depression
BP (normal = 120/80)
When to start PE?
Aged 11-14
How often to do PE?
Annually
HPV (Gardasil 9)
When to start?
How often? (2 sets of answers)
Aged 9-14
Series of two 6 mo apart
Aged 15-26
Series of three at 0, 2, and 6mo
Syphilis Screening
When to start?
How often?
When sexually active
PRN or w/ Pap smear, etc
Males: Breast/testicular self-exams
When to start?
How often?
Adolescence
Monthly
HIV
When to start?
How often?
Aged 13-64 yrs; also depending on level of sexual activity or IV drug use
At least once; assess knowledge of prevention, contraceptive protective barriers etc.
Hepatitis B (triple panel test)
When to start?
How often?
Aged 18 yrs
At least once in a lifetime; during pregnancy usually during first trimester; susceptible people should be tested periodically
Hepatitis B triple panel test consists of what?
HBsAg
anti-HBs
anti-HBc
Hepatitis C
When to start?
How often?
Age 18 yrs
Screen at least once except where prevalence of HCV infection is < 0.1%
Tetanus-diphtheria (Td); substitute 1 dose of Tdap (Adacel) for Td
When to start?
How often?
As early as age 7
Every 10 years
Meningococcal (Menactra; Menveo)
When to start?
How often?
All adolescents aged 11-18
Controversial; Revaccinate 1 time only for high-risk (e.g., college freshmen living in dorms) after 5 years from last
Pneumococcal (pneumococcal conjugate vaccine [PCV15 or PCV20],, pneumococcal polysaccharide vaccine [PPSV23])
When to start?
How often?
Aged 19-64 years with certain underlying conditions
PCV15 followed by PPSV23 >/= 1 year (minimum 8 wks for immunocompromised)
OR
PCV20
Influenza
When to start?
How often?
-
Annually
PPD Screening
When to start?
How often?
Once during adolescence
Every 2 years if at risk or with any exposure to TB
