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Flashcards in Intro to Well Patient Exam Deck (23)
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1

purpose of well patient exam

screen for diseases
asses risk of future medical problems
update vaccinations
encourage a healthy lifestyle
maintain a relationship with a health care provider in case of an illness

2

define morbidity

condition of being diseased
relative incidence of a particular disease
quality of being unhealthy and generally bad for you

3

top three leading causes of death in the US

heart disease
cancer
chronic lower respiratory disease

4

number one accidental cause of death

unintentional poisoning

5

leading cause of cancer in males and females

prostate
breast cancer

6

top three cancers by death

lung and bronchus
breast
prostate

7

what is the leading cause of injury mortality in the us?

unintentional poisoning

8

what is the leading cause of mortility in the US

cardiac disease

9

what did the USPSTF do

us preventative services task force

improves health of americans by making evidence based recommendaitons about clinical preventative services such as screenings, sounseling services, and preventative medications

10

USPSTF grades
A
B
C
D
I

A and B - (high to moderate benefit) offer/provide this servcie
C - selective offering based on individual circumstances
D - do not recommend this service
I - insufficient evidence

11

areas considered for SORT
Strenght of recommendation grades

consistency
quality

12

outcomes that matter to patients and help them liver longer/better lives

patient-oriented outcomes

13

histopathologic, physiologic or surrogate results that may or may not reflect improvement sin patient outcomes

BP, blood glucose, coronary plaque thickness, carotid artery thickness

disease oriented outcomes

14

screening vs testing

screening - asymptomatic patient is tested
testing - symptomatic patient is tested due to some sign/symptom indicated the test should be performed

15

influenza recommendation

all people older than 6 months
65 or older can opt for higher dose

16

pneumococcal vaccine recommendations
PCV13 and PPSV23

PCV13 - all children younger than 2 and adults over 65, or those in between with certain medical conditions

PPSV23 - adults 65 or older, people 2-64 with certain medical conditions
adults 19-64 who smoke

17

HPV vaccine recommendations

3 doses for all girls age 11-26
3 doses for all boys age 11-21
3 doses for men who have sex with other men and hwo have risk factors to age 26

18

MenACWY and MenB meningococcal vaccine recommendations

MenACWY is routine
MenB is for special populations

administer a single dose of menactra or menveo vaccine at age 11,12 with booster at 16
recommended in upper teens as they approach communal living areas like dorms or military

19

Tdap recommendation
T - tetanus
d- diptheria
ap - acellular pertussis

one dose and a booster every 10 years after

for people around infants, may wish to give a Tdap to protect the adult as well as infants they care for from pertussis (whooping cough)

give Tdap once per pregnancy, usually around 27-36 weeks gestation regardless of last

20

Varicella recommendations

two doses for anyone who doesnt have documenation of 2 varicella vaccines in their lifetime

contraindicated in pregnancy, immune compromised people with HIV and CD4 count less than 200

21

immunizations contraindicated in pregnancy, immune-compromised conditions and HIV and CD4 count <200

varicella
varicella zoster
measles, mumps, rubella

22

varicella zoster vaccine recommendations

starting at age 50, all adults hsould get one, whether or not they have had a previous case of shingles
goal is to prevent a painful rash and postherpetic neuralgia

23

MMR vaccine recommendations

adults born before 1957 are immune
certain adults need second booster
contraindicated in pregnancy, immune-compromised conditions with HIV an d CD4 count <200