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Flashcards in Men's Preventive Health Deck (12)
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What pop groups are less likely to utilize health care system?

- men
- American men are less likely to carry health insurance, less likely to have seen physician in previous year and more likely to delay seeking healthcare than American women
- especially poor among African-American and latino men
- Minority men ages 18-64 (Black and Hispanic) in all income brackets were found to be 2x as likely to have had no physician contacts in past year when compared with minority women
- rate of doctor visits for such reasons as annual exams and preventive services was 100% higher for women than men


Ways to increase male participation?

- health fairs held on weekends
- basic health screenings to workplace
- screenings where men usually gather: barbershops, sporting events
- gender specific programs targeting males needed to help keep young males engaged in health care after pediatric age


RFs for prostate cancer?

- age: 50-70
- family hx (1st degree relative)
- African American
- screening when life expectancy is less than 10 yrs isn't appropriate
- ultimately pt's decision for screening


Testicular cancer: predisposing factors, RFs, what can pt do? Prognosis?

- predisposing factors: cryptorchidism, Klinefelter syndrome
- RFs: natural exposure to intrapartum estrogens, exposure to insecticides, prior hx of tumor isn't a known precipitant
- excellent prognosis if discovered early


Colorectal cancer screening guidelines? Predisposing factors? Risk factors? When do sxs show up?

- start at 50 with colonoscopy
- if family hx + - 10 yrs prior to onset of family member
- occurs much more in societies where low fiber high fate diets predominate (America)
- predisposing factors:
ulcerative colitis, unsure if assoc w/ crohns, FAP (risk for cancer is about 50% by 40)
- RFs: advancing age, family hx, family hx of adenomatous polyps, pt with benign adenomatous polyps
- sxs: occur late in course of growth of cancer (duration of asx detectable period is estimated to be several yrs)


Screening tests for colorectal cancer?

- DRE: only 10% of CRCs w/in reach of examining finger
- serial sampling of stools for occult blood: guaiac testing
- sigmoidoscopy: flex sig can only detect 50% oc CAs, not well tolerated, if seeing polyp - need a colonoscopy
- colonoscopy: able to visualize entire colon and therapeutic - can remove polyps
- double contrast barium enemas
- can use virtual colonoscopy


STI education for pt?

- infrom that it is possible to have STD and have no sxs
- no protection method is 100%
- condom won't prevent many lesional STDs such as herpes and syphilis b/c lesion won't be covered by condom


Smoking education for pt?

- screen for use and provide tobacco cessation intervention as appropriate
- educate pts about harmful effects of 2nd hand smoke, especially to kids
- 2 big cancers: lung and bladder?


Who should get flu shots?

- annually for anyone with any kind of chronic CV or pulm. system disorder as well as host of other problems such as DM
- annually for anyone at increased risk for acquring flu
- anyone who wants to be vaccinated
- anyone over 50
- educate that: Flu shots don't cause the flu


Who is Pneumovax for?

- anyone over 65
- look it up for revaccination
- anyone less than 65 with chronic disorders of pulm system, CV diseases, DM, and other disorders
- educate pt that is isn't annual shot, for pneumonia not flu


Who should get Td or Tdap?

- Td booster q 10 yrs
- one Tdap should be substitued from 19-65 (cover pertussis)
- don't forget to ask pt who comes in with laceration or puncture wound when their last tetanus shot was, if unsure - give booster


WHo should get Zostavax and why?

- 60 and older: live attenuated vaccine - assoc with reduction of incidence and burden of illness of zoster and morbidity assoc with postherpetic neuralgia
- incidence and severity of herpes zoster and postherpetic neuralgia increase with age in assoc with progressive decline in cell mediated immunity to VZV
- complications of zoster occur in almost 50% of older persons include myelopathy, vasculopathy, and postherpetic neuralgia