Risk Assessment Flashcards
(33 cards)
When should complete pysical be done
starting age 20 then every 5-6 years.
Pap smear screening
start at 21
conventional or liquid based cytology
-repeat every 3 years until 30 years
when to do HPV Co-test (cytology +HPV test administered together)
age 30-65 years
Mammography screening
age 40
q 1-2 years from 40-49 then annually for ages 50-74
Total cholesterol and HDL screening
age 20.
every 5 years unless cholesterol > 200
prostate screening (DRE and PSA)
DRE age 40 and PSA age 40 for men with a family hx of cancer
all men 50 years of age should have DRE and PSA.
annually
if african american or person hx PSA may be drawn earlier
colorectal cancer
age 50
- annual FOBT
- sigmoidoscopy q 5 years
- total colon q 10 years or double contrast barium enema
glaucoma screening
by age of 40
annually
Major causes of death 12-19 years
MVA suicide other accidents homicide malignancy cardiovascular or congenital dz
major causes of death 20-39
MVCs homicide suicide injuries heart dz AIDS
major causes of death 40-59 years
heart dz accidents lung ca cva breast and colorectal cancer copd
major causes of death > 60 years
heart dz
cva
copd
pneumonia/influenza
what is secondary prevention?
focuses on early identification and treatment of exisiting problems: pap smear screening, prostate cancer screening, cholesterol screening etc
tertiary prevention
rehabilitation and restoration of health.
cardiac rehab following an MI, physical therapy following mvc
Incidence vs prevalence
incidence: 20 cases of botulism per 500,000 people were erported in alaska during 2010.
prevalence: the prevalence of lupus in women living in Illinois during 2010 was < 1%
antigens
substances capable of inducing a specific immune response (the bad guy)
antibodies
molecules synthesized in reaction to an antigen.
what body makes to fight the antigen
passive immunity vs active immunity
conferred by the introduction of antibody proteins such as gamma globulin injecctions or maternal immunity transferred to the fetus
gamma globulin injections: Hb-IG-given for known exposure to hep B in a patient that isn’t vaccinated
active: receiving tetanus toxoid
Hep A vaccine
military personel
travelers to endemic areas
men who have sex with men
Hep B vaccine
health care workers
high risk patients
mumps vaccination born before 1957
if born before 1957: consider 1 dose of vaccine unless evidence of immunity.
immunity: clinically diagnosed mumps or positive serology
unless immune, employ 2 doses during mumps outbreak
mumps vaccine during or after 1957
2 doses of vaccine unless immunity documented
meningococcal vaccine
approved for ages 2-55
routinely for adolescents 11-12, year visit and catch up for college students, military personnel, immunocompromised, travelers,
with herbal agents if it starts with a G it….
increases risk of bleeding
