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Flashcards in Screening Protocols Deck (16):
1

Colon cancer screening ages

Begin at 50
If one family member has colon cancer start at 40 or 10 years before onset of family member repeat in 3-5 years
If dx c ulcerative colitis, start screening c yearly colonoscopy 8ys p dx.

Fecal occult blood test every year with flexible sigmoidoscopy every 5 years
Fecal occult blood test every year with colonoscopy every 10 years

Polyps or personal history of CRC-repeat every 3 years if normal repeat in 5 years

FAP: consdier colectomy if positive genetic testing at 10 if not colonoscopy every 1-2 years beginning at puberty

HNPP: genetic testing at 21 Colonscopy every 2 years until 40 and then every year thereafter

2

Diagnostic study of choice for positive fecal occult blood test

Colonoscopy

3

Breast cancer

Women 50-75y
Mammogram every yearly

>40 every 1-2 years

4

Cervical cancer

Women 21-65y
Pap smear every 3 years

5

HIV

15-65y
HIV antibody screen 1 time plus p24 Ag

Annual: ivdu, msm, sex for money, partner hiv+, homeless

Additional: pregnancy, occupational exposure, new STD symptoms, prior to any new sexual relationship

6

Hyperlipidemia

Men 35+
Lipid panel every 5 years

7

Hypertension

18+
Blood pressure every 2years

8

Osteoporosis

Women 65+
DEXA, interval uncertain
Or significant risk factors

9

Lung cancer

>30 PYH & quit less than 15 years ago/ current smoker;
Low dose CT scan chest

10

Diabetes screening recommendation

start at 45 y.o and every 3 years after

early screening if have: obesity, family history, history of gestational diabetes, native americans, african americans

11

Hepatitis C associated hepatocellular carcinoma in pt c cirrosis

U/S every 6months

12

Prostate cancer screening

Digital rectal exam
If abnormal perform transrectal ultrasonography
induration, assymmetry or palpable nodularity-biopsy indicated
If PSA less than 4.0 and DRE is negative annual follow up indicated
if PSA is 4-10 and DRE is negative biopsy indicated
PSA greater than 10 transrectal ultrasnography with biopsy is indicated regardless of DRE findings

Biopsy also indicated if PSA velocity >.75 per year

13

Asplenic

H. flu type B, menigococcal (every 5 years) and pneumococcal vaccines
14 days between asplenic & vaccination

14

Influenza vaccine

Adults >50 ors less than 50 with chronic medical problems

Health care workers, pregnant women in 2-3 trimester

Annually (Oct. Nov.)

15

Pneumococcal polysaccharide vaccine (23 valent)

>65
Sickle cell or asplenia
Chronic medical problems

one time dose
second dose 5 years later for asplenia, immunodeficient and on dialysis

16

Tetanus/diptheria

Everyone receives

Primary: 1, 2 and 6-12 months
Booster every 10 years after that