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41 Cards in this Set
- Front
- Back
Colorectal CA
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>50 y/o
FOB qy sigmoidoscopy q5y OR colonoscopy q10y |
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Prostate CA
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>40 y/o
DRE QY |
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Colon CA
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>40 y/o
DRE QY |
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Prostate CA
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>50
offer PSA QY |
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Gyn CA
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Pelvic Exam
20-40 Q3y >40 QY |
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Endometrial CA
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Biopsy
Once at menopause |
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Breast CA
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BSE QM >20
Physician Exam 20-40 Q3Y, >40 QY Mammo >40 QY (earlier if high risk) |
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Cancer Checkup
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20-39 Q3Y
>=40 QY includes thyroid, testis, ovary, lymph nn, oral, skin. |
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Hep B immuniz
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any adult at risk or who wants it
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Influenza vacc
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>50 y/o QY
high risk, women who will bepregnat during flu season |
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Pneumococcus vacc
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>65 y/o, or high risk of infection
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Rubella vacc
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Any woman child-bearing age, lack of immunization. NOT PREGNANT WOMEN
Not to immunocompromised except HIV |
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Td
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Q10Y. give for wound if uk hx or <3 doses. Unclean/major wounds give if >5y since last
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Classification and tx HTN
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<120/<80 normal no tx
120-139/80-89...pre none unless dz 140-159/99...stage 1 start thiazides >160/>100..stage 2 thiazide and more |
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General Cholesterol #s
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Total <200
Triglyc <150 HDL >60 (<40 is low) |
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Screen for Cholesterol
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Q5Y >20
TC, LDL, HDL, TG unless strong history, etc |
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Diabetes screening
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universal screening not recommended. possible if risk factors
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diabetes Dx
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Fasting gluc >126 or random >200
If sx x1 or x3 if no sx |
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LDL levels and interventiona
(CHD risks, etc) |
No risks >2 risks CAD* VHR tx
<160 <100 <100 <70 NONE 160-189 100-129 -o- 70-99 diet > - meds >190 >130 >100 /100 MEDS VHR: CAD + MI, DM, other severe/poorly controlled risk factors |
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Risk factors CHD
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1. Age men>=45, women >=50 (or premature menopause w/o estrogen replacement
2. Fam Hx premature CHD (male MI <55 or female <65) 3. *****smoking***** 4. HTN (140/90 or on meds) 5. HDL <40 |
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Newborn Screen
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PKU, congen hypothyroid. Rest varies by state: biotinidase deficiency, maple syrup urine disease, congenital adrenal hyperplasia, cystic fibrosis, galactosemia, homocystinuria, hemoglobinopathies, toxoplasmosis, and tyrosinemia.
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Ped hearing
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initial before 1 month, tx by 6 m/o
follow-up ages 4-10 or risk factor |
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Ped vision
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vision screen age 3 or 4
vision risk assess at all HM visits, esp <5 y/o esp w/ hx premie, met/genetic dz, others screen 6, 8, 10, 12, 15, 18 y/o |
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Ped Developmental and behavior screens
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developmental 9, 18, 30 mos
autism 18, 24 mos |
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Ped Iron and Lead screen
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Iron defic anemia- 4 mos,
Hgb/HCt - 18, 24 mos, then QY Lead (target <10 mcg/dL) - screen ages 12 and 24 mos |
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Ped Oral Health screen
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6, 9 mos (18, 24, 30 mos or until dental home)
referral to dental home at 1 y/o |
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Ped TB screen
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only if exposed or imunocompromised
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Ped Lipid profile screen
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Risk assessment Q2y
Lipid profile between 18 and 21 y/o |
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Ped EtOH screen
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CRAFFT >2 points=high risk
Car - ridden w/ someone under infl Relax - to relax/feel better/fit in Alone - when alone Forget - forget things did whn using Friends - tell you to cut down? Trouble - because of etoh/drugs |
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Spirometry COPD/obstructive
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FEV1/FEV less than normal, FEV1 may be normal
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Spirometry Emphysema/restrictive
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FEV1/FEV normal. FEV1 may be low
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Gastric vs Duodenal ulcers in PUD
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Duod (most common) gastric
high acid low acid h. pylori NSAIDs age 40s 50s food improvs -> worse no change |
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Osmotic diarrhea
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nonabsorbable solute. lactose or other intolerance. stops with cessation of ingestion
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Secretory diarrhea
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toxins (cholera, ecoli), VIP tumors, bile acids p resection.
continues w/ NPO |
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Malabsorption diarrhea
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celiac sprue, Crohns, gastroenteritis, exocrine pancreatic insuff
stops with NPO |
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Infectious diarrhea
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fever, WBC in stool (if shigella, salmonella, yersinia, campy), travel hx
giardia: steatorrhea, protozoal cysts. metronidazole. |
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Exudative diarrhea
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IBD or cancer
due to inflammation and seepage of cluid from mucosa |
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Altered intestinal trnsit diarrhea
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after resection and meds
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Hemochromatosis
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AR, liver/pancreas/heart/skin/joints/
impotence, amenorrhea, hair loss, koilonychia (spooning fingernails). MOST COMMON INHERITED DISORDER IN CAUCASIANS Men>women elevated iron, transferrrin, ferritin, DNA test. Tx w/ phlebotomy |
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Wilson's disease
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AR, low ceruloplasmin, high Urine copper, low serum copper, dx w/ liver biopsy. CNs and psych.
tx pencillamine |
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alpha 1 antitrypsin
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AR, younger adult w/ cirrhosis, emphysema. low A1AT blood levels. Tx w/ replacement A1AT.
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