This document provides guidelines for various preventative screenings and counseling services for different populations. It recommends screenings for conditions like abdominal aortic aneurysms, alcohol misuse, anemia during pregnancy, aspirin to prevent cardiovascular disease, breast cancer, cervical cancer, cholesterol abnormalities, colorectal cancer, diabetes, falls risk in older adults, hearing loss in newborns, hepatitis B and C, HIV, hypothyroidism, iron deficiency anemia in children, lung cancer, obesity, osteoporosis, phenylketonuria, sexually transmitted infections, skin cancer risk, syphilis, tobacco use, and vision problems in young children. Counseling is recommended for breast cancer medication risks, dental health, diet
This document provides guidelines for various preventative screenings and counseling services for different populations. It recommends screenings for conditions like abdominal aortic aneurysms, alcohol misuse, anemia during pregnancy, aspirin to prevent cardiovascular disease, breast cancer, cervical cancer, cholesterol abnormalities, colorectal cancer, diabetes, falls risk in older adults, hearing loss in newborns, hepatitis B and C, HIV, hypothyroidism, iron deficiency anemia in children, lung cancer, obesity, osteoporosis, phenylketonuria, sexually transmitted infections, skin cancer risk, syphilis, tobacco use, and vision problems in young children. Counseling is recommended for breast cancer medication risks, dental health, diet
This document provides guidelines for various preventative screenings and counseling services for different populations. It recommends screenings for conditions like abdominal aortic aneurysms, alcohol misuse, anemia during pregnancy, aspirin to prevent cardiovascular disease, breast cancer, cervical cancer, cholesterol abnormalities, colorectal cancer, diabetes, falls risk in older adults, hearing loss in newborns, hepatitis B and C, HIV, hypothyroidism, iron deficiency anemia in children, lung cancer, obesity, osteoporosis, phenylketonuria, sexually transmitted infections, skin cancer risk, syphilis, tobacco use, and vision problems in young children. Counseling is recommended for breast cancer medication risks, dental health, diet
AAA screening, men- one time screening for AAA by USG in men
65-75 yrs, who have ever smoked.
Alcohol misuse screening and counselling- adults age 18 yrs and older. Anemia screening, pregnant women- routine, for IDA. Aspirin to prevent cardiovascular disease, men- 45-79 yrs. Aspirin to prevent cardiovascular disease, women- 55-79 yrs. Bacteriuria screening, pregnant women- 12-16 weeks. Urine cx. Bp screening, adults- every visit, 18 yrs and older. BRCA screening and counselling, women- family history breast, ovarian, tubal or peritoneal cancer (with BRCA 1 or 2). Breast cancer preventive medications, women- those with increased risk for ca, and low risk for drug side-effects. Give tamoxifen or raloxifen. Breast cancer screening- mammography every 1 or 2 yrs for women 40 yrs and older. Cervical cancer screening- women 21-65 yrs: PAP smear every 3 yrs. 30-65: HPV + PAP every 5 yrs. Chlamydia screening, pregnant or non-pregnant women- all sexually active women 24 yrs and younger. Older, only with high risk behavior. Cholesterol abnormalities, men 35 yrs and older- screen for lipid disorders. Cholesterol abnormalities, men <35 yrs- only if at increased risk for CAD. Cholesterol abnormalities, women- only if at increased risk for CAD.
Colorectal cancer- FOBT, sigmoidoscopy or colonoscopy, from 5075 yrs.
Dental caries prevention, preschool children- oral fluoride supplementation (older than 6 months), if water source is deficient in fluoride. Diabetes screen for Type 2 DM in asymptomatic adults with BP > 135/80. Falls prevention, older adults- exercise or physical therapy and vit D supplementation (>65 yrs) for those at increased risk for falls. Folic acid supplementation- all women planning or capable of pregnancy. Daily 0.4-0.8 mg FA. Gonorrhea prophylactic medication, newborn- topical erythromycin. Gonorrhea screening, women- all sexually active women, with increased risk. Healthy diet counselling- all adult patients with hyperlipidemia or other risk factors for cardiovascular or diet-related chronic diseases. Hearing loss- screen all newborn infants. Hemoglobinopathies screening- sickle cell screening for all newborns. Hep B screening, pregnant women- during first prenatal visit. Hep C screening, adults- one time screening for those born between 1945-1965. Others, only if at high risk. HIV screening, non-pregnant adolescents and adults- those at high risk, 15-65 yrs. HIV screening, pregnant women- during first prenatal visit. Hypothyroidism screen all newborns.
Iron supplementation- children ages 6-12 months, with increased
risk of IDA. Lung cancer- low dose CT scan in adults 55-80 yrs of age, with 30 pack-year smoking history and currently smoking or quit within the past 15 yrs. Obesity screening and counselling - intensive multicomponent behavioral interventions, for those with BMI >/= 30. Osteoporosis screening, women- 65 yrs and older. And younger women with comparative risk of fractures. Phenylketonuria- screen all newborns. Rh incompatibility screening- first prenatal visit. Rh incompatibility screening, 24-28 weeks gestation- Rh testing of all unsensitized Rh-ve women, unless biological father is Rh-ve too. STI counselling- high intensity behavioral counselling to prevent STIs among all sexually active adolescents and adults at high risk. Skin cancer behavioral counselling- 10-24 yrs. Those with fair skin, to reduce their UV exposure. Tobacco use interventions, children and adolescents- education or brief counselling to prevent initiation of tobacco use in kids. Syphilis screening, non-pregnant persons- those at increased risk. Syphilis screening, pregnant women- during first prenatal visit. Visual acuity screening in children- at least once, in all kids between 3-5 yrs, to detect amblyopia or its risk factors.