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Screening (Cancer :crab: (Colon (Breast (Old method: 40y (Old: q1y (…

- - - - :stars:Colonoscopy q10y (best)
        
        FlexSig q5y w/ FOBT q3y
        
        FOBT q1y
        
        75yo
        :pencil2:may continue until 85 for healthy folks
        
        :pencil2:FIT = FOBT for all intents and purposes
    - - ~~Old method: 40y~~
        
        ~~Old: q1y~~
        
        :pencil2:more freq screens catches more BC, but at a pop level there is more harm in treatment (abscesses/lymphedema)
        
        Current: 50yo
        
        current: Mammography q2y
        
        75yo
      - Cervical
        
        21yo
        ~~age of start having sex~~
        
        Pap q3y
        
        65yo
        & has 3 nl Pap
        or
        total abd hysterectomy
        
        Older :female_sign: :older_woman::skin-tone-2:: Pap q5y & HPV test q5y
        (low yield)
        
        Lung
        
        55yo - 80yo
        & 30pk/y hx
        & quit <15y ago (or current smoker)
        
        Low dose CT q1y
        
        80yo
        or quit > 15y ago
        
        :warning:not CXR
        
        ~~Prostate~~
        
        ~~DRE & PSA~~
        
        :pencil2:Lead time bias: Pt will die of other causes before dying of prostate :crab:. Not worth ED :eggplant:/incontinence from biopsy
        
        ~~Ovarian~~
        
        :warning: Screen if BRCA positive :check:
        
        :pencil2:We catch ovarian :crab: in late stages, poor prognosis anyway.
- - - - :pencil2:pack year irrelevant
      - Abd US 1x
        (Abd CT valid too)
    - - :older_woman: women >65yo
        
        DEXA scan
        
        :green_cross:Negative score
        Tx: Bisphosphonate
        
        :pencil2:Vit D (50k IU) and Ca supplements is prophy, or for Vit D deciciency
      - HCV
        
        Baby boomers (≥60yo)
        
        born 1945 - 1965
        
        HCV Ab once
        
        HIV
        
        HTN
        
        DM
        
        HLD (dyslipidemia)
        
        :male_sign::man::skin-tone-3: ≥35y
        or ≥ 20yo w/ CAD risk factors
        
        :female_sign::woman::skin-tone-4: ≥45yo
        or ≥ 20yo w/ CAD risk factors
        
        1 more item...
        
        Depression
        
        2 more items...
        
        HTN pts
        
        HbA1c
        ~~2hr Gluc Tolerance~~
        
        everyone
        
        blood pressure: every visit
        
        Dx: 2 consecutive HBP on 2 visits. (r/o white coat HTN)
        
        1 more item...
        
        everyone
        or
        anytime someone wants one (ie risky sex)
        
        HIV Elisa once
        
        :check: test. Confirm before telling pt.