🤵🏻+🚬

65-75

Abdominal US

1 Time only

💁🏻‍♀️

Mammogram

2 years

💁🏻‍♀️

21-65

pap smear

3 ys

30-65

pap smear + HPV DNA

5 ys

💁🏻‍♀️🤵🏻

45-75

Colonoscopy

10 ys

💁🏻‍♀️🤵🏻

45-75

FOBT

FIT

1 year

40 or 10 ys before the age of dx of the affected relative

Colonoscopy

5 ys

IBD (crohn’s / UC)

8-10 ys post-dx

Colonoscopy

2 ys

Familial adenomatous polyposis

10-12

Colonoscopy

EVERY YEAR

Lynch

20-25

Colonoscopy

1-2 ys

💁🏻‍♀️🤵🏻

15-65

HIV Test

1 Time only

Tx of STD

–

HIV Test

Tx of TB

–

HIV Test

gay, IVDU, partner of HIV pt, sex for money

HIV Test

annually

🤵🏻💁🏻‍♀️

🚬 ≥30 ys

OR quit <15 ys

55-80

CT Scan

1 year

💁🏻‍♀️

>65

DEXA

uncertain

Born <1965

–

Anti-HCV

1 time

·       1 first-degree relative age <60

·       ≥2 first-degree relatives at any age

·       Age 40 or 10 years before the age of diagnosis in affected relative

·       Repeat every 5 years

·       8-10 years post-diagnosis (12-15 years of disease only in left colon)

·       Repeat every 1-2  years

·       Age 10-12

·       Repeat annually

·       Age 20-25

·       Repeat every 1-2 years

Abdominal aortic aneurysm

Men age 65-75 who ever smoked

Abdominal ultrasound: 1time

Brest cancer

Women 50-74

Mammogram: every 2 years

Cervical cancer

Women 21-65

Pap smear: every 3 years ²

Colon cancer

Adults 50-75

FOBT or FIT: yearly or colonoscopy every 10 years

Hepatitis C

Adults born 1945-1965

Anti-HCV antibody: one time

HIV

Adults 15-65

HIV antibody screen: one time

Lung cancer

Adults 55-80, ≥30-pack-year smoking, current smoker or quit in last 15 years

Low-dose CT scan: every year

Osteoporosis

Women 65+

DEXA: interval uncertain

·       Age 15-65 (+ younger or older if at risk)

·       Treatment for tuberculosis

·       Treatment for another STD

(or more frequent screening)

·       IVDU + sex partners

·       MSM

·       Sex for money or drugs

·       Partner of HIV-positive

·       Patient or partner has had >1 partner since last HIV test

·       Homeless shelter living

·       Correctional facility incarceration

·       Pregnancy

·       Occupational exposure to blood/body fluids

·       Any new STD symptoms

·       Suggested: prior to any new sexual relationship

Test

·       Low-dose chest CT scan

⏰

·       Yearly

Age

·       55-80

Who?

·       ≥30-pack-year smoking hx

·       Still smoking

·       Quit within the last 15 years

When to stop?

·       Age >80

·       Patient successfully quit smoking for ≥ 15 years

·       Patient has other medical problems that significantly limit life expectancy or ability/ willingness to undergo lung cancer surgery.

 Screening tests for DM

A1c

• Preferred test in nonfasting state

• >6.5% = Diabetes mellitus

• 5.7-6.4% =Increased risk for diabetes

• <5.7% =Normal

Fasting blood glucose

• No caloric intake for >8 hours

• ~126 mg/dl = Diabetes mellitus

• 100-125 mg/dl = Increased risk for diabetes

• <100 mg/dl =Normal

Random glucose levels

• ~200 mg/dl with symptoms of hyperglycemia = Diabetes mellitus

• 140-199 mg/dl =Increased risk for diabetes.

• <140 mg/dl =Normal

Oral glucose tolerance test

• Most sensitive test

• 75 g glucose load with glucose testing for 2 hours

• ~200 mg/dl = Diabetes mellitus

• 140-199 mg/dl= Increased risk for diabetes

• <140 mg/dl =Normal

Note

• Testing may be repeated in cases of discordant or equivocal results

• If a patient is asymptomatic, a positive test should be reconfirmed with the same test on a different day