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Rethinking the Check Up

This article explores the goals of a check-up, including promoting health, identifying risk factors, and detecting diseases. It discusses the USPSTF grades and provides specific scenarios for different age groups, addressing the necessary elements of a physical exam and additional tests or screenings needed. The text is in English.

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Rethinking the Check Up

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  1. Rethinking the Check Up

  2. Goals of the Check-Up • Promote health • Identify risk factors • Detect disease

  3. Where do we get our information?

  4. USPSTF Grades

  5. Lucia • 17-year-old • High school senior • Loves pizza • Runs track

  6. First priority: complete history

  7. Physical exam: which elements are needed?

  8. Does Lucia need a pelvic exam?What about scoliosis screening?

  9. Does Lucia need STI tests?

  10. What about contraception?

  11. Immunizations

  12. Summary: What Lucia needs

  13. Elizabeth • 36-year-old bartender • Smokes one-half pack per day • “Check me for everything!”

  14. Does Elizabeth need a Pap smear?

  15. Bimanual exam

  16. Smoking cessation

  17. What about “routine blood tests?”

  18. Summary: What does Elizabeth need?

  19. What is NOT recommended for Elizabeth? HSV serology

  20. Sam • 53-year-old • ”I need this form filled out for work”

  21. Sam’s complete history reveals…

  22. Colon Cancer Screening • Fecal occult blood testing • Flexible sigmoidoscopy • Colonoscopy

  23. Prostate Cancer Screening?

  24. Lipid screening and coronary heart disease prevention

  25. Summary for Sam

  26. David • 52-year-old • Transgender man • No surgery • Takes testosterone • Not sexually active

  27. What does David need?

  28. Mammograms: how often?

  29. Summary for David

  30. Blair • New to your practice • 77-year-old grandmother • Here for “my yearly Pap”

  31. When should we stop cervical cancer screening? • Age 65- “if they have had adequate recent screening with normal Pap smears and are not otherwise at high risk for cervical cancer”

  32. Osteoporosis Screening

  33. Exercise & fall prevention

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