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Screening Tests
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Age 18 – 39
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Age 40 – 59
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Age 60 – 74
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Health Maintenance (physical exam)
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Every 5 years
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Every 5 years
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Every 2 years
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Blood pressure measurement
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Blood pressure is monitored at least annually if diastolic blood pressure is 85-90
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Stool screening/hemoccult
Digital rectal exam or FOBT
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At age 50, then every year
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Yearly
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Barium enema, or
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At age 50, then once every 5 – 10 years
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Once every 5 to 10 years
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Colonoscopy, or
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At age 50, then once every 10 years
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Once every 10 years
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Sigmoidoscopy
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At age 50, then once every 5 years
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Once every 5 years
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Female Tests
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Age 18 – 39
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Age 40 – 59
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Age 60 – 74
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Clinical breast exam
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With health maintenance exam
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Yearly
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Yearly
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Self-breast exam teaching
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With health maintenance exam
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With health maintenance exam
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With health maintenance exam
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Mammogram
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Yearly
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Yearly
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Pelvic exam/Pap Smear
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Every 1 to 3 years
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Every 1 to 3 years
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>Every 1 to 3 years-
Discontinue regular testing after age 65 in women who have had regular previous screenings that are consistently normal and are not on estrogen replacement therapy (ERT)
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Cholesterol
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Baseline at age 45, then every 5 years up to age 65 if <200 mg/dl; yearly if over 200 mg/dl.
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Male Tests
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Age 18 – 39
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Age 40 – 59
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Age 60 – 74
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Testicular Exam & Self-exam teaching
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With health maintenance exam
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With health maintenance exam
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With health maintenance exam
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Prostate Screening
Digital rectal exam or PSA
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Yearly after age 50
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Yearly up to age 65; ages over 65 as clinically indicated
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Cholesterol
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Baseline at age 35, then every 5 years up to age 65 if < 200 mg/dl; yearly if over 200 mg/dl.
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Vaccines
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Age 18 – 39
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Age 40 – 59
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Age 60 – 74
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Flu immunization
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Annually for certain chronic disease conditions
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Yearly after age 50
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Yearly
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Pneumonia vaccination
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Persons at high risk for pneumococcal disease.
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At age 65
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If 1st dose prior to age 65, get a single revaccination @ ate 65 if greater or equal to 5 years since previous dose
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Tetanus/Diptheria
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Between ages 26-39 adolescent booster was given
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Every 10 years
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Every 10 years
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MMR
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Upon entry to college if not previously vaccinated twice for measles
Females – check rubella immunity and vaccinate if needed
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