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Rethinking the Check-up

Explore the goals of a check-up, from promoting health to detecting diseases. Learn about the necessary elements of a physical exam and screening tests based on individual needs.

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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 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. “Oh, and I need this form filled out.”

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

  24. Prostate Cancer Screening?

  25. Lipid screening and coronary heart disease prevention

  26. Summary for Sam

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

  28. What does David need?

  29. Mammograms: how often?

  30. Summary for David

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

  32. When should we stopcervical 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”

  33. Osteoporosis Screening

  34. Exercise & fall prevention

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