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Preventive Medicine

General Preventive Health Screening Schedule

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The Center's goal of No Yo-Yo is to help our patients and community members

get more involved in managing their health by providing integral health

information for proper disease screening and prevention.

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Preventive health screenings are an affordable and effective way to identify

hidden disease risk. For many people, getting screened is the first step in early

intervention to prevent potential health events later in their lives. For example,

many people are at risk for diseases such as stroke and heart disease but

experience no symptoms. Early detection can prevent major consequences

such as permanent paralysis from stroke, death from heart attack,

and limb amputation from diabetes. Cancer screening is also an important part

of preventive health. Generally, cancer treatment is more effective when the

disease is found early.
 

Please use this link to access our Diabetic Schedule and Checklist

Age 3 and up

High blood pressure (hypertension): All children greater than three years old

should have their BP measured during routine office and emergency visits.

Ages 15-25

Sexually-transmitted infections (chlamydia, gonorrhea, HIV): Screen all sexually

active women ages 15-25 for chlamydia; plus older women who have had a

previous infection. Screen young, sexually active women with individual risk

factors, such as multiple sex partners and unprotected sex, for HIV and

gonorrhea.

Age 20 and up

High Cholesterol (dyslipidemia): Screening should be performed at least once

every five years for all persons age 20 and over. Patients with borderline-high

or high cholesterol and/or risk factors should be screened annually.

Ages 21-70     

Pap smear (cervical cancer): Guidelines recommend initiating screening at 21

or three years after the onset of sexual activity, whichever comes first.

Ages 40-50 and up

Mammogram (breast cancer): All major North American groups making recommendations about breast cancer screening recommend routine screening with mammography with or without clinical breast examination for women age 50 and older. There is controversy, however, about routine screening for women intheir 40s, with some groups recommending shared decision making with
patient and clinician.

Age 45 and up

High blood sugar (diabetes): In individuals without risk factors, testing should begin at age 45 years. Patients with diabetic risk factors can be tested at any age. Diabetic risk factors include the following: body mass index >24.9, a first-degree relative with diabetes (mother, father, or sibling), lack of exercise, race (African American, Hispanic, Native American, Asian-American, and Pacific Islanders), hypertension, dyslipidemia, polycystic ovary syndrome, and vascular disease.

Age 50 and up

Prostate screening (prostate cancer): Screening should be discussed with men beginning at age 50. Black men and men with a family history of prostate cancer, particularly in relatives younger than age 65, should first discuss screening at age 40-45.

Age 50 and up

Flu (influenza): A yearly influenza vaccination is recommended starting at age 50.

Age 50 and up

Colonoscopy (colorectal cancer): Screening should begin in at age 50 and repeated every 10 years if normal results are reported.

Age 60 or older

Shingles (herpes zoster): A one-time herpes zoster vaccine is recommended at or after age 60 for the prevention of a shingles outbreak.

Age 65 or older

Pneumonia: A one-time pneumococcal vaccine is recommended at or after age 65 for prevention of severe pneumococcal disease (pneumonia).

Ages 65-75

Abdominal aortic aneurysm (AAA): A one-time screening with ultrasound of male smokers between the ages of 65 and 75 is recommended for an abdominal aortic aneurysm. Note: Most AAAs never ruptured, but when they did, sudden death was usual unless surgery was performed immediately.

Any age

Cigarette smoking and lung cancer: Prevention, rather than screening, is the most effective strategy for reducing the burden of lung cancer. Cigarette smoking is felt to be the cause in almost 90 percent of all lung cancers; therefore, smoking cessation is the key to prevention.

***Please note that these are general recommendations and are not all-inclusive. Many recommendations change depending on patient-specific history, family history, and personal risk factors. Please consult with your provider for details.

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