Preventative Medicine

(This information is taken from United States Preventive Services Task Force Guidelines.)

Cancer Screening

  • Breast cancer screening every 1-2 years for all women age 40 and older
  • Cervical cancer screening using PAP smears for all women with a cervix starting 3 years after the onset of sexual activity or age 21 (whichever comes first) and continuing every 1-3 years until age 65-70 depending on the patient’s risk
  • Colorectal cancer screening for average risk men and women starting at age 50
  • Screening for other types of cancer on a routine physical is either not recommended or there is not enough evidence to make a strong recommendation. Risks and benefits of screening for other types of cancers, including but not limited to prostate, ovarian, testicular, lung, thyroid, and skin, should be discussed with your doctor at during your preventive physical exam

Cardiovascular Screening

  • Men age 65-75 who have ever smoked should have a one-time ultrasound done to screen for abdominal aortic aneurysm
  • Aspirin therapy should be discussed for those patients at high risk for coronary heart disease
  • All adults age 18 and older should be screened for high blood pressure
  • Men age 35 and older and women age 45 and older (or even as young as age 20 if they are high risk) should be screened for high cholesterol and treated if they meet the appropriate risk criteria

Infection Screening

  • Screening for Chlamydia in all sexually active females age 24 and younger and women older than 24 who are at increased risk.
  • Prophylactic antibiotic eye medication for all newborns
  • All teens and adults at high risk for HIV, Gonorrhea, or syphilis should be screened

Metabolic

  • Adults with high blood pressure or high cholesterol should be screened for type 2 diabetes
  • Women age 65 should be screened for osteoporosis or women age 60 at increased risk.

Pediatric

  • All newborns should be screened for sickle cell disease
  • Infants age 6-12 months at increased risk should be screened for iron deficiency anemia

Others including tobacco use, alcohol abuse, obesity, and depression are very important and should be discussed with your doctor at any office visit.

For more info see: U.S. Preventive Services Task Force, http://www.ahrq.gov/clinic/uspstfix.htm