Adult Male Physical Exam Screenings

Adult Male Physical Exam Screenings

• Screen for HLD, HTN, T2DM, colon cancer, and substance abuse.
• HLD screening starts at age 35 for men, 45 for women with fasting lipid panels every 5 years.
• BP should be screened annually for patients over 18 with readings >120/80, every 2 years if <120/80.

Diabetes and Colon Cancer Screening

• Diabetes screening recommended at age >45, or with BMI >25, or BP >135/80 if <45.
• Colon cancer screening begins at age 50 with annual FOBT or colonoscopy every 10 years for ages 50-75.

CAGE Alcohol Screening

• CAGE questions assess history of alcohol use:
  • Cut Down
  • Annoyed
  • Guilty
  • Eye Opener
• Positive response requires alcohol cessation support.

AAA and Immunization Guidelines

• AAA screening via abdominal ultrasound for men aged 65-75 who have smoked.
• Adult immunizations include Tetanus (Td or Tdap every 10 years), Meningococcus, Hepatitis B, Pneumococcus, Influenza (annual), Hep A, and Zoster (after 60).

Statin Guidelines

• High-intensity statins: Atorvastatin 80 mg, Rosuvastatin 20 mg.
• Recommended for adults >40 with LDL >70 and ASCVD risk >7.5%.

Osteoarthritis Management and Post-Op Orders

• Nonoperative treatment: weight loss, physical therapy and directed exercise focused on quadriceps.
• Post-op orders for TKA include DVT prophylaxis (LWMH) and physical therapy.

Alcoholic Hepatitis Diagnosis and Treatment

• Diagnosed with elevated AST/ALT ratio (typically 2:1), jaundice, fever, and abdominal pain.
• Treatment is supportive with IV fluids and abstinence; corticosteroids for severe cases.

Evaluating and Treating Childhood Conditions

• Well-child checks at specific milestones; assess growth, development, and behavioral issues.
• Tetanus immunization at scheduled intervals, starting with DTaP at 2, 4, 6 months and DTaP at 11-18 years.

Asthma Management

• Symptoms of asthma: dry cough, SOB, chest tightness; diagnosed with spirometry and bronchodilator response.
• Treatment of exacerbation: inhaled albuterol, systemic corticosteroids if severe.

Angina and PE Management

• Stable angina is treated with aspirin, statins, and beta-blockers.
• Unstable angina presents as chest pain at rest; managed with MONA BASH protocol and potential PCI.

Work up for Fatigue and Anemia

• Fatigue in the elderly requires CBC, TSH, BMP, and heme occult stool eval.
• Microcytic anemia requires ferritin and iron studies; positive heme-occult tests necessitate endoscopy/colonoscopy.

Risk Factors for Adenocarcinoma

• Risk factors include alcohol and tobacco use, obesity, insulin resistance, and high red meat consumption.

Breast Cancer Workup and Imaging Guidelines

• For palpable breast masses in women >40, diagnostic mammography is essential.
• Following ductal carcinoma confirmation, order liver enzymes, HER-2 status, and lymph node biopsies, avoiding routine metastasis imaging.

Acute Otitis Media

• First-line treatment is amoxicillin for 10 days; if previously used, Augmentin is preferred.
• No benefit from decongestants or antihistamines in acute management.

Tympanostomy Otorrhea

• Characterized by purulent drainage from the tympanostomy tube; treat with topical antibiotics like ofloxacin or ciprofloxacin-dexamethasone drops.