Wellness Screening References PDF

12/18/24, 5:24 PM Elsevier: Physical Examination and Health Assessment Wellness Screening References https://pageburstls.elsevier.com/reader/books/9780323811729/epubcfi/6/110[%3Bvnd.vst.idref%3DWellness_Screening_876-878_B9780323809849150023]!/4/2/6...

12/18/24, 5:24 PM Elsevier: Physical Examination and Health Assessment Wellness Screening References https://pageburstls.elsevier.com/reader/books/9780323811729/epubcfi/6/110[%3Bvnd.vst.idref%3DWellness_Screening_876-878_B9780323809849150023]!/4/2/6[CN] 1/4 12/18/24, 5:24 PM Elsevier: Physical Examination and Health Assessment Screening Measure Advice for Average-Risk Groups Advice for Higher-Risk Groups Health History Problem Alcohol Use Consistently use screening tools in When caring for hospitalized patients inpatient and outpatient settings to with known or suspected alcohol identify problem drinking. abuse, use a standard measure of Population-specific tools are alcohol withdrawal (e.g., Clinical available (e.g., women, older Institute Withdrawal Assessment). adults). Tobacco Products Ask all adults 18 and older, including pregnant persons, about tobacco use (any tobacco product), smoking, and vaping. Use a screening tool such as the 5 As.16 Educate all school-aged children and adolescents to recognize and prevent tobacco use.15 Teach all ages about the dangers of vaping. Depression Screen all adults in primary care for depression.8 Also, screen children ages 12 years and older.9 Intimate Partner Normalize screening of intimate Violence partner violence for all adults. Cardiovascular Hypertension Screen all adults for Children with obesity, renal disease, hypertension.18 Screen children coarctation of the aorta, or diabetes annually beginning at age 3 years.6 and children taking medications that cause a rise in BP should be screened at every health care visit.6 Atherosclerotic Counsel adults ages 40-75 years Cardiovascular concerning 10-year atherosclerotic Disease (ASCVD) cardiovascular disease (ASCVD) risk estimation using a risk calculator.2 Abnormal Screen adults ages 35-70 years who Glucose/Diabetes have overweight (BMI ≥25) or Mellitus obesity (BMI ≥30) for prediabetes and type 2 diabetes. Use fasting plasma glucose or HbA1c measurement or test with an oral glucose tolerance test.18 Abdominal Aortic For men ages 65-75 years with any Aneurysm smoking history, screen once using ultrasonography. For men ages 65-75 years who have never smoked, screen selectively based on personal and family medical history.12 https://pageburstls.elsevier.com/reader/books/9780323811729/epubcfi/6/110[%3Bvnd.vst.idref%3DWellness_Screening_876-878_B9780323809849150023]!/4/2/6[CN] 2/4 12/18/24, 5:24 PM Elsevier: Physical Examination and Health Assessment Screening Measure Advice for Average-Risk Groups Advice for Higher-Risk Groups Respiratory Disease Lung Cancer For adults ages 50-80 years with a 20– pack-year history of smoking and smoking currently or within the last 15 years, screen annually using low-dose computed tomography (CT).17 Latent Tuberculosis Screen for using skin testing or Infection interferon-gamma release assay. High-risk people are those born in or previously residing in countries with high TB prevalence or current/prior residents of congregate settings (e.g. shelters, prisons, and long-term care facilities). Those with HIV or immunosuppression may have specific recommendations.10 Gastrointestinal Colorectal Cancer Counsel adults on colonoscopy after (CRC) age 45 years, or alternately, fecal occult blood test annually after age 45 years.7 Overweight, Obesity Provide behavioral counseling on healthy diet and gradually adding physical activity. Hepatitis B Using blood testing, screen all pregnant High-risk groups are those born in the persons for hepatitis B surface United States but not vaccinated in antigen.11 infancy, those with parents who were born in high-risk countries, people with HIV-positive status, users of injection drugs, men who have sex with men, people with sexual partners with HBV, or people who have household contacts with HBV. Screen once and at periodic intervals if the risk persists.13 Hepatitis C Using blood testing, screen once all Screen at periodic intervals persons with pregnant persons and all adults ages current or prior injection drug use. 18 to 79 for anti-hepatitis C virus antibodies.14 Breast https://pageburstls.elsevier.com/reader/books/9780323811729/epubcfi/6/110[%3Bvnd.vst.idref%3DWellness_Screening_876-878_B9780323809849150023]!/4/2/6[CN] 3/4 12/18/24, 5:24 PM Elsevier: Physical Examination and Health Assessment Screening Measure Advice for Average-Risk Groups Advice for Higher-Risk Groups Breast Cancer Counsel adults on beginning screening Counsel on yearly mammography starting mammography at ages 40 to 44 at age 30 years for persons with close years, continuing annual relative with breast cancer or adults mammography from ages 45 to 54 with BRCA1 and BRCA2 mutations. years and, over age 55 years, either transitioning to biennial mammography or continuing annual mammography.1 Genital-Urinary Cervical Cancer, HPV No Pap tests if under 25 years, regardless of sexual activity; HPV cervical testing alone or co- testing with Pap test, every 5 years ages 25–65 years; Pap test alone every 3 years for women ages 30–65 years.4 Prostate Cancer (PC) Discuss PSA blood test annually for Discuss PSA blood test annually for Black men >50 years. men and for men with close relative with PC beginning at age 45 years.1 Chlamydia and Screen women ages 25 years and older Counsel on yearly screening with urine Gonorrhea with new sex partner, >1 sex test for all sexually active women age partner, or sex partner who has 24 years and younger.3 other partners. Use cervical swab or first catch urine.3 HIV Screen once all persons ages 13-64 Counsel on annual screening for sexually years and pregnant persons using active gay, bisexual, and other men antigen/antibody blood test. who have sex with men (MSM).5 https://pageburstls.elsevier.com/reader/books/9780323811729/epubcfi/6/110[%3Bvnd.vst.idref%3DWellness_Screening_876-878_B9780323809849150023]!/4/2/6[CN] 4/4