My Case
Did I say one big mac? I meant two.
The Prizes of Love
Woman's Health
100
Presentation
A 63 year old woman presented to University of Toledo Family Medicine Clinic for a well woman exam.
100
DMII screening is indicated in asymptomatic adults with BP greater than
135/80
100
Recommended in women at ages 21-65 every three years or every 5 years in 30-65 year olds if combined with HPV
Cervical Cancer Screening with pap smear cytology
100
This test is used to screen for Osteoporosis
Dexa Scan
200
CC
Patient had no complaints at this time and just had been "too busy" for a well check up
200
Men who have ever smoked should have a one time AAA screening done via this modality starting at this age
What is ultrasonography at 65 years old.
200
Screening for chlamydial infection is recommended for unpregnant women under this age
What is 24 years old
200
Osteoporosis screening occurs at this age in women without risk factors.
65 years old
300
History
She is going through a difficult time in her life right now due to aging parents that she has to take care of, but she has a self-reported good support system. She does currently smoke 1 ppd and has done so for the last 20 years She had not had a pap smear or breast exam of any type since she was 58. Her last colonoscopy was done at 60.
300
Cholesterol screening begins at this age in women and at this age in men
Women: 45 Men: 35
300
Gonorrhea screening is recommended in these two groups of people
All sexually active individuals and all newborns (via eye drop prophlaxis)
300
Deletion of these two genes are associated with a higher risk of developing breast cancer
BRCA1 and BRCA2
400
Physical exam
Was unremarkable besides for elevated blood pressure at 145/90 which she was currently on no medication for.
400
Adults should be offered multicomponent intensive behavioral interventions for weight loss at this BMI
What is 30
400
HIV screening is recommended in...
all sexually active adults and adolescents
400
Breast cancer screening mammography is recommended every 1-2 years starting at this age
40 yo
500
What we did
Clinical breast exam: showed no abnormalities Scheduled a mammogram and dexa scan. Pap smear and bimanual exam: WNL Blood glucose and lipid panel to screen for diabetes and hypercholesterolemia
500
Children should begin being screened for obesity at this age
What is 6 years old.
500
Syphilis screening is recommended for these two groups
Pregnant women and those at increased risks.
500
Screening for asymptomatic bacteriuria with urine cultures in pregnancy is recommended at this gestation week range
12-16 weeks gestation
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