Notes in men's preventative health

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Published	09/08/2024	{{c1::Preventative}} screening is an essential part of healthcare. It uses {{c2::cost-effective}} methods to identify and treat {{c3::potent…
Published	09/08/2024	What is included in preventive medicine?Focused {{c2::information-gathering}}, physical exam {{c3::maneuvers}}, {{c4::lab}} or {{c4::diagnostic}}&nbsp…
Published	09/08/2024	Screening and diagnostic refer to 2 different reasons for ordering stuff (and are billed differently){{c2::Screening}}: surveying, examining, testing …
Published	09/08/2024	Grade {{c1::A}}: service is recommended [offer or provide]
Published	09/08/2024	Grade {{c1::B}}: service is recommended, high certainty of moderate benefit or moderate certainty of substantial benefit [offer or provide]
Published	09/08/2024	Grade {{c1::C}}: selectively offer to individuals based upon judgment and pt preference, small benefit [offer or provide to selected pts]
Published	09/08/2024	Grade {{c1::D}}: service is NOT recommended; no benefit or harm>benefit [discourage use of service]
Published	09/08/2024	Grade {{c1::I}}: insufficient evidence (poor, lacking, conflicting) to assess benefit and/or harm [if service offered, alert pts to uncertainty]
Published	09/08/2024	*reminder regarding trasngender (male to female) patients:This information would usually apply to trans women too. Be sure to consider that anatomical…
Published	09/08/2024	Start with {{c1::history-taking}} to establish baseline risk: medical and surgical history, current meds, FH of chronic diseases or cancer, …
Published	09/08/2024	Colorectal Cancer:Grade A/{B: screening age {{c2::45}}-{{c2::75}}Colonoscopy Q{{c3::10}} years* (preferred){{c4::Annual}} high sensitivity f…
Published	09/08/2024	Hypertension:Screen all men {{c1::18}} yo and older (interval not established) + anytime in adults at high risk for HTNScreening for HTN every ye…
Published	09/08/2024	HIV & Syphilis:HIV screen in age {{c1::15}}-{{c1::65}} (and in older patients if increased risk)Syphilis: screen {{c2::asymptomatic}} ad…
Published	09/08/2024	Tobacco use / cessation:Grade {{c4::A}}: clinicians should ask {{c1::all}} adults about tobacco use, advise them to stop, and provide {{c2::behavioral…
Published	09/08/2024	Hepatitis B:Grade {{c1::B}}: screen only those at {{c2::risk}}, unvaccinated IV drug users, men having sex with men, hemodialysis, immunocompromised; …
Published	09/08/2024	Hepatitis {{c2::C}}:Grade {{c1::B}}: screen one time for those born between 19{{c3::45}}- 19{{c3::65}} and for any blood transfusion recipients b…
Published	09/08/2024	Obesity:Grade {{c1::B}}: screen all men → if BMI > {{c2::30}}, counselWaist circumference: for men with BMI {{c3::25}}-{{c3::34.9}}, gives addition…
Published	09/08/2024	{{c1::Exercise}} is medicine: national physical activity guidelinesAge {{c2::18}}+{{c3::Aerobic}}: {{c4::150}} minutes of moderate physical activity o…
Published	09/08/2024	High Cholesterol:The latest guidelines from the american college of cardiology and the american heart association call for healthy adults who do not h…
Published	09/08/2024	*Use of {{c3::statins}}:Grade {{c2::B}}: adults aged 40-75 with 1 or more CVD risk factor + a CVD event risk of 10% or greaterGrade {{c1::C}}: adults …
Published	09/08/2024	Aspirin use:{{c3::Low}} dose aspirin can be used for primary prevention of {{c4::CV}} events and {{c4::colorectal}} cancer, depends upo…
Published	09/08/2024	Type II Diabetes: Grade {{c1::B}}: screen for diabetes in men age {{c2::35}}-{{c2::70}} who are overweight or obeseRescreen Q{{c3::3}} …
Published	09/08/2024	Special Considerations:Medicare-covered screenings for 65+ include {{c1::hearing}} and {{c2::glaucoma}}Joint commission adds: {{c3::intimate part…
Published	09/08/2024	{{c1::COVID-19}} vaccinations are recommended in everyone age 12+
Published	09/08/2024	{{c1::Influenza}} vaccinations are recommended in everyone 6 months and older, annually (ACIP 1A recommendation). {{c2::Egg}} allergy pts should get a…
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