Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new...
Transcript of Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new...
Age AppropAssessmentsAssessments
Van ChSan DiegoV
priate Health& Screenings& Screenings
heng, MDVein Institute
Age Approg ppAssessment
G
•Comprehe
1-2 years1 2 years
•Lab tests
Hormone (
Estriol (E3(
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opriate Healthpts & Screenings
GENERAL HEALTH
ensive History & Physical every
to include Thyroid Stimulating
(TSH), T3, T4, Estradiol (E2),
3), Estrone (E1), Progesterone), ( ), g
Cheng, MD VeinInstitute.com
Bon•Baseline bone mineral dsuch as Dexascan or Sah
•Using hormone therapy •Calcium: 1000 milligram•Calcium: 1000 milligram1500mg/day after menop•Vitamin D through sunligVitamin D through sunligexposure and food sourc•Regular weightbearing e
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running, or strength train
e Healthdensity screen in 50’s hara heel ultrasound
ms/day orms/day or auseghtght cesexercise, like walking,
Cheng, MD VeinInstitute.com
ning
Age Approg ppAssessment
•Blea•C& Baev•B
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opriate Healthpts & Screenings
Blood Pressure Test at ast every two years
Cholesterol, Lipids (HDL LDL), Triglycerides: aseline at 45, thenvery 5 yearsBaseline EKG in 50’s
Cheng, MD VeinInstitute.com
CBreast Cancer
•In 2007, an estimateof invasive breast caof invasive breast cadiagnosed among westimated 62 030 adestimated 62,030 adsitu breast cancer•approximately 40 4•approximately 40,4expected to die from
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S i ir Statistics
ed 178,480 new cases ancer will beancer will be
women, as well as an dditional cases of indditional cases of in
60 women are60 women are m breast cancer
Cheng, MD VeinInstitute.com
Age Approg ppAssessment
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opriate Healthpts & Screenings
•Breast Self Exam MonthlyMonthly•Clinical Breast Exam (done by provider)(done by provider) every 1-2 years•Mammogram yearly•Mammogram yearly until 65, then every 1-2 years
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2 years
Age Approg ppAssessment
Gastrointestinal Health
Di it l R t l E•Digital Rectal Exam every 1-2years•Fecal occult blood yearly•Fecal occult blood yearly•Flexible sigmoidoscopy every 5 years or y ycolonoscopy baseline at 50then every 10 ys or doublecontrast barium enema ev 5-10 yrs V. C
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opriate Healthpts & Screenings
0
Cheng, MD VeinInstitute.com
Age Approg ppAssessment
Meee
ABBCD
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D
opriate Healthpts & ScreeningsMonthly mole self-exam, by providerexam, by provider every 1-2 years
A- AsymmetryB- Border IrregularityB Border IrregularityC- ColorD- DiameterCheng, MD VeinInstitute.com
D Diameter
Deep-Vein Th
Up to two million Amevein thrombosis (DVT)vein thrombosis (DVT)approximately 300,000from pulmonary embop ywhich result from DVTcancer and AIDS combthe most common cauhospital death.
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hrombosis (DVT)
ricans suffer from deep-) each year) each year, 0 deaths annually result olism (PE), the majority of ( ), j yT - more than breast bined. DVT-related PE is use of preventable
Cheng, MD VeinInstitute.com
Deep-Vein Th
Know your risk factor· Hypercoagulable StaHypercoagulable Sta· Chronic Venous Insu· Varicose Veins
Certain individuals mai d i k f dincreased risk for devDVT, but it can occur anyone
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anyone.
hrombosis (DVT)
rs:ateateufficiency
ay be at l iveloping
in almost
Cheng, MD VeinInstitute.com
Age ApprAge ApprAssessmen
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ropriate Healthropriate Healthnts & Screenings
TELANGIECTASIASTELANGIECTASIAS are elongated, dilated, protuberant vesselsprotuberant vessels with incompetent or non-functioning valvesnon-functioning valves
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Clinical Outc
Before
come at 1 year
After
Clinical Outcom
Before
me at 1 year
After
Age ApprAge ApprAssessmen
ropriate Healthropriate Healthnts & Screenings