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22 Cards in this Set

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What is Primary Prevention?
Prevents disease from occurring
Secondary Prevention?
Detects disease in pre-clinical, asymptomatic stage
Tertiary Prevention?
Seeks to stop further complications after the disease becomes clinically evident
Example of Primary Prevention?
Smoking Cessation to prevent lung cancer and CHD
Example of Secondary Prevention?
Breast, Cervical, Colon, Prostate screenings that reveal an occult malignancy
Example of Tertiary Prevention?
Cholesterol reduction and use of Beta-Blockers after an MI
ACOG's recommendations for breast cancer screening?
CBE's begin at 19
MMG every 1-2 yrs for 40-49's
MMG every year for over 50's
Which organizations vary with their rec's
ACPM
ACP
Difference w/ the ACPM's recs?
MMG's only for women over 50
How bout for the ACP?
40-49's get annual MMG based on Risk factors
When should you start Paps?
3yrs after onset of sexual activity but no later than 21
ACS rec for Paps?
-Conventional Pap annually until 30 and every 2 years for liquid based cytology.
-Every 2-3 yrs after 30
ACOG recs for paps?
Annually till 30, then every 2-3 yrs after 30.
Consider HPV testing
USPSTF recs for paps?
Screen every 3 yrs in any age if had at least 2 normal annual paps
When do they all recommend stopping paps?
at 65 if evidence of negative studies
Components of the Average Risk Screening for Colorectal Cancer?
FOBT
Flex Sig
Double Contrast Enema
Colonoscopy
How often should you have an FOBT?
Annually
How often should you have a flex sig?
every 5 years
How often for a Double Contrast Enema?
every 5
How bout colonoscopy (at least according to ACG)
every 10
Quick way to screen for depression?
SIG: E CAPS
What does SIG: E CAPS stand for?
Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicide