Well Woman Exam

Front 1

USPSTF clinical screening guidelines
Grade A:
Grade B:
Grade C:
Grade D:
Grade E:

Back 1

A: strongly recommend
B: recommend
C: bennifits don't outweigh risks
D: recommends NOT to do
E: insufficient evidence

Front 2

recommendations for Age 13-18 Years

Back 2

1st pap @ age 18 or 3 years after initiating sexual activity

Pelvic exam and cultures indicated earlier if sexually active

routinely screen all sexually active women age 25 or younger for chlamydia & GC

Any sexually active woman at increased risk for STD’s should be screened

Front 3

Preconceptional Care

Back 3

Nutritional counseling: weight, folic acid (0.4 mg/day for routine prevention of neural tube defects (NTD)/ 4.0 mg/day if history of NTD)

Front 4

Recommendationss age 40-64 Years***
Smoking?
Breast cancer? 
Colorectal CA?
Endometrial and ovarian cancer?
HRT?
Osteoperosis?

Back 4

LU: leading cause of death in this age group

BR: mammography every 1-2 yrs @ 40 y/o

CR: screening @ 50 y/o
E & O: does not recommend routine screening?

HRT: not recommended for chronic problems

O: routine screening @65, 60 if risk factors

Front 5

USPSTF clinical screening guidelines
Grade A:
Grade B:
Grade C:
Grade D:
Grade E:

Back 5

A: strongly recommend
B: recommend
C: bennifits don't outweigh risks
D: recommends NOT to do
E: insufficient evidence