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12 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Components of pre-conception counselling |
- smoking cessation - alcohol reduction/cessation - STI screening - vaccination - folic acid and iodine supplementation - nutrition and weight assessment - medication - oral health - review of chronic medical conditions |
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Screening for down syndrome |
All pregnant women: - combined maternal serum screening + USS in first trimester (free beta HcG, PAPP-A at 10-12 weeks and nuchal transleucency on USS at 11 weeks 3 days to 13 weeks 6 days) - maternal serum screening in second trimester (alpha foetoprotein, free beta HcG, oestriol and inhibin A) - non-invasive perinatal test (NIPT)
At risk women: - women who have had a previous child with down syndrome - positive screening (above) - parent with known chromosomal defect
- need foetal diagnostic counselling |
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Screening for fragile X syndrome |
those at increased risk: - developmental delay or intellectual impairment - autistic-like features - relative with fragile X - ADHD-like syndrome - speech and language problems - social and emotional problems - premature ovarian failure - premature menopause (<40) in women tests: - refer for genetic counselling - karyotyping and comparative genomic hybridisation with microarray - can be done at any age for diagnosis |
those at increased risk screening methods |
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Testing for haemoglobinopathies and thalassaemias |
- Hb electrophoresis - test for MCV, MCH and ferritin levels - blood for DNA studies
- if MCV < 80 and/or MCH < 27 with abnormal Hb electrophoresis studies, test partner |
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Familial hypercholesterolaemia |
Those at risk: - total cholesterol > 7.5 or family member with total cholesterol > 7.5 - tendon xanthomata - IHD at < 55 years of age and women < 60 or family history of the same Assess risk using the dutch lipid clinic network criteria (DLCN) or modified UK Simon Broome criteria (MUKSB) - refer if > 3 on DLCN or if MUKSB suggests FH |
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Hereditary haemochromatosis |
those with a positive family history (both symptomatic and asymptomatic) - genetic testing for HFE for those aged > 18 years + transferrin saturation and transferrin levels |
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newborn screening tests/preventative interventions |
- administration of vitamin K at birth - hepatitis B vaccination - newborn hearind test - examination of the newborn discuss with parents: - passive smoking - risk of SIDS - use of restraints in vehicles - parental coping strategies |
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Preventative activites for 45-49 year olds |
ask - family history (questionnaire) - SNAP (smoking, nutrition, alcohol, physical activity) - symptoms of depression - early signs of skin cancer measure - BP, height, weight, BMI, waist circumference - fasting lipids perform - cervical screening - breast screening (according to risk) - pneumococcal vaccination (for ATSI groups) calculate - AUSDRISK - absolute CV risk - risk of fracture in women
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ask measure perform calculate |
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preventative activites for 50-64 year olds |
ask - symptoms of depression - family history questionnaire - early signs of skin cancer - SNAP (smoking, nutrition, alcohol, physical activity) measure - BP, height, weight, BMI, waist circumference - fasting lipids perform - cervical screening - breast screening - colorectal screening (FOBTs) - ADT vaccinations - pneumococcal vaccination (for ATSIs) calculate - AUSDRISK - absolute CV risk - fracture risk (women >45 and men >50) |
ask measure perform calculate |
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risk factors for dementia |
- multiple CV risk factors - history of depression - down syndrome - family history of dementia - multiple head injuries - low level of education - ATSI |
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prevention of STIs - general principles |
- people < 29 years of age who are sexually active should be screened anually for chlamydia - MSM should be screened annually for: chlamydia, gonorrhoea, HIV and syphillis - if risk of IVDU screen for hepatitis C - if ATSI: schlamydia, gomorrhoea, syphillis + serology for HIV and syphillis, Hep A and B serology if not vaccinated and offer vaccination |
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indications for a 'kidney check' |
- diabetes - hypertension - family history of renal disease - obesity - ATSI > 30 - smoking - known cardiovascular disease |
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