Adult Preventive Guidelines

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Recommendations
History & Physical, Weight & BMI
• Every year
Blood Pressure
• Check at least annually & at every visit (more often if your BP is high
Cholesterol, Triglyceride, HDL/LDL
• Starting at age 20, check at least every 5 years (check more often if cholesterol is high)
Thyroid
• Starting at age 35 & every 5 years using TSH.
Colon Cancer Screening

• Stool sample every year beginning at age 50.

• Starting at age 50, get a colonoscopy every 10 years (more often if you are high risk)

Eyes Exam
• 40-65 years: Every 2-4 years. Over 65 years: Every 1-2 years.
Immunizations:

• Flu influenza) Vaccine

• Tetanus/Diphtheria/Pertussis (Tdap)

• Hepatitis B


• Pneumovax (pneumonia)



• Zostavax

• Every year for those age 50 & older or at high risk (check with your PCP if high risk)

• Every 10 years (may need booster after injury) [If pregnant or age 65 & older, get Tetanus(Td)]

• Certain job classifications (healthcare, police, first, etc) & high risk should be vaccinated - check with your PCP

• 19-64 years: if you have any chronic disease or smoke. 1 time revaccination will be needed.
• 65>: 1 immunization at least 5 years after last immunization

>60: 1 dose

Skin
• Check yourself for any spots, sores, and moles (call your PCP if you’re not sure)
Teeth
• Get an exam & cleaning every 6 months.
Additional Recommendations for Women
Mammogram
• Every year starting at age 40 - earlier if you are high risk for breast cancer (check w/your PCP to see if you are high risk)
Pap Test

• Three years after you start having intercourse or no later than age 21

• Every 1- 3 years (depending on type of test performed - check with your PCP or GYN specialist). Not indicated if you had a hysterectomy, unless the hysterectomy was for cancer.

• Stop at age 70, unless increased risk.

Chlamydia
• Annual screening for all sexually active women age 24 & younger
Bone Density Screening for Osteoporosis

• Starting at age 65 for all postmenopausal women<

• Screen before age 65, if at risk for Osteoporosis (check with your PCP to see if you are high risk)

HPV (Human Papillomavirus Immunization)
• Women 27 years & younger: 3-dose series (first dose must be started by 26 years, 6 months and last dose prior to 27th birthday)
Additional Recommendations for Men
Prostate Cancer Screening • Every year starting at age 50 - earlier if you are at higher risk for prostate cancer, such as African American male or with a family history of prostate cancer (check w/your PCP to see if you are high risk)
Testicular Self-exam • Once a month (call your PCP if you're not sure)
Screening for Abdominal Aortic Aneurysms (AAA) • Age 65-75: 1 time screening if you have smoked at least 100 cigarettes in your lifetime