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3.2.5 Routine Screenings

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Jamoni Reynolds

on 18 March 2014

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Transcript of 3.2.5 Routine Screenings

.2. Routine
Jamoni Reynolds
&Robert Black
3
5
Screenings
Girls
Age 20
1. Self examination: Breast
1. Beginning in their early 20s, women should be told about the benefits and
limitations of self examination of the breast.
Women who choose to do self examinations should receive instruction and have their technique reviewed on the occasion of a periodic health examination.
Age 21
Pap test &HPV DNA test
Cervical cancer screening should begin at age 21. For women ages 21-29, screening should
be done every 3 years with conventional or liquid-based Pap tests
2. Clinical breast examination
2. For women in their 20s and 30s, it is recommended that CBE be apart of a periodic health examination, preferably, at least, every three years.
Age 30
Pap test &HPV DNA test
For women ages 30-65,
screening should be done every 5 years with either both the HPV test and the Pap test (preferred) or
every 3 years with the Pap test alone (acceptable).
Age 40
Mammography
Begin annual mammography at age 40.
Age 50
1. Fecal occult blood test (FOBT)
1. Annual, starting at age 50. Testing at home is recommended.
2. Stool DNA test
3. Flexible sigmoidoscopy (FSIG)
3. Every 5 years, starting at age 50.
4. Double contrast barium enema (DCBE)
4. Every 5 years, starting at age 50
5. Colonoscopy
5. Every 10 years, starting at age 50
6. CT Colonography
Every 5 years, starting at age 50
Menopause
At the time of menopause, women at average risk should be informed about risks and symptoms of Endometrial cancer
Age 55
Age 65
Low dose helical CT (LDCT)
*Current or former smokers ages 55-74 in good health with at least a 30 pack-year history
Clinicians with access to high-volume, high quality lung cancer screening and treatment
centers should initiate a discussion about lung cancer screening with apparently healthy
patients ages 55-74 who have at least a 30 pack-year smoking history, and who currently
smoke or have quit within the past 15 years.
Women should not be screened annually
by any method at any age.
Boys
Kiara Moore

Age 20-29
Age 40-49
Colon Cancer Testing: only should be performed if a family history is present
Prostate Cancer Testing: only should be performed if a family history is present.
If at higher risk, screenings should start in one's early 40s.
Age 50-59
Stool DNA test
Interval uncertain
Flexible sigmoidoscopy

Every 5 years, starting at age 50.
Double contrast barium enema (DCBE
Every 5 years, starting at age 50.
Colonoscopy
Every 10 years, starting at age 50.
CT Colonography
Every 5 years, starting at age 50.
Digital rectal examination (DRE) & prostate-specific antigen test (PSA)
Both genders age 20: Cancer- related checkup. On the occasion of a periodic health examination, the cancer-related checkup should include examination for cancers of the thyroid, testicles, ovaries, lymph nodes, oral cavity, and skin. A cancer- related checkup should also include health counseling about tobacco, sun exposure, diet and nutrition, risk factors, sexual practices, and environmental and occupational exposures.
Descriptions of
screenings

Girls
Pap test & HPV DNA test: During the Pap test, the doctor will use a plastic or metal instrument, called a speculum, to widen your vagina. This helps collect a few cells and mucus from the cervix and the area around it. The cells are then placed on a slide or in a bottle of liquid and sent to a laboratory. The laboratory will check to be sure that the cells are normal. If the HPV test is performed along with the Pap test, the cells collected during the Pap test will also be tested for HPV.
Mammography: uses a low-dose x-ray system to examine breasts.
Stool DNA test: Self explanatory
Flexible sigmoidoscopy: during the procedure, a doctor uses a sigmoidoscope (a long, flexible, and tubular instrument about 1/2 inch in diameter) to view the lining of the rectum and the lower third of the colon (the sigmoid colon).
Both Genders
Double contrast barium enema: During the test, a doctor will use a small tube inserted into the rectum to partially fill the colon with barium sulfate. Barium sulfate helps the doctor see the outline of the colon on an x-ray.After the barium is placed into the colon, a doctor will add air to improve the view on the x-ray and help with detection of abnormal growths. X-rays from several different angles will be taken to see the whole colon.
Boys
Colonoscopy: During a colonoscopy, the doctor uses a colonoscope (a long, flexible, and tubular instrument about 1/2 inch in diameter) that transmits an image of the lining of the colon on a screen so the doctor can examine it for any abnormalities. The colonoscope is inserted through the rectum and advanced to the other end of the large intestine.
CT Colonography: air is added using a tube placed in your anus. Medicine may be given to help the muscles in the colon relax.You will be asked to hold your breath while the pictures of your colon are being taken.
Prostate cancer can often be found early by testing the amount of prostate-specific antigen (PSA) in a man's blood. Another way to find prostate cancer is the digital rectal exam (DRE), in which the doctor puts a gloved finger into the rectum to feel the prostate gland.
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