Checkup (cont.)
Medical Author:
M Ruby Alvi, MD, CCFP, MHSc
Medical Editor:
Francisco Talavera, PharmD, PhD
Medical Editor:
Jerry R. Balentine, DO, FACEP
Jerry R. Balentine, DO, FACEP
Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.
Preventive Services by Age
Preventive services for ages 19-39
Schedule of visits
Males - Every 5 years
Females - Every 3-5 years
Screening
A thorough individual risk assessment
Height and weight
Blood pressure
Clinical breast examination (every 3 years starting at age 20)
Blood cholesterol levels
Pap smear (at least every 3 years after 3 consecutive annual normal results)
In high-risk groups, sexually transmitted disease testing
Counseling and education
Limit dietary fat, general nutrition advice
Folic acid supplementation in women of child-bearing age
Tobacco cessation
Advance directives
Drinking and driving
Safety belts
Contraception and safe sexual practice
Physical activity
Immunization
Tetanus-diphtheria booster every 10 years
Varicella vaccine (if you have a negative test and no history of chickenpox infection )
Rubella vaccine (if you have a negative test)
Hepatitis B vaccine (if not done previously)
Influenza vaccine (optional, depends on personal preference)
High-risk groups offered pneumococcal vaccine, influenza vaccine, and hepatitis A vaccine (Ask your doctor if you qualify for any of these.)
Preventive services for ages 40-64
Schedule of visits
Males - Every 5 years
Females - Every 3-5 years
Screening
Individual risk assessment
Height and weight
Clinical breast exam yearly
Blood cholesterol
Pap smear (up to every 3 years after 3 consecutive annual normal results)
Mammogram (optional 40-49, yearly 50-75)
Colon cancer screening
In high-risk groups, sexually transmitted disease testing and diabetes screening
Counseling and education
Immunizations
Tetanus-diphtheria booster every 10 years
Influenza vaccine (optional)
In high-risk groups hepatitis A and B vaccines , pneumococcal vaccine, influenza vaccine, rubella vaccine , and Lyme disease vaccine may be recommended
Preventive medications
Daily aspirin for people with risk factors for or established heart disease
Preventive services for ages 65 and over
Schedule of visits
Screening
Individual risk assessment
Review of medications
Height and weight
Blood pressure
Clinical breast examination
Blood cholesterol
Colon cancer screening
Pap smear (may be performed at the mutual consent of the woman and doctor after age 65)
Annual mammogram until age 75
Vision testing after age 74
Hearing testing after age 74
Counseling and education
Limit dietary fat, good nutrition advice
Drinking and driving
Safety belts
Postmenopausal hormone replacement therapy
Physical activity
Immunization
Tetanus-diphtheria booster every 10 years
Annual influenza vaccine
Pneumococcal vaccine
In high-risk groups hepatitis A and B vaccines, Lyme disease vaccine
Preventive medication
Daily aspirin in people with risk factors for or established heart disease