Term
| Prostate Cancer Screening |
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Definition
USPSTF:
Insufficient evidence for or against screening with PSA
ACS recommends that testing be offered at age 50
potential harms: Erectile dysfunction (or even death) from treatment |
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Term
| Key features of a preventative exam |
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Definition
(RISE):
identifying Risk factors for serious medical conditions, updating Immunizations,
ordering appropriate Screening tests, and Educating patients about living a
healthy lifestyle and reducing risk of disease. |
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Term
| Cardiovascular Risk factors |
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Definition
sedentary lifestyle, tobacco use, excess alcohol use, high stress, poor
diet, and obesity. These factors may contribute to risk factors such as elevated
blood pressure, elevated lipids, and diabetes. Other known risk cardiovascular
risk factors include: older age, male gender, and family history. |
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Term
| 3 C's of Tobacco addiction |
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Definition
(1)
Compulsion to use, (2) lack of Control, and (3) Continued use despite adverse
consequences. |
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Term
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Definition
Pre-contemplative: Not aware of need to change or not interested in
changing behavior.
Contemplative: Currently interested in changing behavior.
Active: Currently making a behavior change.
Relapse: Attempted behavior change, but no longer making the change. |
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Term
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Definition
| taken a morning Eye opener? |
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Term
| Methods for Nutrition Assessment |
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Definition
| 24 hour dietary recalls, Food freq questionnaire (over a month), Daily food diary |
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Term
| High total body fat (BMI) is a risk factor for... |
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Definition
type 2 diabetes,
dyslipidemia, hypertension, and cardiovascular disease |
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Term
| BMI ranges: normal, overweight, obese, very obese, morbidly obese |
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Definition
normal: 18-25
overweigh 25-30
obese 30+
very obese 35-40
morbidly obese 40+ |
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Term
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Definition
| Asymmetry, Border irregularity, color non-uniform, diameter>6cm, evolution |
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Term
| Charac of a good screening test |
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Definition
1) Imp health problems that can be Rx
2) early detection should be during latent phase
3) Reasonable cost
4) Good sensitivity and specificity |
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Term
|
Definition
USPSTF:
50-75: FOBT every year. Coloscopy every 10 years or flexible sigmoidoscopy every 5 years. |
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Term
|
Definition
USPSTF:
Does not recommend routine screening because no decrease in mortality |
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Term
| Labs to assess diabetes and cardiovascular risk |
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Definition
glucose and a lipid panel.
Non-fasting triglycerides may be significantly higher than
fasting, but the total cholesterol, LDL-C, and HDL-C generally do not vary that
much. |
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Term
| Strategies for smoking cessation |
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Definition
Oral meds-->1.5-3 times placebo quit rate
quit rates are highest in group setting
truct your patient to start taking
buproprion one week before quit date. Start with one pill a day for the first 3
days, then increase to one pill twice a day, morning and evening. After another 4
days, stop smoking and continue on the pills twice a day. Can add nicotine gum
for bad cravings, if needed. After about two months on the pills, gradually stop. |
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Term
| Whats the next step for a tubular adenoma with low grade dysplasia on colonoscopy |
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Definition
| Repeat colonoscopy in 5-10 years |
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Term
| Next steps for obesity, hyperlipidemia, elevated BP and elevated glucose in a physical exam. |
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Definition
-Patient education about CV risks
-stess test
-initiation of 81 mg aspirin daily
-follow up in one month, repeat fasting lipid in 3 months (consider anti lipid meds)
-diet and exercise counselling |
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