Stop And Screen

Screening Guidelines

Breast Cancer (women)

• Age 20 to 39: Clinical breast exam every year during your annual visit
• Age 40+: Clinical breast exam every year, plus annual mammograms. If you have a family
history of breast cancer, your doctor may recommend that you start getting mammograms
earlier.

Cervical Cancer (women)

• Age 21 to 39: Pap test every three years
• Age 30+: Pap test every 3 years or Pap/HPV co-test every five years
  The HPV vaccine is also recommended for men and women between ages 9-45.

Colon Cancer (men and women)

• Age 45+: Colonoscopy every 10 years

Lung Cancer (men and women)

• Ages 50 to 80 with a 20-pack year smoking history, currently smoke or stopped in the last 15 years: Low Dose CT Scan annually

Prostate Cancer (men)

• Ages 55 to 69: Prostate Specific Antigen Test annually

HIV

• Ages 13 to 64: at least once
• Annual tests, possibly more, are recommended for those with certain risk factors

Hypertension

• Ages 18 to 39: in-office screening every 3 to 5 years
• Ages 40+ and those at high risk: annual in-office check with manual or automated sphygmomanometer

Type II Diabetes

• Ages 45+ or younger with risk factors: annual blood glucose test

Eye examination

• Children Ages 3 to 5: At least once
• People with diabetes: exam with dilation every year
• African Americans 40 years and older; all adults 60+, especially Mexican Americans; and people with a family history of glaucoma: Exam with dilation every two years

Kidney function (men and women)

• Assess for risk in all patients
• Those at increased risk: Measure blood pressure, test serum creatinine levels, test urine albumin levels, and examine urine for erythrocytes and leukocytes 8

Bone density

• Women 65+: Central DXA test every 2 to 3 years
• Women >65 with risk factors: Central DXA test

Cholesterol

• Adults: blood test every 4 to 6 years
• Children and adolescents: blood test at least once between ages 9 and 11 and again between ages 17 and 21.2
• Adults and children who have obesity, diabetes, or a family history of high cholesterol may need to be screened more often.

Stroke Prevention

• Carotid Artery Disease
  • Ultrasound
  • 55+ with cardiovascular risk factors
• Atrial Fibrillation
  • EKG, if symptomatic or with risk factors
• Peripheral Arterial Disease
  • Ankle-brachial index if symptomatic

Heart CT Scans

• Coronary Calcium Scan
  Those with cardiovascular risk factors
• Carotid Ultrasound
  55+ with cardiovascular risk factors
• Nuclear Heart Scan
  If symptomatic