Health Care Screening
Screening Program
Screening visits ages 20 – 40 at least every 2 years, over 40 every 1 year.
History Complete
Initial visit only (yearly in selected patients)
Systems Reviews: Including diet and exercise, smoking and alcohol use, noise or pollutant exposures. Each Screening
Physical Exam Procedures
Complete – Initial visit and yearly in selected patients
Weight – Each screening visit
Blood Pressure and Pulse – Each screening visit
Hearing Exam – Each screening visit
Skin Exam – Each screening visit
Breast Exam – Each screening visit
Pelvic Exam (by Internist or Gynecologist) – Each screening visit
Rectal Exam – Each screening visit – Age over 40
Tonometry (glaucoma check) – Age over 45 every 2 years
Dental Exam by Dentist – Yearly
Proctoscopy – (Flexible Sigmoidoscopy, colonoscopy) – Every 10 years after age 40 (more often in selected patients)
Lab Tests
Pap Smear – Every two years (After 2 negatives 1 year apart)
Stool for Occult Blood – Over 40 each screening visit
Thyroid Profile – Every 4 years over 40
Hemotocrit – Every 4 years
Chemistry Screening (includes complete blood count, urinalysis, cholesterol (LDL & HDL), triglycerides, electrolytes, kidney function test, liver function test, calcium and phosphorus, blood surgery.
PSA – Selected males every year after age 50
PPD – High Risk Groups
Mammogram – Baseline at age 35; Every 1-2 years Age 40 – 50, Every year after age 50
EKG, Chest X-ray (CT scan) – Baseline at age 40 – 50 (Selected Patients)
Exercise EKG (myocardic perfusion scan) – High Risk Groups
Teach
Breast, Testes Self Exam – Initial screening visit
Use Sun Screen and Avoid Sun – Each screening visit
Immunizations
Tetanus – Every 10 years
Influenza – Over age 65 every year (Earlier of High Risk)
Pneumovax – Over age 65 (Earlier of High Risk)
Zostavax® Shingles Vaccine – Over age 60
Hepatitis B – High Risk Groups
Hepatitis A – High Risk Groups
Measles/Mumps – Full Course in non-immunized
American Cancer Society Recommends
(1) Women 20 and over, and those under 20 who are sexually active, should have a PAP Test at least every 3 years, after 2 initial negative tests a year apart.
(2) Women 20 – 40 should have a pelvic examination as part of a general physical examination every year and women over 40 every 1 – 3 years. (after menopause every 1 – 5 years)
(3) Every woman should have a pelvic examination and PAP test at menopause. Those at high risk of endometrial cancer should also have an endometrial tissue sample examined. High risk is defined as having a history of infertility, obesity, failure of ovulation, abnormal uterine bleeding, or estrogen therapy.
(4) Women over 40 should have a mammogram every year. Women under 40 should consult their personal physicians about the need for mammography in their individual cases. All women should have a breast baseline mammogram between the ages of 35 – 40.
(5) Women 20 – 40 should have a breast physical examination every three years, and women over 40 should have a breast physical examination every year.
(6) All women over 20 should perform a breast self-examination monthly.
(7) Men and women over 20 should have a stool gualac slide (test for occult blood) every year.
(8) Men and women over 40 should have a sigmoldoscopic examination every five to ten years. (colonoscopy screening in selected patients)
(9) Men and women over 40 should have a digital rectal examination every year.
(10) Men over age 50 should have a PSA in addition to a digital prostate exam.
(11) The role of CT screening for cancer is not yet defined.
Contact Silverberg Surgical & Medical Group
Please contact Dr. Silverberg for more information on health care screenings.