| Abdominal aortic aneurysm screening |
One-time screening for men between the ages of 65 and 75 who have ever smoked |
| Alcohol misuse screening |
All adults at physical exam |
Anticipatory guidance for:
- Family and intimate partner violence
- Breast self-exam
- Menopause counseling
- Safety, falls and injury prevention
|
At physician discretion for all adults |
| Bacteriuria screening with urine culture (urinary tract or other infection screening) |
Pregnant women between 12 and 16 weeks gestation or during first prenatal visit if later |
| Blood pressure screening |
All adults at physical exam |
| Breast cancer screening |
Mammogram once every 2 years for women ages or 40 and older. |
| Breast feeding counseling |
Interventions to support and promote breast feeding for new mothers |
| Cervical dysplasia/cancer screening |
Start screening at beginning of sexual activity or at 21, whichever is first. Annual screening up to age 30. For ages 30 and older, screening every two to three years. Suggest stopping at 70 if three or more normal Pap tests in a row, no abnormal Pap test in previous 10 years and not at high risk. |
Chlamydia infection, gonorrhea and syphilis screenings
Sexually transmitted infection |
All sexually active adults to be screened for chlamydia, gonorrhea, syphilis, and HIV |
| Colorectal cancer screening |
Beginning at age 50, one of the following screening options: - Colonoscopy every 10 years
- Flexible sigmoidoscopy every five years
- Fecal occult blood test annually
Those with a family history (first degree relative) of colorectal cancer or adenomatous polyps: begin screening at age 40 or 10 years before the youngest case in the immediate family. Colonoscopy every five years. Consider stopping screening at age 75. Use individual consideration between ages 75 and 85. Screening is not recommended for individuals older than 85 |
| Counseling for breast cancer chemoprevention |
Counseling for women at high risk for breast cancer who might benefit from chemoprevention. Discuss benefits and harms of chemoprevention. |
| Counseling related to BRCA screening |
Women at high risk |
| Depression screening |
All adults, every year during physical exam |
Diabetes screening
(Type 2) |
Fasting plasma glucose test every 3 years in adults with ongoing treated or untreated blood pressure greater than 135/80 |
| Diet counseling |
Adults at higher risk for chronic disease |
| Height, weight and body mass index (BMI) |
All adults during physical exam |
| Hematocrit or hemoglobin screening |
Pregnant women at their first prenatal visit |
| Hepatitis B screening |
Pregnant women at their first prenatal visit |
| Iron deficient anemia screening |
On a routine basis for pregnant women |
| Lipoprotein profile |
A fasting lipoprotein profile (total cholesterol, LDL, HDL and triglycerides) once every 5 years |
| Medical history |
All adults during annual physical exam |
| Obesity screening and counseling |
Screening for obesity as well as counseling and behavioral interventions |
| Osteoporosis screening |
A screening once every 2 years during physical exam for women 40 years and older. (Does not include density test.) A bone mineral density test every 2 years for post-menopausal women with risk factors beginning at age 50. If no risk factors, every 2 years beginning at age 65. |
| Rh incompatibility screening |
All pregnant women on first visit and follow-up testing for women at high risk |
| Sexually transmitted infection (STI) prevention counseling |
Adults at high risk |
| Tobacco use screening and counseling |
At each visit. Includes cessation counseling and intervention for tobacco users. Expanded counseling for pregnant women. |
| Tuberculosis testing |
Adults at high risk of tuberculosis |
