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  4. Periodic Health Exam

Periodic Health Exam

Modified 14:10, 6 Jul 2012 by Anonymous? | Page History
    Table of Contents
    1. 1. Female PHE
      1. 1.1. Immunizations
      2. 1.2. Screening
      3. 1.3. Safety
      4. 1.4. Functional Inquiry
      5. 1.5. Physical Exam

    Notes

    Female PHE

    Start with THEIR concerns

    Immunizations

    • Tetanus
    • HepA HepB
    • Pneumovax
    • Flu Shot

    Screening

    • Pap Test (>21 q3y if normal, later if not sexually active)
    • Mammography (>50 q2-3y)
    • Colon Cancer (>50)
    • Bone Mineral Density (>65)
    • Eye exam
    • Depression - PHQ2
      •  In the past two weeks, have you felt down or depressed?
      • In the past two weeks, are you enjoying things as usual?
    • Cardiovascular
      • Fasting Blood Work

     

    Safety

    • Sun safety
    • Calcium (1200mg)
    • Vitamin D (800-1000mg)
    • Exercise: 30min of moderate intensity exercise 5x/week (need to get heart rate up)

    • Diet: Usually discussed by dietician or nurse just prior.

     

    Functional Inquiry

    Physical exam (female)

            normal Skin: no rashes, no abnormal nevi
            normal HEENT: PERL, fundi N, no thyromegaly, carotids N
            normal CVS: normal S1/S2, no S3/S4, no murmurs
            normal Resp: good a/e bilaterally, no crackles, wheezes
            normal Breast: no skin change, no masses, no adenopathy
            normal Abdo: soft, non-tender, no masses, no organomegaly

     

    Physical Exam

     

            normal Skin: no rashes, no abnormal nevi
            normal HEENT: PERL, fundi N, no thyromegaly, carotids N
            normal CVS: normal S1/S2, no S3/S4, no murmurs
            normal Resp: good a/e bilaterally, no crackles, wheezes
            normal Breast: no skin change, no masses, no adenopathy
            normal Abdo: soft, non-tender, no masses, no organomegaly
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