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Age Approp Assessments Assessments Van Ch San DiegoV priate Health & Screenings & Screenings heng, MD V ein Institute

Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new cases ancer will beancer will be omen, as well as an ... Microsoft PowerPoint - womens

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Page 1: Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new cases ancer will beancer will be omen, as well as an ... Microsoft PowerPoint - womens

Age AppropAssessmentsAssessments

Van ChSan DiegoV

priate Health& Screenings& Screenings

heng, MDVein Institute

Page 2: Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new cases ancer will beancer will be omen, as well as an ... Microsoft PowerPoint - womens

Age Approg ppAssessment

G

•Comprehe

1-2 years1 2 years

•Lab tests

Hormone (

Estriol (E3(

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opriate Healthpts & Screenings

GENERAL HEALTH

ensive History & Physical every

to include Thyroid Stimulating

(TSH), T3, T4, Estradiol (E2),

3), Estrone (E1), Progesterone), ( ), g

Cheng, MD VeinInstitute.com

Page 3: Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new cases ancer will beancer will be omen, as well as an ... Microsoft PowerPoint - womens

Bon•Baseline bone mineral dsuch as Dexascan or Sah

•Using hormone therapy •Calcium: 1000 milligram•Calcium: 1000 milligram1500mg/day after menop•Vitamin D through sunligVitamin D through sunligexposure and food sourc•Regular weightbearing e

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running, or strength train

e Healthdensity screen in 50’s hara heel ultrasound

ms/day orms/day or auseghtght cesexercise, like walking,

Cheng, MD VeinInstitute.com

ning

Page 4: Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new cases ancer will beancer will be omen, as well as an ... Microsoft PowerPoint - womens

Age Approg ppAssessment

•Blea•C& Baev•B

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opriate Healthpts & Screenings

Blood Pressure Test at ast every two years

Cholesterol, Lipids (HDL LDL), Triglycerides: aseline at 45, thenvery 5 yearsBaseline EKG in 50’s

Cheng, MD VeinInstitute.com

Page 5: Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new cases ancer will beancer will be omen, as well as an ... Microsoft PowerPoint - womens

CBreast Cancer

•In 2007, an estimateof invasive breast caof invasive breast cadiagnosed among westimated 62 030 adestimated 62,030 adsitu breast cancer•approximately 40 4•approximately 40,4expected to die from

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S i ir Statistics

ed 178,480 new cases ancer will beancer will be

women, as well as an dditional cases of indditional cases of in

60 women are60 women are m breast cancer

Cheng, MD VeinInstitute.com

Page 6: Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new cases ancer will beancer will be omen, as well as an ... Microsoft PowerPoint - womens

Age Approg ppAssessment

V. Cwww.SDV

opriate Healthpts & Screenings

•Breast Self Exam MonthlyMonthly•Clinical Breast Exam (done by provider)(done by provider) every 1-2 years•Mammogram yearly•Mammogram yearly until 65, then every 1-2 years

Cheng, MD VeinInstitute.com

2 years

Page 7: Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new cases ancer will beancer will be omen, as well as an ... Microsoft PowerPoint - womens

Age Approg ppAssessment

Gastrointestinal Health

Di it l R t l E•Digital Rectal Exam every 1-2years•Fecal occult blood yearly•Fecal occult blood yearly•Flexible sigmoidoscopy every 5 years or y ycolonoscopy baseline at 50then every 10 ys or doublecontrast barium enema ev 5-10 yrs V. C

www.SDV

opriate Healthpts & Screenings

0

Cheng, MD VeinInstitute.com

Page 8: Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new cases ancer will beancer will be omen, as well as an ... Microsoft PowerPoint - womens

Age Approg ppAssessment

Meee

ABBCD

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D

opriate Healthpts & ScreeningsMonthly mole self-exam, by providerexam, by provider every 1-2 years

A- AsymmetryB- Border IrregularityB Border IrregularityC- ColorD- DiameterCheng, MD VeinInstitute.com

D Diameter

Page 9: Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new cases ancer will beancer will be omen, as well as an ... Microsoft PowerPoint - womens

Deep-Vein Th

Up to two million Amevein thrombosis (DVT)vein thrombosis (DVT)approximately 300,000from pulmonary embop ywhich result from DVTcancer and AIDS combthe most common cauhospital death.

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hrombosis (DVT)

ricans suffer from deep-) each year) each year, 0 deaths annually result olism (PE), the majority of ( ), j yT - more than breast bined. DVT-related PE is use of preventable

Cheng, MD VeinInstitute.com

Page 10: Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new cases ancer will beancer will be omen, as well as an ... Microsoft PowerPoint - womens

Deep-Vein Th

Know your risk factor· Hypercoagulable StaHypercoagulable Sta· Chronic Venous Insu· Varicose Veins

Certain individuals mai d i k f dincreased risk for devDVT, but it can occur anyone

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anyone.

hrombosis (DVT)

rs:ateateufficiency

ay be at l iveloping

in almost

Cheng, MD VeinInstitute.com

Page 11: Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new cases ancer will beancer will be omen, as well as an ... Microsoft PowerPoint - womens

Age ApprAge ApprAssessmen

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ropriate Healthropriate Healthnts & Screenings

TELANGIECTASIASTELANGIECTASIAS are elongated, dilated, protuberant vesselsprotuberant vessels with incompetent or non-functioning valvesnon-functioning valves

Cheng, MD VeinInstitute.com

Page 12: Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new cases ancer will beancer will be omen, as well as an ... Microsoft PowerPoint - womens

Clinical Outc

Before

come at 1 year

After

Page 13: Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new cases ancer will beancer will be omen, as well as an ... Microsoft PowerPoint - womens

Clinical Outcom

Before

me at 1 year

After

Page 14: Age Appro priate Health Assessments & Screenings& … exams.pdf · SiiStatistics d 178,480 new cases ancer will beancer will be omen, as well as an ... Microsoft PowerPoint - womens

Age ApprAge ApprAssessmen

ropriate Healthropriate Healthnts & Screenings