Age 21-30 years: Annual history and physical,
breast exam and pap smear, pelvic examination on females,
weight and blood pressure. Cholesterol every fifth year,
VDRL every five years, tuberculin skin test every 5-10
years, rectal exam and stool for occult blood times one
during this period, annual Hct. and and UA, and glaucoma
screen. Counseling in regard to health maintenance, instruction
regarding self breast examination, and prescription for
wellness management.
Age 30-40 years: Annual screening history and
physical examination, breast, pelvic and pap exam, rectal
examination with stool for occult blood, possibly establish
baseline profile with EKG and chest x-ray. Cholesterol
every fifth year. Tuberculin skin test every 10 years.
Consider urinalysis and Hct. annually. Should also consider
a baseline mammogram at age 35.
Age 40-above: Annual physical examination, breast
mammogram's every 1-2 years until age 50 then annually,
pap smear, stool for occult blood annually, height and
weight annually, cholesterol every fifth year, Hct. and
UA annually (optional). Consider flexible sigmoidoscopy
every 4-5 years after age 50. Td every 5-10 years. Other
exams that one may desire on a periodic basis are T4,
lipid profile, chest x-ray, EKG every 3-5 years, and periodic
CBC's. One should consider a glaucoma screen every two
years and annually at age 55. Males age 50 and above should
consider a PSA. May consider VDRL every 5 years.
