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Institution NR 511 Differential Diagnosis and Primary Care Practicum
Contributor Jeniffer

Preventative care and screenings are imperative to primary practice. My current clinical practicum setting is a family practice office, that sees all ages. The office typically sees a large population of middle-aged women. Two identified screenings for this population are screening for breast cancer and screening for cervical cancer. The screening modality utilized for breast cancer is the mammogram. As breast cancer is the second-leading cancer death among women and most frequently diagnosed in women 55 to 64, the United States Preventative Services Task Force (USPSTF) recommends biennial mammogram screening for all women 50 to 74 years of age. Based on results further diagnostic testing may be ordered, or a mammogram may need to be repeated in one year instead of two. Additionally, if a patient has a first degree relative with the disease, testing may be started earlier than 50 years old (USPSTF, 2019). Another screening for middle-aged women is the screening for cervical cancer via pap smear. The USPSTF recommends for women 30-65 years of age to screen every 3 years with cervical cytology, every 5 years with high-risk human papillomavirus or every 5 years with high-risk human papillomavirus in combination with cytology. This age group has been identified due to the risk of cervical cancer associated with sexual intercourse and exposure to HPV (USPSTF, 2019). It can be noted that the USPSTF recommends this screening beginning at 21 years old; however, I am focusing on the middle-aged women population......... Continue

 

 

Instituition / Term
Term Uploaded 2023
Institution NR 511 Differential Diagnosis and Primary Care Practicum
Contributor Jeniffer
 

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