Table 7. — Continued
Intervention
Recommendation
Comments
Colonoscopy
Perform at age 50
years and every 10
years thereafter in all
patients
More frequent testing is indicated in
patients with a history of adenomatous
polyps; testing at an earlier age may be
advised in patients with a strong family
history of colon cancer
Mammography
Perform annually
in all women age 50
years or older
Some authorities advise initiation of
screening starting at age of 40 based on
an individual risk/benefit assessment
Cervical Pap smear
Perform annually
in all women after
two normal Pap
tests documented
during the first year
following HIV
diagnosis
More frequent testing is indicated in
women with a history of ASCUS or
cervical dysplasia
Bone densitometry
Perform
baseline exam in
postmenopausal
women age 65
years or older
and in younger
postmenopausal
women with 1
or more other
risk factor(s) for
premature bone
loss; consider in
persons age 50 years
or older, especially if
they have 1 or more
risk factor(s) for
premature bone loss
Detection of premature bone loss
requires periodic monitoring thereafter;
risk factors for premature bone
loss include white race, small body
habitus, sedentary lifestyle, cigarette
smoking, alcoholism, phenytoin
therapy, corticosteroid therapy,
hyperparathyroidism,
vitamin D deficiency, thyroid disease,
and hypogonadism
Abdominal
ultrasonography
Perform once in men
age 65 to 75 who
have ever smoked
Screening test for abdominal aortic
aneurysm
Patient education
Address regularly in
all patients
Issues may include sexual behavior
and drug counseling, dietary teaching,
weight reduction, smoking cessation,
and seat belt use.
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