40 to 64 Years of Age

Age: 40-64 years

Frequency of Visits:
1 visit every 1-3 years

Examination to Include:

• Interval history, weight, blood pressure
• Testicular exam or Breast exam
• Rectal exam, fecal occult blood
• Serum Cholesterol/HDL - once every 5 years
• Pap Smear - once every 1- 3 years
• Mammography - once every 1-2 years until age 50, then annually
• Baseline EKG - once at 40-64 years
• Colonoscopy - once at 50-55 years, then every 3-5 years
• Bone Density every 2 years over age 55 for females

Immunizations & Counseling:

• Tetanus-diphtheria (Td) booster: once every 10 years
• Varicella (2 doses) - if no history of chicken pox nor previous immunization
• Breast self-examination: teach to perform
• Testicular self-examination: teach to perform
• Alcohol, Tobacco, Substance Abuse: identify risk & counsel
• Sexually Transmitted Diseases: identify risk & counsel