@@smrutidesai811 Here are a few I saw. Hypertension screening: Adults 18 years or older without known hypertension Lung cancer screening: 50-80 years old who have a 20 pack-year history and currently smoke or quit within the past 15 years Prediabetes screening: 35-70 years old who are overweight or obese
March 2021 update Lung cancer screening: 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years
Hi Dirty, just wanna say you helped me pass my local boards, STEP 1, STEP 2, and now STEP 3. Thanks for all that you've done and have been doing for the community!
Awesome video 👏🏻👏🏻 Osteoporosis screening with a DEXA scan starts at age 65. onetime screen for hepatitis C is done in patients born between 1945 and 1965.
Hey, just wanted to say that this video was really great for some quick high yield Step 3 prep! Just took my test over the last two days, and the info in here was good for at least a handful of questions. Thank you for making these!
👏👏👏 If only 10% of RU-vid followers donate U$1 a month, Dirty could be in a good shape. Cmon everybody, U$1 doesn’t kill anyone and this guy is awesome. Every time I find a question in uWorld that reminds me of one of his videos I feel happy. Thanks Dirty for your awesome videos. Please keep making them. 🙏🏽
October 2021: aspirin for primary prevention of CVD is now a Grade C recommendation: "decision to initiate low-dose aspirin use for the primary prevention of CVD in adults ages 40 to 59 years who have a 10% or greater 10-year CVD risk should be an individual one. "
For the new CVD primary prevention guidelines updated in August 2022: for patients with any risk factor of CVD, starting at age 40 and a 10 year risk of cardiovascular event of 10% or greater, prescribe a STATIN. 40 (years old) + 10 (year risk/%) = 50 STATES (STATIN)
39:17 I was wondering for the fluoride, isn't it starting at 6 months oral supplement for fluoride deficient water supply rather than 6 years? Awesome stuff as always, this is clutch for FM shelf - thank you! edit: updated the time stamp
Great video! So helpful for the Family Medicine shelf. It may have just been updated since the video was created, but according to the USPSTF app, for lung cancer screening there is now a recommendation for age 50-80 and the criteria now says a 20 pack-year history and currently smoke or quit in past 15 years.
January 2024 update (not a new update but wanted to clarify): for lung cancer, The current recommendation is if you are 50 and older, have a 20 pack your history and currently smoke, you should have a CT done. However, if you have a 20 pack your history and it's been 15 years or more since you quit smoking, you don't need to be screened. For example, if you started smoking when you were 15 years old and then quit at 35, you don't need to be screened. But if you started smoking at 16 and quit when you were 36, you will need to be screened for one year
In ANY patient, man or woman, who presents with a CC of a breast lump, wouldn't an in-office clinical breast exam done by a physician or nurse practitioner be the VERY first thing a provider should perform before sending off to US or mammography, or, have office in-office clinical breast exams also gone out the window? (I went to school at a time (mid 1990s) when we urged female patients to asks their partner's to check their breasts in the shower once a month. I've stopped doing that!!).
No. Link: www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/aspirin-to-prevent-cardiovascular-disease-and-cancer To quote USPSTF: "This recommendation updates the 2009 USPSTF recommendation on aspirin use to prevent CVD events and the 2007 recommendation on aspirin and NSAID use to prevent CRC. To update these recommendations, the USPSTF reviewed 5 additional studies of aspirin for the primary prevention of CVD and several additional analyses of CRC follow-up data. The USPSTF also relied on reviews of all-cause mortality and total cancer incidence and mortality and a comprehensive review of harms. The USPSTF then used a microsimulation model to systematically estimate the balance of benefits and harms."
Per Dr. High Yield, African Americans are more likely to have angioedema from ACE inhibitors, giving a strong reason to avoid its use in this population
Recent update for lung cancer that I saw in the March 9, 2021 JAMA volume 325, number 10 -- instead of 30 pack-year smoking history, it's 20 pack-year smoking history. Not sure if the FM shelf will reflect that though!
It is very high yield for steps 2&3. I know someone who went through the test recently and said there was many questions regarding screening guidelines
OMG!!!!! You are the best. This USPSTF Recommendation has been a nightmare for me. But you made it so easy. I am actually taking my FNP board certification today and this has been a big help. Thanks so so much.
