Cancer Screening and Vaccinations (HCM)

Cancer Screening Cervical: Age 21-65 Cytology q3yrs, co-test q5 if normal. ASCCP guidelines (there is an app! Or PDF: http://www.asccp.org/Assets/51b17a58-7af9-4667-879a-3ff48472d6dc/635912165077730000/asccp-management-guidelines-august-2014-pdf ) Breast: ACOG: 40-75 annual mammogram Colon: Colonoscopy, FOBT, FIT. Begin at age 50. If first degree relative with colon cancer begin screening at age 40 or 10yrs prior to youngest diagnosis, whichever is younger. Lung: 55-80 with 30pack-year hx, annual low-dose CT Vaccinations HPV: 3 dose series age 12-26 Influenza: annual Pneumovax: 1 dose and 1 booster any age if risk factors. After age 65 if no risk factors Shingles: 2 dose age 50+ Hep B: initial vaccination in youth, vaccination for anyone non-immune MMR: if not immune Varicella: if not immune Tdap: Booster at 10yrs, new parents