By Robert B. Taylor MD
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E. Melanoma and other skin cancers. Patients with a history of skin cancer should have a complete skin exam annually. 24 with significant sun exposure and/or a prior history of sunburn(s) should also receive a complete skin exam periodically. 2. Screening for coronary artery disease and hypercholesterolemia. Blood pressure readings should be obtained at every office visit and at least once every 2 years. Total cholesterol should be measured periodically in men aged 35–65 and women aged 45–65; there is insufficient evidence to recommend for or against routine screening of younger men and women.
Smoke alarms should be installed and maintained in the home. Encourage parents not to keep a firearm in the home. If a gun is kept in the home, it should be stored unloaded and locked away, separately from ammunition. References 1. Rosner B, Prineas RJ, Loggie JMH, et al. Blood pressure nomograms for children and adolescents by height, sex, and age, in the United States. J Pediatrics 1993;123: 871–886. 2. CDC criteria for anemia in children and childbearing aged women. MMWR 1989; 8:400. 3. Report of the Expert Panel on Blood Cholesterol Levels in Children and Adolescents.
Chemoprophylaxis A. Definition. This important component of adult health maintenance, often underprescribed, involves the use of medications or supplements prospectively to prevent potential future diseases. Indications (benefits), risks of use and nonuse, dosage, precautions, and possible side effects of chemoprophylactic agents are basic issues for the family physician in helping patients decide whether or not to adopt a specific intervention as a health maintenance strategy. B. Recommended chemoprophylactic agents 1.
