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