USPSTF Screening Recommendations

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  • čas přidán 1. 07. 2024
  • ​​SUPPORT/JOIN THE CHANNEL: / @dirtymedicine
    My goal is to reduce educational disparities by making education FREE.
    These videos help you score extra points on medical school exams (USMLE, COMLEX, etc.)
    For educational purposes only; NOT medical or other advice.
    Some videos contain mild profanity and hyperbole solely used to assist with memorization. Viewer discretion advised.
    Opinions are entirely my own.

Komentáře • 96

  • @DirtyMedicine
    @DirtyMedicine  Před 2 lety +71

    FYI: Some of the guidelines have changed since I originally posted this video.

    • @kendallbaecher2360
      @kendallbaecher2360 Před rokem +1

      What is the recommendation for frequency of HTN screening for patients older than 40 without risk factors?

    • @idan1028
      @idan1028 Před rokem +14

      could you do an update please?

    • @smrutidesai811
      @smrutidesai811 Před rokem +7

      Does anyone have a list of which guidelines have changed since this video was originally posted?

    • @sydneygochenauer942
      @sydneygochenauer942 Před rokem +14

      @@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

    • @joshlum1807
      @joshlum1807 Před 10 měsíci +2

      ​@@sydneygochenauer942 I also noticed that the CVD-Aspirin guidelines are now case-by-case and the colon cancer screen ideally starts at 45 now.

  • @eyybby1
    @eyybby1 Před 3 lety +102

    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

  • @jaznazify
    @jaznazify Před 2 lety +212

    Just an FYI that I believe the USPSTF 2021 update changed the recommendation for colon cancer to start at 45 years old!

  • @maymayansay
    @maymayansay Před rokem +34

    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!

  • @dradunyaimad
    @dradunyaimad Před 4 lety +47

    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.

  • @karineeskandar1352
    @karineeskandar1352 Před 4 lety +85

    👏👏👏
    If only 10% of CZcams 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. 🙏🏽

    • @vaibhavmjain1997
      @vaibhavmjain1997 Před rokem +1

      That's really true, I plan to donate to Dirty from my first residency paycheck.

  • @victorial8895
    @victorial8895 Před 4 lety +17

    you've gotten through step 1 and step 2. Now I'm back for step 3! thanks man for your hardwork

  • @DoctorJohn_MD
    @DoctorJohn_MD Před 3 lety +36

    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!

  • @abhiganguly2014
    @abhiganguly2014 Před 2 lety +8

    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. "

  • @abdelrahmanaltarazi4013
    @abdelrahmanaltarazi4013 Před 4 lety +35

    we neeeeeeeeed a video like this for the vaccines recomendations!!!!!
    God bless you !

  • @Itried20takennames
    @Itried20takennames Před 4 lety +2

    Seen many of your videos, and you are the King of Mnemonics.

  • @rachelmccann3045
    @rachelmccann3045 Před 3 lety +24

    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.

  • @SS8styles
    @SS8styles Před 4 lety +6

    just watched this minutes before my quarantine shelf exam, ily

  • @suomynonaanonymous
    @suomynonaanonymous Před 4 lety +92

    Yay more step 2 type videos like this plz

  • @mastersonhigh1117
    @mastersonhigh1117 Před 14 dny

    I just took a comsae and this was all over it! Very glad you covered this, couldn’t really find it clearly stated anywhere in first aid.

  • @annaitaman
    @annaitaman Před 4 lety +11

    I will definitely donate, and I urge others to do the same. Great resources, not only for exams, but for ongoing practice. 👌👍😁.

  • @TheOmgsh247
    @TheOmgsh247 Před 2 měsíci +1

    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)

  • @Beyeholy7
    @Beyeholy7 Před rokem +5

    This is amazing!! Could you do an updated one?? 🙏🏽🙏🏽🙏🏽🙏🏽🙏🏽

  • @devinyoung5735
    @devinyoung5735 Před 5 měsíci +1

    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

  • @irinakanzafarova2346
    @irinakanzafarova2346 Před 4 lety

    Great video. Thank you!

  • @ZaSsRio
    @ZaSsRio Před 4 lety +30

    I vouch for this video
    I finish 3rd pass on uworld step2ck
    And this is the same exact information
    This is soo high yield
    U r a god!

  • @bluejay8836
    @bluejay8836 Před 10 měsíci +3

    The exception to getting pap smear (cytology) younger than 21 is if patient has HIV

  • @jessicapollow2171
    @jessicapollow2171 Před rokem +1

    wow, I finally understand all this! thank you thank you dirty

  • @doomsdayknight2229
    @doomsdayknight2229 Před 3 lety

    Thank youuuu! Helps with CK alooot! Need mooree. ♥️💯

  • @WatchingWhereUWalk
    @WatchingWhereUWalk Před 4 lety +9

    What a coincidence, I'm on family med right now. Great timing

  • @danknetter3881
    @danknetter3881 Před 4 lety +24

    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

  • @drsandipchaudhari8636
    @drsandipchaudhari8636 Před 3 lety

    @20.10 family history of colon cancer--relative with a history of colon cancer before the age of 60years..rest of the video very good,informative

  • @joshua_hansen
    @joshua_hansen Před rokem +1

    I remember the ocular topical in newborns by the phrase "eyes and thighs" since you also usually see them get a vit. k shot in the thigh as well.

  • @LERJizz
    @LERJizz Před 3 lety +1

    30:12 segment is the best and so accurate. After I heard the narrator talk about PSA I had to do a double take! LMFAO!!!

  • @youssefrabiea3900
    @youssefrabiea3900 Před rokem

    Thanks for the video

  • @teaismyatp
    @teaismyatp Před 4 lety +5

    Thank you! Please make more clinical videos c: Miss watching your videos for step 1.

  • @SlapShotRegatta22
    @SlapShotRegatta22 Před 4 lety +1

    Yesss! "Casino" is the shit!

  • @nader11389
    @nader11389 Před 2 lety +2

    CT colography not angiography!
    Thank you so much for your efforts!!

  • @user-ks8fk6ns4i
    @user-ks8fk6ns4i Před 4 lety +1

    We want to make...PFT high yield video also

  • @obviouslyyug
    @obviouslyyug Před 4 lety +2

    Thanks for your videos, any chance you can do a video on all the bleeding problems associated in Gynecology

  • @sarasims2207
    @sarasims2207 Před 3 lety +1

    please continue with the STEP 2 videos

  • @maazarif8903
    @maazarif8903 Před 4 lety +1

    any plans of transitioning to step2 relevant material in the near future?
    this video was awesome!

  • @cindyma3641
    @cindyma3641 Před 3 lety

    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!

    • @guateholla6879
      @guateholla6879 Před 3 lety +2

      Good update! For Shelf, very certain it won't since it takes time for them to write and update their questions.

  • @drbwhit
    @drbwhit Před 2 lety

    This was really good

  • @annaitaman
    @annaitaman Před 4 lety +5

    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.

  • @eriktatos
    @eriktatos Před rokem

    Lmaoooooo….the ace memory device I will never forget….my 2 favorite Aces

  • @SaryDr.G
    @SaryDr.G Před 3 lety

    Super good 😌 💯 !!!!

  • @renad2971
    @renad2971 Před 3 lety +2

    وربي انك المحزم المليان

  • @eyybby1
    @eyybby1 Před 3 lety +1

    prescribe oral fluoride supplementation starting at age 6 MONTHS for children whose water supply is deficient in fluoride.

  • @Natasha-fr1zl
    @Natasha-fr1zl Před 3 lety +1

    Hi there, thank you for this video. Just a quick question when you said cervical cancer should not be screened in patient

  • @anonmeatcheesebun
    @anonmeatcheesebun Před 4 lety +1

    Didn't the aspirin guidelines change recently? As in a few months ago, to show that the bleeding risk outweighs the risk disease prevention?

    • @DirtyMedicine
      @DirtyMedicine  Před 4 lety +1

      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."

  • @camerondodge8939
    @camerondodge8939 Před 2 lety +6

    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

  • @vivianconcepcion2488
    @vivianconcepcion2488 Před měsícem

    biennial breast cancer screening 40-74

  • @romagoklani1388
    @romagoklani1388 Před 2 lety +2

    just waana correct you now current guidelines are colon cancer screen starting age 45 and lung cancer screening age 50 to 80

  • @anthonydavid5121
    @anthonydavid5121 Před rokem +1

    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!!).

  • @uzmabukhari4718
    @uzmabukhari4718 Před 4 lety

    Can u please make more videos on obs n gynae

  • @Thedreamer579
    @Thedreamer579 Před rokem

    Thank you so much for the video.

  • @seamericano
    @seamericano Před 2 lety +4

    S in Sigmoidoscopy looks like a 5.

  • @mattiashartmann4203
    @mattiashartmann4203 Před 4 lety

    YES!! Learning about this in my unit in PA school right now, right on time lmaoo!!

  • @danidani111
    @danidani111 Před 2 lety +1

    Ily

  • @nieznanyx
    @nieznanyx Před 3 lety

    This shit helps for abim too.. Thanks 🙂

  • @umbishdino6682
    @umbishdino6682 Před rokem

    huge fan dirty

  • @arslan626
    @arslan626 Před 4 lety

    41:00

  • @neeldoshi8419
    @neeldoshi8419 Před 8 měsíci

    Is this still relavent in 2023?

  • @nottellingyou14
    @nottellingyou14 Před 2 lety

    I thought you need 3 Different readings for htn diagnosis and drugs

  • @lansoncolaco9033
    @lansoncolaco9033 Před 4 lety

    18:00 Colon Ca

  • @ayabaheijista9292
    @ayabaheijista9292 Před 2 lety

    Are we supposed to know these stuff for step 1?

  • @tabishrehman
    @tabishrehman Před 4 lety

    No longer on twitter ?

  • @inspiringvideosmsm5763

    is this for step 1 ??

    • @inspiringvideosmsm5763
      @inspiringvideosmsm5763 Před 2 lety

      anybody answer please

    • @amanda-7
      @amanda-7 Před 2 lety

      @@inspiringvideosmsm5763 this is mostly for step 2 and the family Med clerkship, where the questions surround next step/treatment/screening.

  • @victorokoye3218
    @victorokoye3218 Před 8 měsíci

    Is this important for the steps, I guess not>> Skip

    • @KenadamsGgWp
      @KenadamsGgWp Před 4 měsíci

      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