USPSTF Screening Recommendations

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  • Опубліковано 28 лип 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.

КОМЕНТАРІ • 97

  • @DirtyMedicine
    @DirtyMedicine  2 роки тому +73

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

    • @kendallbaecher2360
      @kendallbaecher2360 2 роки тому +1

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

    • @idan1028
      @idan1028 Рік тому +15

      could you do an update please?

    • @smrutidesai811
      @smrutidesai811 Рік тому +7

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

    • @sydneygochenauer942
      @sydneygochenauer942 Рік тому +15

      @@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 11 місяців тому +3

      ​@@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 3 роки тому +104

    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 2 роки тому +217

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

  • @maymayansay
    @maymayansay 2 роки тому +35

    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 4 роки тому +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.

  • @victorial8895
    @victorial8895 4 роки тому +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 3 роки тому +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!

  • @karineeskandar1352
    @karineeskandar1352 4 роки тому +85

    👏👏👏
    If only 10% of UA-cam 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 Рік тому +1

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

  • @Itried20takennames
    @Itried20takennames 4 роки тому +2

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

  • @abhiganguly2014
    @abhiganguly2014 2 роки тому +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. "

  • @rachelmccann3045
    @rachelmccann3045 3 роки тому +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.

  • @abdelrahmanaltarazi4013
    @abdelrahmanaltarazi4013 4 роки тому +35

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

  • @SS8styles
    @SS8styles 4 роки тому +6

    just watched this minutes before my quarantine shelf exam, ily

  • @suomynonaanonymous
    @suomynonaanonymous 4 роки тому +92

    Yay more step 2 type videos like this plz

  • @annaitaman
    @annaitaman 4 роки тому +11

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

  • @Beyeholy7
    @Beyeholy7 Рік тому +5

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

  • @mastersonhigh1117
    @mastersonhigh1117 Місяць тому

    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.

  • @irinakanzafarova2346
    @irinakanzafarova2346 4 роки тому

    Great video. Thank you!

  • @Moayadsakaan
    @Moayadsakaan 4 роки тому +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!

  • @doomsdayknight2229
    @doomsdayknight2229 3 роки тому

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

  • @teaismyatp
    @teaismyatp 4 роки тому +5

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

  • @WatchingWhereUWalk
    @WatchingWhereUWalk 4 роки тому +9

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

  • @danknetter3881
    @danknetter3881 4 роки тому +25

    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 3 роки тому

    @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

  • @devinyoung5735
    @devinyoung5735 6 місяців тому +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

  • @joshua_hansen
    @joshua_hansen Рік тому +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.

  • @jessicapollow2171
    @jessicapollow2171 Рік тому +1

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

  • @TheOmgsh247
    @TheOmgsh247 3 місяці тому +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)

  • @bluejay8836
    @bluejay8836 11 місяців тому +3

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

  • @LERJizz
    @LERJizz 3 роки тому +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!!!

  • @nader11389
    @nader11389 2 роки тому +2

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

  • @cindyma3641
    @cindyma3641 3 роки тому

    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 3 роки тому +2

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

  • @youssefrabiea3900
    @youssefrabiea3900 Рік тому

    Thanks for the video

  • @obviouslyyug
    @obviouslyyug 4 роки тому +2

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

  • @user-ks8fk6ns4i
    @user-ks8fk6ns4i 4 роки тому +1

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

  • @sarasims2207
    @sarasims2207 3 роки тому +1

    please continue with the STEP 2 videos

  • @anthonydavid5121
    @anthonydavid5121 Рік тому +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!!).

  • @SlapShotRegatta22
    @SlapShotRegatta22 4 роки тому +1

    Yesss! "Casino" is the shit!

  • @maazarif8903
    @maazarif8903 4 роки тому +1

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

  • @romagoklani1388
    @romagoklani1388 2 роки тому +2

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

  • @annaitaman
    @annaitaman 4 роки тому +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.

  • @drbwhit
    @drbwhit 2 роки тому

    This was really good

  • @eyybby1
    @eyybby1 3 роки тому +1

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

  • @anonmeatcheesebun
    @anonmeatcheesebun 4 роки тому +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  4 роки тому +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."

  • @eriktatos
    @eriktatos 2 роки тому

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

  • @SaryDr.G
    @SaryDr.G 3 роки тому

    Super good 😌 💯 !!!!

  • @Natasha-fr1zl
    @Natasha-fr1zl 3 роки тому +1

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

  • @seamericano
    @seamericano 2 роки тому +4

    S in Sigmoidoscopy looks like a 5.

  • @mattiashartmann4203
    @mattiashartmann4203 4 роки тому

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

  • @uzmabukhari4718
    @uzmabukhari4718 4 роки тому

    Can u please make more videos on obs n gynae

  • @renad2971
    @renad2971 3 роки тому +2

    وربي انك المحزم المليان

  • @nottellingyou14
    @nottellingyou14 2 роки тому

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

  • @vivianconcepcion2488
    @vivianconcepcion2488 2 місяці тому

    biennial breast cancer screening 40-74

  • @umbishdino6682
    @umbishdino6682 Рік тому

    huge fan dirty

  • @Thedreamer579
    @Thedreamer579 2 роки тому

    Thank you so much for the video.

  • @neeldoshi8419
    @neeldoshi8419 9 місяців тому

    Is this still relavent in 2023?

  • @nieznanyx
    @nieznanyx 3 роки тому

    This shit helps for abim too.. Thanks 🙂

  • @arslan626
    @arslan626 4 роки тому

    41:00

  • @danidani111
    @danidani111 3 роки тому +1

    Ily

  • @camerondodge8939
    @camerondodge8939 2 роки тому +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

  • @lansoncolaco9033
    @lansoncolaco9033 4 роки тому

    18:00 Colon Ca

  • @muniramalik313
    @muniramalik313 26 днів тому

    Breast cancer is now 40-74 every other year

  • @ayabaheijista9292
    @ayabaheijista9292 2 роки тому

    Are we supposed to know these stuff for step 1?

  • @tabishrehman
    @tabishrehman 4 роки тому

    No longer on twitter ?

  • @inspiringvideosmsm5763
    @inspiringvideosmsm5763 2 роки тому

    is this for step 1 ??

    • @inspiringvideosmsm5763
      @inspiringvideosmsm5763 2 роки тому

      anybody answer please

    • @amanda-7
      @amanda-7 2 роки тому

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

  • @victorokoye3218
    @victorokoye3218 9 місяців тому

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

    • @KenadamsGgWp
      @KenadamsGgWp 5 місяців тому

      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