Purpose of the PHE
- primary prevention
- identifying risk factors for common diseases
- promotion of healthy behaviour
- secondary prevention
- early disease detection to allow early treatment and prevent progression
- update patient's clinical data
- fostering the patient-physician relationship
The College of Family Practitioners of Canada provides up to date evidence based PHE checklist forms
Periodic Health Exam
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General Population
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Special Populations
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| Discussion
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- dental hygiene
- noise control and hearing protection
- smoking cessation, nicotine replacement therapy
- dietary advice on leafy green vegetables and fruits
- seat belt use
- injury prevention
- moderate physical activity
- sun exposure
- problem drinking screening/counselling
- STD counselling
- nutritional counselling
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Pediatrics:
- home visits for high risk families
- developmental milestones
Adolescents:
- sexual activity and contraception
- smoking prevention
Perimenopausal women:
- osteoporosis/risks and benefits of HRT
Adults > 65
- cognitive impairment
- fall assessments
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| Physical
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- breast exam
- blood pressure
- BMI measurements
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Pediatrics
- exam of hips, eyes and hearing
- serial heights, weights and head circumference
- visual acuity testing
Adults > 65
- visual acuity testing
- audio testing
First degree relative with melanoma
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| Tests
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- Hemoccult test
- Sigmoidoscopy
- mammogram (50-69) and pap smear (18-69)
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Pediatrics
- routine hemoglobin
- blood lead screening
Diabetetics
- urine dipstick
- fundoscopy
TB high risk groups
STD High risk groups
- HIV antibody screening
- gonorrhea screen
- chlamydia screen
Familial Adenomatous Polyposis
- sigmoidoscopy and genetic testing
HNPCC
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| Therapy
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- folic acid supplementation in women of child bearing age
- varicella vaccine children 1-12 and immunocompromised
- rubella vaccine for non-pregnant women
- pharmacologic treatment of hypertension with DBP > 90 mmHG
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Pediatrics
- routine immunizations
- hepatitis B immunization
Influenza high risk groups
- outreach stragetgies for vaccination
- amantadine prophylaxis for those exposed to index case
- annual immunization
TB high risk groups:
- INH prophylaxis for household contacts
- INH prophylaxis for high risk sub-groups
Immunocompetent institutionalized > 55
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