====== Preventative Medicine ======

==== Lung Cancer ====

  * Patients who are:
    * Age 55-80
    * 30 pack-year smoking history
    * current smoking or quit in last 15 years
  * Annual LDCT until quit for 15 years or new health condition significantly reducing life expectancy/treatment options
  * [[https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/lung-cancer-screening|Grade B, updated 2013]]
   
==== Aspirin for primary prevention of CVD/CRC ====
  * Recommended for patients (Grade B):
    * Aged 50-59
    * ASCVD 10-year risk >= 10%
    * Not increased risk for bleeding
    * Life expectancy 10+ years
    * Willing to take for 10+ years
  * Recommended for patients (Grade C):
    * Aged 60-69
    * ASCVD 10-year risk >= 10%
    * Not increased risk for bleeding
    * Life expectancy 10+ years
    * Willing to take for 10+ years
  * Insufficient evidence for patients under 50 and over 70
  * [[https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/aspirin-to-prevent-cardiovascular-disease-and-cancer|Updated 2016]]
  
===== Bacteruria =====
  * Asymptomatic pregnant women
  
===== Blood pressure =====
  * Adults 18+
  
===== Breast cancer =====
  * Women with:
    * a personal or family history:
      * breast
      * ovarian
      * tubal, or
      * peritoneal cancer
    * Women who have an ancestry associated with breast cancer susceptibility 1 and 2 (BRCA1/2) gene mutations
    should screen with appropriate brief familial risk assessment tool; if positive, receive genetic counseling and possibly tests (Grade B, August 2019)