@@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
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
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
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!
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.
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!
👏👏👏 If only 10% of TH-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. 🙏🏽
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. "
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
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)
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.
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
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!!).
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."
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
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!
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.
FYI: Some of the guidelines have changed since I originally posted this video.
What is the recommendation for frequency of HTN screening for patients older than 40 without risk factors?
could you do an update please?
Does anyone have a list of which guidelines have changed since this video was originally posted?
@@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
@@sydneygochenauer942 I also noticed that the CVD-Aspirin guidelines are now case-by-case and the colon cancer screen ideally starts at 45 now.
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
Just an FYI that I believe the USPSTF 2021 update changed the recommendation for colon cancer to start at 45 years old!
Yeah they changed from 50yr to 45yr
B recommendation for screening average risk 45-49. A recommendation for 50-75 just FYI!
@@TheMonsterproto but you still answer 45 on the exam.
Thanks❤
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!!!
just waana correct you now current guidelines are colon cancer screen starting age 45 and lung cancer screening age 50 to 80
Lmaoooooo….the ace memory device I will never forget….my 2 favorite Aces
biennial breast cancer screening 40-74
please continue with the STEP 2 videos
We want to make...PFT high yield video also
YES!! Learning about this in my unit in PA school right now, right on time lmaoo!!
Is this important for the steps, I guess not>> Skip
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
No longer on twitter ?
Nope
@@DirtyMedicine :(
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!
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.
Yay more step 2 type videos like this plz
do we need to know these for step 1 ??
@@inspiringvideosmsm5763 no
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!
Congrats on being done!
we neeeeeeeeed a video like this for the vaccines recomendations!!!!!
God bless you !
👏👏👏
If only 10% of TH-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. 🙏🏽
That's really true, I plan to donate to Dirty from my first residency paycheck.
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. "
you've gotten through step 1 and step 2. Now I'm back for step 3! thanks man for your hardwork
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!
3rd pass?! Who are you..
A developing country star
3rd pass? No way
The exception to getting pap smear (cytology) younger than 21 is if patient has HIV
This is amazing!! Could you do an updated one?? 🙏🏽🙏🏽🙏🏽🙏🏽🙏🏽
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
it should be 6 MONTHS
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)
What a coincidence, I'm on family med right now. Great timing
Me too
just watched this minutes before my quarantine shelf exam, ily
S in Sigmoidoscopy looks like a 5.
I will definitely donate, and I urge others to do the same. Great resources, not only for exams, but for ongoing practice. 👌👍😁.
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.
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
CT colography not angiography!
Thank you so much for your efforts!!
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!!).
prescribe oral fluoride supplementation starting at age 6 MONTHS for children whose water supply is deficient in fluoride.
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.
wow, I finally understand all this! thank you thank you dirty
Seen many of your videos, and you are the King of Mnemonics.
وربي انك المحزم المليان
?
Didn't the aspirin guidelines change recently? As in a few months ago, to show that the bleeding risk outweighs the risk disease prevention?
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."
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.
Thank you! Please make more clinical videos c: Miss watching your videos for step 1.
Yesss! "Casino" is the shit!
huge fan dirty
@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
Breast cancer is now 40-74 every other year
Ily
I thought you need 3 Different readings for htn diagnosis and drugs
Is this still relavent in 2023?
This shit helps for abim too.. Thanks 🙂
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
Thanks for the video
Hi there, thank you for this video. Just a quick question when you said cervical cancer should not be screened in patient
yes
Screenings start at 21.
Thank youuuu! Helps with CK alooot! Need mooree. ♥️💯
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!
Good update! For Shelf, very certain it won't since it takes time for them to write and update their questions.
Can u please make more videos on obs n gynae
Super good 😌 💯 !!!!
This was really good
Great video. Thank you!
18:00 Colon Ca
Thanks for your videos, any chance you can do a video on all the bleeding problems associated in Gynecology
Are we supposed to know these stuff for step 1?
step2 and beyond
Thank you!
41:00
is this for step 1 ??
anybody answer please
@@inspiringvideosmsm5763 this is mostly for step 2 and the family Med clerkship, where the questions surround next step/treatment/screening.
any plans of transitioning to step2 relevant material in the near future?
this video was awesome!
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.
Thank you so much for the video.