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25 to 64 years

Leading Causes of Death

Malignant neoplasms.

Heart diseases.

Motor vehicle and other unintentional injuries.

Acquired immunodeficiency syndrome (AIDS).

Suicide and homicide.

Screening

Height and weight.
Blood Pressure.
Total serum cholesterol (males > 35 yr, females > 45 yr).
Papanicolaou test (Pap smear) - females who have been sexually active and have cervix: q < 3 yr.
Fecal occult blood test q 1 yr and/or sigmoidoscopy (> 50 yr).
Mammogram q 1-2 yr + clinical breast exam q 1 yr (females > 50 yr).
Assess for problem drinking and illicit drug use.

Immunizations

Tetanus-diphtheria (Td) boosters.
Rubella (women of childbearing age) - Serologic testing, documented vaccination history, and routine vaccination (preferably with MMR) are equally acceptable alternatives.

Chemoprophylaxis

Multivitamin with folic acid (women planning or capable of pregnancy).
Discuss hormone prophylaxis (perimenopausal and postmenopausal women).

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