A Guide to Health Counseling (11)

Health Counseling 11  A Guide to Health Counseling (11)Colorectal Cancer Screening—A fecal occult blood test (FOBT), or sigmoidoscopy, dual contrast barium enema, or colonoscopy at age 50 or per the recommendation of a physician based on family history or physical findings.

Pediatrics Preschool Children (under the age of 5 years)—Children under the age of 5 should be referred to an ophthalmologist if they are found to have signs of the following: Amblyopia—The condition of having a “lazy eye” that does not see as well as the other.

Over time, if uncorrected, the eye will develop poor vision and usually will result in a “crossed eye.” Strabismus—the condition of having one eye that cannot focus with the other on an object because of an imbalance of the eye muscles.

Over time, it will result in a “crossed eye.” Defects in Visual Acuity—Poor vision for any other reason. Psychiatry Depression—the recommendation is for a physician evaluation that should be completed so that an accurate diagnosis, effective treatment, and good follow-up can be accomplished.

Endocrinology Hypothyroidism—congenital hypothyroidism should be screened at birth in every child. Adult Onset Diabetes Mellitus—Type II Diabetes Mellitus patients should be screened for either high blood pressure (hypertension) or the presence of high blood lipids (hyperlipidemia). Obesity—All adults should be checked for a body mass index greater than 30 kilograms.

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