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Doctor insights on: First Screening

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When should men have their first screening colonoscopy?

When should men have their first screening colonoscopy?

50: You should have it around 50 y/o unless you have a family history of colon cancer then it should be earlier. ...Read more

Dr. Lois Freisleben-Cook
1 Doctor shared a insight

Screening (Definition)

Examples are: colonoscopy for colon polyp or cancer; mammograms for breast lesions or cancer; psa a blood test that could indicate enlargement of cancerous prostate tissue; blood sugar or hemoglobin a! c for diabetes. Many think that scanning the whole body will pick up a cancer--in all likelihood, it will not. There also is no good blood test, yet, ...Read more


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Need help with diagnosis: autoimmune condition, what test panels are best for first screening?

Need help with diagnosis: autoimmune condition, what test panels are best for first screening?

Which condition?: Different autoimmune diseases have different work-up protocols. This would depend entirely on what is being considered in your case. More information, please. Thanks. ...Read more

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What to do if I forgot to schedule my first prenatal screening for down syndrome?

What to do if I forgot to schedule my first prenatal screening for down syndrome?

Depends: If the outcome is important to you schedule it now. If not, you are accepting the level of information women had in the 1960's. ...Read more

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I forgot to schedule my first prenatal screening for down syndrome, should I be concerned?

Some skip it: The information is available to you and for your peace of mind. Some don't care to know and avoid it. I find it helpful to most in doing life planning. ...Read more

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What is a first trimester screening for a fetus?

What is a first trimester screening for a fetus?

Blood and U/S tests.: First trimester screen for any pregnancy includes a sonographic examination to determine plurality, basic fetal anatomy, gestational sac location, fetal viability and gestational dates - as well as blood tests (hcg, papp-a, maternit21/harmony tests) to determine the risk for down syndrome, fetal growth restriction, preeclampsia (uterine artery dopplers), preterm birth (cervical length). Nicolaides. ...Read more

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What is first trimester screening and maternal fetal medicine?

What is first trimester screening and maternal fetal medicine?

Ob terms: 1st trimester screening are any tests done during a pregnancy during the first 12-14 weeks of pregnancy. This can include ultrasounds. Blood tests and others.

Maternal fetal medicine is a subspecialty of obstetrics. It's also often called "perinatology". These are obstetricians who go on to do additional training in the management of high risk pregnancies. ...Read more

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Should I be worried if soft markers were found in anatomy scan when harmony, AFP and first trimester screening were very low risk?

I'm sure it's hard: Not to worry till your OB can gather enough additional information to confirm or rule out a problem. However, it also assures you that you & your baby are receiving excellent medical care & that all needed tests &/or referrals will be offered to you in a timely fashion. Try to stay positive & healthy. You may not have. Been able to process everything your OB said at first, so ask him/her again. ...Read more

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Already had harmony test, afp, first trimester screening and they were all very low what might a dr suggest if soft markers are found on anatomy scan?

Already had harmony test, afp, first trimester screening and they were all very low what might a dr suggest if soft markers are found on anatomy scan?

Reassurance!: If all that's found is a soft marker, and your screening and cell free dna results are normal, the most likely answer is that the soft marker is a normal variant. However if there is a finding consistent with a birth defect, that might merit further investigation, such as diagnostic testing within amniocentesis. ...Read more

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I had a normal first trimester screening and harmony prenatal test. Is an AFP blood test necessary? Can it come back high risk?

I had a normal first trimester screening and harmony prenatal test. Is an AFP blood test necessary? Can it come back high risk?

The msAFP is: To assess the risk of open neural tube defects i.e. Spina bifida, which is not tested by harmony or the first trimester screen. It is up to you if you would like to be screened for ntds. Keep in mind that, if detected, these defects can be repaired by a skilled pediatric neurosurgeon while the baby is still inside you. Speak to your obgyn and make an informed decision. Hope this helps. ...Read more

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If 61 yr m had a -ve whole body pet+ct done for renal mets 1 yr ago, how long we can postpone colonoscopy (first time)screening for colon cancer?

If 61 yr m had a -ve whole body pet+ct done for renal mets 1 yr ago, how long we can postpone colonoscopy (first time)screening for colon cancer?

Let me be: Sure I understand. She had a renal cancer removed, and that was more than a year ago, and pet showed no metastasis. She is asymptomatic and feeling well? There are advisories that colonoscopy should be done once each decade after 50. She would seem eligible for that, but there is no rush. ...Read more

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Hello, my mom, 69, was recently diagnosed with idc and was told it is stage 3. She has had mamograms every year and has been diligent about her health screenings. Is stage 3 advnaced and if so how can this be if this is the first time anything has eve

Hello, my mom, 69, was recently diagnosed with idc and was told it is stage 3. She has had mamograms every year and has been diligent about her health screenings. Is stage 3 advnaced and if so how can this be if this is the first time anything has eve

Idc: Stage 3 is not a very early stage, with significant involvement of the lymph nodes plus the size of the cancer. Depending on the biology of the cancer, a very agressive ca can grow very fast within short period of time. Also, mammo is not a perfect test. Its sensitivity and specificity are even lower when used in a dense breast. Combination of those two can explain a case like your mom, s. ...Read more

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Are clinical breast exams effective screening tools in women under 40 with no first degree family history?

Are clinical breast exams effective screening tools in women under 40 with no first degree family history?

Not very good.: No, they aren't that good.
Exams have a low pick up rate compared to radiological AND the clinical ones are generally done very infrequently AND the overall risk is so very low....

so. 40-45, CBE has some advantages over radiological and the two together are best.
http://www. Ncbi. Nlm. Nih. Gov/pubmed/9709288
under 40... ONE or a FEW CBE to learn self-exam techniques, otherwise not so much
...Read more

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How rare is breast cancer in women under 40 with no first degree relatives having it? What screening method is recommended for them?

How rare is breast cancer in women under 40 with no first degree relatives having it? What screening method is recommended for them?

It is not rare: Breast cancer does occur in significant numbers under the age of 40 years. That is why annual mammography is recommended for all women starting at the age 40 years. You should also do breast self examination once monthly so that you will get to know what the normal feel is like so you would be able to detect any change in the future. ...Read more

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I have to get the second dose of the chicken pox vaccine and a tuberculosis screening. Which one should I do first.

I have to get the second dose of the chicken pox vaccine and a tuberculosis screening. Which one should I do first.

Tb screening: Tb screening should be done first. If there's any concern of underlying untreated active infection such as active TB then live vaccines such as chicken pox usually contraindicated. However since you already received first dose and assuming you tolerated it well, then there would be no difference which one to get first ...Read more

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Doctor ran blood work to check for thyroid problems. The first test she ran she said was a screening test. The report calls it " I've had a high pulse and feeling really cold all the time, which is why I believe the doctor wanted to check thyroid levels.

Doctor ran blood work to check for thyroid problems. The first test she ran she said was a screening test. The report calls it " I've had a high pulse and feeling really cold all the time, which is why I believe the doctor wanted to check thyroid levels.

Those are sympt: High pulse and feeling cold are symptoms which may or may not be related to the thyroid. Find out your levels. High TSH indicates hypothyroidism which goes along with cold intolerance but high pulse rate is related to low TSH which is hyperthyroidism. ...Read more

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Does a standard physical exam screen for drugs? Do they ask your permission first if you are a minor?

Does a standard physical exam screen for drugs? Do they ask your permission first if you are a minor?

Medical Culture: Nope. The doctor must get permission to do testing. Drug screening is never done randomly unless one is under court order or other legal process. The family doctor is rarely involved in that scenario. ...Read more

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What is the difference between the anachoice screen and the ANA screen, ifa? The first one came back positve, but the second came back negative.

What is the difference between the anachoice screen and the ANA screen, ifa? The first one came back positve, but the second came back negative.

IFA better: For a screen the ifa is much better. It is the gold standard. The ANA choice is not a screening test and should not be offered as a screening test. Your question is somewhat counter intuitive. The ifa is a better test and if choice is positive - it can be subseted into 12 antigens and the lab can tell you. I would follow your test results with ANA subsets per your rheumatologist. ...Read more

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What is the difference between the anachoice screen and the ANA screen, ifa? The first one came back positve, but the second came back negative.

What is the difference between the anachoice screen and the ANA screen, ifa? The first one came back positve, but the second came back negative.

Diff. Lab techniques: Different labs have different ANA tests, which is a test for antibodies a person makes that attach to his own body's tissues, that end up causing auto-immune disease. Modern tests use "reflex" or "cascade" techniques, meaning one test is done first, and then if positive, another test is done, and then if positive again, a third test is done. Tests have various "positive" ranges (gets complicated). ...Read more

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I took one 5mg valium yesterday and was wondering how long it will show up on a urine drug screen? I'm 6 ft, active in the gym, 190lb, first time user.

I took one 5mg valium yesterday and was wondering how long it will show up on a urine drug screen? I'm 6 ft, active in the gym, 190lb, first time user.

Give it a week: I am sorry this happened. A smart, effective guy like you -- and especially a man with a bodybuilder's pride and drive -- doesn't need to be taking nerve pills without a prescription. Leave that to the weak. Best wishes. ...Read more

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I took a half an adipex this morning at 7 am. Will I text positive for it on a urine drug screen at 6 am tomorrow? This is my first time taking this d

I took a half an adipex this morning at 7 am. Will I text positive for it on a urine drug screen at 6 am tomorrow? This is my first time taking this d

Urine drug screen: Depending upon the type of test performed (the standard 5 drug panel in the US) would NOT likely show this drug in your system. However, if the test is a more comprehensive one using GC/MS technology it might. Drink plenty of water today and tomorrow.
if it was prescribed - don't worry - take the prescription bottle with you if not you might have an issue ...Read more

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First of all, I am not a regular marijuana smoker. I took a drug screen on the 9th of febuary which came back clean. I took another one on the 11th which came back positive almost two weeks later when the results came back. I am getting this sample retest

First of all, I am not a regular marijuana smoker. I took a drug screen on the 9th of febuary which came back clean. I took another one on the 11th which came back positive almost two weeks later when the results came back. I am getting this sample retest

Drug test: Marijuana is usually detectable in drug tests from 3 days up to 10 days. Heavy users can produce positive tests for up to 10 months after stopping. The length of time varies greatly according to quantity, and frequency of use and your body metabolism ...Read more