Adult screening tests

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  • Screening
    • Hypertension testing
      • More people suffer from hypertension than before, it used to be thought of as a middle aged problem.
      • Clinical hypertension is Blood pressure consistently above 160/95
      • It is normal for blood pressure to be raised during periods of stress, as we get older and if pregnant
      • High blood pressure increases a persons risk of life threatening conditions, and as such regular monitoring can help reduce risk. maybe through medication
    • Smear testing
      • Recommended that 6 months after 1st intercourse that at 3 years intervals up to age of 65
      • The test detects abnormal cells in the cervix indicating a pre cancerous condition
      • Test is 95% successful in detecting these, results take several weeks.
      • Common cancer and changes of cure are greatly improved with early detection
      • The test is performed using a spectrum and a special shaped brush to scrape off some cells to be smeared into a microscopic slide.
    • Eye testing
      • With glaucoma the pressure inside the eye increase, intra ocular pressure. This increase can cause patchy loss or peripheral vision if left untreated the vision loss becomes permanent. As central vision is last to be affected it sometimes takes a patient a long time to realise there is a problem
      • The ophthialmic optician uses an Appleton tonometer to measure intra occuar pressure. Also visual filed test for peripheral vision may be used
      • Astigmatism is a bumpy cornea causing some parts of vision to be better than others. Tested for using series of black lines on green or red back grounds, some lines look blacker, can be corrected with glasses.
      • Also long and short sight can be tested for, myopia- short sighted and prebyopia- age related sight. hypermertopic- long sighted
    • Mammography
      • x-ray procedure for screening for lumps and breast cancer it can reveal that are not apparent to touch
      • Each breast is compressed between a plastic plate and the x-ray plate. This spreads the tissure over wider area, views are taken from different angles
      • Specialists inspect the x-ray looking for dense tissue . If a lump is found a biopsy is preformed to determine future treatment
      • Routine screening for any women aged 40 with family history or other women 50-65 repeated every 3 or 4 years.
    • Physical examination for testicular cancer
      • This cancer is rare in puberty and in old age conversely it is most common in man in early 20s or middle aged men
      • This cancer has on extremely good cure rate when caught in the early stages
      • The procedure for checking the tests is to regularly feel the surface by moving the loose skin of the scrotum from side to side it should not cause discomfort
      • Any firm lumps should be followed up by a GP
      • The lumps are not usually tender or painful

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