Screening for Health Issues - Telemedicine
Telemedicine
Obie Editorial Team
All women should be regularly screened for certain health issues. This is becoming even more important at the time of COVID-19 and telemedicine
Screening
Review periodic screening guidelines
Assess for genetic predispositions
Assess for symptoms
If symptoms, clinical breast exam
Decision for screening breast exam shared and
informed decision
CBE offered from 19-39 years every 1-3 years.
Yearly >40 years old
Risk assessment and screening per ASCCP
guidelines
Pap test due
Colposcopic assessment of abnormal Pap result
Assess contraceptive needs for all reproductive
age women. Provide assessment on current contraceptive concerns. Provide contraception (contraceptive pill/patch/ring prescription)
LARC placement, removal, assessment
Administration of injectable contraception
(medroxyprogesterone)
Risk assessment and counseling for all patients.
If sexually active, offer screening for STI
Behavioral counseling/prevention for high-risk
patients
Clinical if symptomatic or high-risk exposure
Yearly screening or as indicated As clinically indicated
Alcohol, tobacco and
illicit substance use
Yearly screening and counseling regarding use
and cessation
Inability to assess virtually
All patients should receive a family history
evaluation as a screening tool for inherited risk of
cancer. Refer for genetic counseling if indicated
Access vaccination status per ACIP adult
vaccination schedules and counsel accordingly
Office visit for required immunizations
Annual discussion of sexuality and sexual health
“Are you satisfied with your sex life?”
“Do you have any questions or concerns about sex?
Examination based on symptoms and clinical history
Annual screening or as indicated
Screening at new patient encounter
Concern for patient safety