Control de Salud del Adulto

Evaluación General

Antecedente clínico

• Obtenga información sobre las inquietudes de los LOS Neisseria pacientes.
• Antecedentes personales: Incluya cualquier condición tratada actualmente o en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el pasado.
• Antecedentes quirúrgicos: Incluya procedimientos hospitalarios y ambulatorios.
• Alergias: Tenga en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum cuenta la alergia y la reacción.
• Medicamentos actuales:
  • Dosis, frecuencia y motivo de la toma
  • Pregunte sobre suplementos y medicamentos de venta libre.
• Antecedentes familiares:
  • Cualquier condición conocida en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum parientes de 1er grado (padre, hijo, hermano) y 2do grado (abuelos, tíos/tías, primos)
  • Si falleció, incluya la causa de muerte si se conoce.
• Antecedentes sociales:
  • Estado civil y número de hijos
  • Hogar/entorno del hogar (de todas las personas que viven en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el hogar)
  • Uso de alcohol, tabaco y drogas recreativas
  • Empleo/ocupación
  • Dieta y actividad física
  • Actividad sexual: orientación, número de parejas, uso de protección
• Revisión por sistemas: preguntas sobre posibles síntomas (pasados o presentes) en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum cada sistema de órganos

Examen físico

• Signos vitales: presión arterial, frecuencia cardiaca, temperatura, frecuencia respiratoria + saturación de oxígeno
• Mediciones generales:
  • Talla
  • Peso
  • IMC (calculado como kg/m²):
    • Por debajo de lo normal: < 18,5
    • Normal: ≥ 18,5 a < 25
    • Sobrepeso: ≥ 25 y < 30
    • Obeso: ≥ 30
  • Circunferencia de la cintura ( en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum algunos casos)
• Constitucional:
  • Estado de alerta
  • Apariencia (e.g., bien nutrido, delgado, mal aspecto, descuidado)
• Cabeza, ojos, oídos, nariz y garganta:
  • Lesiones en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la cabeza
  • Conjuntiva, motilidad y reactividad ocular
  • Examen otoscópico y del oído externo, incluida la audición
  • Mucosa oral, garganta, características dentales
  • Aspecto nasal, presencia de lesiones o congestión
• Cuello: ganglios linfáticos, tiromegalia y facilidad de movilidad
• Cardiovascular: cualquier soplo, anomalías en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la frecuencia o el ritmo cardiaco, edema Edema Edema is a condition in which excess serous fluid accumulates in the body cavity or interstitial space of connective tissues. Edema is a symptom observed in several medical conditions. It can be categorized into 2 types, namely, peripheral (in the extremities) and internal (in an organ or body cavity). Edema de las extremidades y pulsos periféricos débiles o ausentes
• Respiratorio: esfuerzo respiratorio y cualquier anomalía en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la auscultación
• Mamas: cualquier bulto/masa, sensibilidad, coloración anormal o secreción del pezón; incluir hallazgos axilares
• Gastrointestinal: ruidos intestinales, masas, dolor Dolor Inflammation a la palpación, agrandamiento del hígado/bazo, hinchazón/distensión y hernias; incluir examen rectal
• Genitourinario: vejiga, examen pélvico
• Músculo-esquelético: Evalúe la movilidad de las articulaciones de las extremidades superiores e inferiores, así como de la columna.
• Neurológico: Evalúe la función de los LOS Neisseria nervios craneales, fuerza/debilidad en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum las extremidades y los LOS Neisseria reflejos tendinosos profundos.
• Piel: Evalúe si hay lesiones o erupciones nuevas o cambiantes.
• Psiquiátrico: Evalúe orientación en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum lugar y tiempo, estado de ánimo, temperamento y juicio.

Tamizaje de Trastornos Metabólicos

Hipertensión

• El United States Preventive Services Task Force (USPSTF) recomienda la medición de la presión arterial en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum todos los LOS Neisseria adultos ≥ 18 años de edad.
• Asegúrese de que el tamaño del manguito sea adecuado para una medición precisa.
• Presión arterial normal: < 120/80 mm Hg
• Monitorizar la presión arterial al AL Amyloidosis menos cada 2 años o en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum cada visita.
• Se recomienda una evaluación anual para los LOS Neisseria siguientes individuos:
  • Edad ≥ 40 años
  • Factores de alto riesgo como ser afroamericano o tener sobrepeso/obesidad
  • Presión arterial de 120–139/80–89 mm Hg
• Confirme las mediciones fuera del entorno clínico antes de iniciar medicamentos.

Dislipidemia

La dislipidemia se define como los LOS Neisseria valores de lípidos asociados con un mayor riesgo y/o presencia de enfermedad para los LOS Neisseria que el inicio de una terapia hipolipemiante será beneficiosa.

• Recomendaciones del USPSTF para el tamizaje de lípidos:
  • Tamizaje a personas entre 40 y 75 años
  • No hay recomendaciones a favor o en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum contra del tamizaje de dislipidemia en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum personas < 35 años.
• El Centers for Disease Control and Prevention (CDC) recomienda prueba de colesterol en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum ≥ 20 años.
• Todavía se recomienda obtener un perfil lipídico de referencia en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum adultos jóvenes al AL Amyloidosis inicio de la atención con un proveedor de atención primaria para adultos. La repetición del tamizaje está guiada por el riesgo de enfermedad cardiovascular del paciente:
  • En EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum pacientes de alto riesgo (antecedentes de diabetes Diabetes Diabetes mellitus (DM) is a metabolic disease characterized by hyperglycemia and dysfunction of the regulation of glucose metabolism by insulin. Type 1 DM is diagnosed mostly in children and young adults as the result of autoimmune destruction of β cells in the pancreas and the resulting lack of insulin. Type 2 DM has a significant association with obesity and is characterized by insulin resistance. Diabetes Mellitus, hipertensión, fumador, obesidad, antecedentes familiares de cardiopatía prematura):
    • Seguimiento del perfil lipídico en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum hombres de entre 25 y 30 años
    • Seguimiento del perfil lipídico en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum mujeres entre 30 y 35 años
  • En EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum pacientes de bajo riesgo:
    • Seguimiento del perfil lipídico en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum hombres a los LOS Neisseria 35 años
    • Seguimiento del perfil lipídico en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum mujeres a los LOS Neisseria 45 años
• Se recomienda repetir la evaluación del riesgo de enfermedad cardiovascular y los LOS Neisseria niveles de lípidos:
  • Generalmente cada 5 años
  • Cada 3 años si está cerca del umbral de tratamiento

Riesgo de enfermedad cardiovascular

• Estatina para prevención primaria:
  • La adición de estatinas para la prevención primaria está influenciada por el riesgo de enfermedad cardiovascular aterosclerótica, que se calcula como un porcentaje basado en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum:
    • La edad del paciente
    • La presión arterial sistólica
    • El colesterol total y el colesterol unido a lipoproteínas de alta densidad
    • Hipertensión en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum tratamiento
    • Tabaquismo
    • Diabetes Diabetes Diabetes mellitus (DM) is a metabolic disease characterized by hyperglycemia and dysfunction of the regulation of glucose metabolism by insulin. Type 1 DM is diagnosed mostly in children and young adults as the result of autoimmune destruction of β cells in the pancreas and the resulting lack of insulin. Type 2 DM has a significant association with obesity and is characterized by insulin resistance. Diabetes Mellitus
  • El USPSTF recomienda dosis bajas a moderadas de estatinas para la prevención de enfermedades cardiovasculares en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum adultos de 40 a 75 años con:
    • ≥ 1 factor de riesgo para enfermedad cardiovascular (dislipidemia, diabetes Diabetes Diabetes mellitus (DM) is a metabolic disease characterized by hyperglycemia and dysfunction of the regulation of glucose metabolism by insulin. Type 1 DM is diagnosed mostly in children and young adults as the result of autoimmune destruction of β cells in the pancreas and the resulting lack of insulin. Type 2 DM has a significant association with obesity and is characterized by insulin resistance. Diabetes Mellitus, hipertensión o tabaquismo)
    • ≥ 10% de riesgo de enfermedad cardiovascular aterosclerótica a 10 años
• Aspirina para prevención primaria:
  • El USPSTF recomienda el uso diario de aspirina en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum dosis bajas en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum adultos de 50–59 años para prevenir enfermedades cardiovasculares en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum pacientes con:
    • > 10% de riesgo de enfermedad cardiovascular aterosclerótica a 10 años
    • Sin mayor riesgo de hemorragia
    • Esperanza de vida ≥ 10 años
    • Voluntad de tomar aspirina en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum dosis bajas al AL Amyloidosis día durante ≥ 10 años.
  • Después de los LOS Neisseria 59 años, se recomienda discutir con el médico para determinar si la aspirina en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum dosis bajas es la forma ideal de comenzar a prevenir las enfermedades cardiovasculares.

Diabetes Diabetes Diabetes mellitus (DM) is a metabolic disease characterized by hyperglycemia and dysfunction of the regulation of glucose metabolism by insulin. Type 1 DM is diagnosed mostly in children and young adults as the result of autoimmune destruction of β cells in the pancreas and the resulting lack of insulin. Type 2 DM has a significant association with obesity and is characterized by insulin resistance. Diabetes Mellitus

• El USPSTF recomienda el monitoreo de los LOS Neisseria niveles de glucosa en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum adultos con sobrepeso u obesidad de 35–70 años de edad mediante una de las siguientes pruebas:
  • Glucosa en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum ayunas
  • HbA1c HbA1c Products of non-enzymatic reactions between glucose and hemoglobin a, occurring as a minor fraction of the hemoglobin components of human erythrocytes. Hemoglobin a1c is hemoglobin a with glucose covalently bound to the terminal valine of the beta chain. Glycated hemoglobin a is used as an index of the average blood sugar level over a lifetime of erythrocytes. Diabetes Mellitus
  • Prueba de tolerancia oral a la glucosa
• Valores normales:
  • Glucosa en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum ayunas < 100 mg/dL
  • HbA1c HbA1c Products of non-enzymatic reactions between glucose and hemoglobin a, occurring as a minor fraction of the hemoglobin components of human erythrocytes. Hemoglobin a1c is hemoglobin a with glucose covalently bound to the terminal valine of the beta chain. Glycated hemoglobin a is used as an index of the average blood sugar level over a lifetime of erythrocytes. Diabetes Mellitus < 5,7%
  • Prueba de tolerancia oral a la glucosa < 140 mg/dL
• Alteración de la tolerancia a la glucosa (prediabetes):
  • Glucosa en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum ayunas: 100–125 mg/dL
  • HbA1c HbA1c Products of non-enzymatic reactions between glucose and hemoglobin a, occurring as a minor fraction of the hemoglobin components of human erythrocytes. Hemoglobin a1c is hemoglobin a with glucose covalently bound to the terminal valine of the beta chain. Glycated hemoglobin a is used as an index of the average blood sugar level over a lifetime of erythrocytes. Diabetes Mellitus: 5,7–6,4%
  • Prueba de tolerancia oral a la glucosa: 140–199 mg/dL
• Diabetes Diabetes Diabetes mellitus (DM) is a metabolic disease characterized by hyperglycemia and dysfunction of the regulation of glucose metabolism by insulin. Type 1 DM is diagnosed mostly in children and young adults as the result of autoimmune destruction of β cells in the pancreas and the resulting lack of insulin. Type 2 DM has a significant association with obesity and is characterized by insulin resistance. Diabetes Mellitus
  • Glucosa en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum ayunas ≥ 126 mg/dL
  • HbA1c HbA1c Products of non-enzymatic reactions between glucose and hemoglobin a, occurring as a minor fraction of the hemoglobin components of human erythrocytes. Hemoglobin a1c is hemoglobin a with glucose covalently bound to the terminal valine of the beta chain. Glycated hemoglobin a is used as an index of the average blood sugar level over a lifetime of erythrocytes. Diabetes Mellitus ≥ 6,5%
  • Prueba de tolerancia oral a la glucosa ≥ 200 mg/dL
• El tiempo óptimo de tamizaje es discutible, pero se sugiere volver a realizar la prueba al AL Amyloidosis menos cada 3 años.
• Considere comenzar el tamizaje a una edad más temprana en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum personas con los LOS Neisseria siguientes factores de riesgo:
  • Antecedentes familiares de diabetes Diabetes Diabetes mellitus (DM) is a metabolic disease characterized by hyperglycemia and dysfunction of the regulation of glucose metabolism by insulin. Type 1 DM is diagnosed mostly in children and young adults as the result of autoimmune destruction of β cells in the pancreas and the resulting lack of insulin. Type 2 DM has a significant association with obesity and is characterized by insulin resistance. Diabetes Mellitus
  • Antecedentes de diabetes Diabetes Diabetes mellitus (DM) is a metabolic disease characterized by hyperglycemia and dysfunction of the regulation of glucose metabolism by insulin. Type 1 DM is diagnosed mostly in children and young adults as the result of autoimmune destruction of β cells in the pancreas and the resulting lack of insulin. Type 2 DM has a significant association with obesity and is characterized by insulin resistance. Diabetes Mellitus gestacional
  • Antecedentes de otras condiciones asociadas con la diabetes Diabetes Diabetes mellitus (DM) is a metabolic disease characterized by hyperglycemia and dysfunction of the regulation of glucose metabolism by insulin. Type 1 DM is diagnosed mostly in children and young adults as the result of autoimmune destruction of β cells in the pancreas and the resulting lack of insulin. Type 2 DM has a significant association with obesity and is characterized by insulin resistance. Diabetes Mellitus:
    • Hipertensión
    • Acantosis nigricans
    • Dislipidemia
    • Síndrome de ovario poliquístico
  • Miembro de ciertos grupos:
    • Nativos americanos
    • Asiaticoamericanos
    • Hawaianos nativos/isleños del Pacífico Sur
    • Hispanos
    • Afroamericanos

Tamizaje de Malignidades

Tamizaje de cáncer del cuello uterino

Recomendaciones del USPSTF:

• Citología de tamizaje de rutina cada 3 años a partir de los LOS Neisseria 21 años, independientemente de los LOS Neisseria antecedentes sexuales
• Para las edades de 21–29 años: solo citología cada 3 años
• Para las edades de 30–65 años, las opciones son:
  • Solo citología cervical cada 3 años
  • VPH de alto riesgo cada 5 años
  • Citología con tipificación de VPH de alto riesgo cada 5 años

No se recomienda el tamizaje en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum:

• Mujeres < 21 años, independientemente de la actividad sexual
• Mujeres > 65 años que se han sometido a exámenes de tamizaje adecuados anteriormente y no tienen riesgo alto.

Tamizaje de cáncer de mama

Recomendaciones del USPSTF para individuos de riesgo promedio:

• Para mujeres de 50–74 años: Se recomienda una mamografía de tamizaje cada 1–2 años.
• Para las mujeres de 40–49 años, la decisión de comenzar el tamizaje bienal es individualizada (se hace HACE Altitude Sickness mediante la toma de decisiones compartida entre el paciente y el proveedor).

Recomendaciones del USPSTF para individuos de riesgo alto:

• Las personas de alto riesgo incluyen mujeres con:
  • Antecedentes personales de cáncer de mama, ovario, trompas o peritoneal
  • Ascendencia (asociada con BRCA1 y BRCA2)
• Se recomienda la herramienta de evaluación de riesgos familiares.
• Si es positivo, se debe proporcionar una referencia para asesoramiento genético y posiblemente pruebas genéticas.
• El tiempo de las modalidades de tamizaje depende de los LOS Neisseria antecedentes personales y familiares de mutaciones genéticas, síndromes de alto riesgo y antecedentes de radioterapia torácica.
• Las modalidades incluyen:
  • Examen clínico de las mamas
  • Mamografía
  • RM de mama
• Reducción de riesgos:
  • Quimioprevención: medicamentos para reducir el riesgo (tamoxifeno o inhibidores de la aromatasa) recomendados para mujeres ≥ 35 años
  • Mastectomía profiláctica: ofrecida a individuos con mutaciones genéticas de alto riesgo (portadores de BRCA1 o BRCA2)

Tamizaje de cáncer colorrectal

El USPSTF recomienda que el tamizaje de cáncer colorrectal en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum adultos se inicie a los LOS Neisseria 45 años.

Los LOS Neisseria métodos de tamizaje incluyen:

• Prueba anual de sangre oculta en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum heces a base de guayaco de alta sensibilidad
• Prueba anual inmunoquímica fecal
• Prueba de ADN inmunoquímica fecal en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum heces cada 3 años
• Sigmoidoscopia flexible cada 5 años (limitada a la parte distal del colon Colon The large intestines constitute the last portion of the digestive system. The large intestine consists of the cecum, appendix, colon (with ascending, transverse, descending, and sigmoid segments), rectum, and anal canal. The primary function of the colon is to remove water and compact the stool prior to expulsion from the body via the rectum and anal canal. Colon, Cecum, and Appendix: Anatomy)
• Sigmoidoscopia flexible cada 10 años más inmunoquímica anual
• Colonoscopia cada 10 años
• Colonografía por TC cada 5 años
• Una prueba de tamizaje basada en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum heces positiva, una colonografía por TC o una sigmoidoscopia justifican una colonoscopia.

Individuos que requieren exámenes de tamizaje más frecuentes y antes de los LOS Neisseria 45 años (según la condición):

• Individuos con antecedentes familiares de cáncer colorrectal
• Individuos con síndrome de cáncer colorrectal hereditario
• Antecedentes personales de enfermedad inflamatoria intestinal
• Antecedentes de radiación en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el abdomen o la pelvis Pelvis The pelvis consists of the bony pelvic girdle, the muscular and ligamentous pelvic floor, and the pelvic cavity, which contains viscera, vessels, and multiple nerves and muscles. The pelvic girdle, composed of 2 “hip” bones and the sacrum, is a ring-like bony structure of the axial skeleton that links the vertebral column with the lower extremities. Pelvis: Anatomy

El USPSTF recomienda aspirina en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum dosis bajas diarias para la prevención primaria del cáncer colorrectal (y las enfermedades cardiovasculares) para las personas de 50–59 años que:

• No tienen riesgo de hemorragia.
• Al AL Amyloidosis menos 10 años de esperanza de vida
• ≥ 10% de riesgo de enfermedad cardiovascular a 10 años

Tamizaje de cáncer de pulmón

• Recomendación de tamizaje: TC pulmonar de dosis baja anual
• Selección de pacientes basada en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum recomendaciones de organizaciones:
  • USPSTF 2020 recomienda el tamizaje de cáncer de pulmón para (debe cumplir con todos los LOS Neisseria criterios):
    • Adultos de 50–80 años
    • Antecedentes de tabaquismo de 20 paquetes/año
    • Fumador actual o que ha HA Hemolytic anemia (HA) is the term given to a large group of anemias that are caused by the premature destruction/hemolysis of circulating red blood cells (RBCs). Hemolysis can occur within (intravascular hemolysis) or outside the blood vessels (extravascular hemolysis). Hemolytic Anemia dejado de fumar en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum los LOS Neisseria últimos 15 años
  • La American Cancer Society recomienda el tamizaje para (debe cumplir con todos los LOS Neisseria criterios):
    • Adultos de 55–74 años
    • Antecedentes de tabaquismo de 30 paquetes/año
    • Fumador actual o que ha HA Hemolytic anemia (HA) is the term given to a large group of anemias that are caused by the premature destruction/hemolysis of circulating red blood cells (RBCs). Hemolysis can occur within (intravascular hemolysis) or outside the blood vessels (extravascular hemolysis). Hemolytic Anemia dejado de fumar en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum los LOS Neisseria últimos 15 años
  • Otras organizaciones tienen recomendaciones similares, aunque existe variabilidad en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el rango de edad.

Tamizaje de cáncer de próstata

• Recomendaciones del USPSTF:
  • Los LOS Neisseria hombres de 55–69 años deben:
    • Discutir los LOS Neisseria posibles beneficios y daños con su médico
    • Considere la edad, los LOS Neisseria antecedentes familiares, la raza/etnia, comorbilidades y esperanza de vida.
    • Tomar una decisión individual sobre el tamizaje
  • Hombres ≥ 70 años:
    • Los LOS Neisseria beneficios no superan los LOS Neisseria daños esperados.
    • No deben realizarse pruebas de tamizaje de cáncer de próstata de forma rutinaria.
  • Los LOS Neisseria hombres que no expresan una preferencia por el tamizaje no deben someterse a este.
• Solo se recomienda el análisis de PSA PSA A glycoprotein that is a kallikrein-like serine proteinase and an esterase, produced by epithelial cells of both normal and malignant prostate tissue. It is an important marker for the diagnosis of prostate cancer. Prostate Cancer en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum sangre para el tamizaje, si se elige, cada 1–2 años.
• No se recomienda el tacto rectal como herramienta de tamizaje con o sin prueba de PSA PSA A glycoprotein that is a kallikrein-like serine proteinase and an esterase, produced by epithelial cells of both normal and malignant prostate tissue. It is an important marker for the diagnosis of prostate cancer. Prostate Cancer.

Tamizaje de Enfermedades de Transmisión Sexual y Sanguínea

Detección y prevención del VIH

El USPSTF recomienda la detección del VIH en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum:

• Todas las personas de 15–65 años
• Pacientes < de 15 años o 65 años de edad con riesgo alto
• Hombres que tienen relaciones sexuales con hombres (examinados anualmente o incluso con mayor frecuencia según los LOS Neisseria riesgos)
• Todas las mujeres embarazadas

Se recomienda profilaxis previa a la exposición al AL Amyloidosis VIH con antirretrovirales para las personas de alto riesgo.

Tamizaje de clamidia y gonorrea

• Recomendado para todas las mujeres sexualmente activas ≤ 24 años
• Recomendado para mujeres mayores que se consideran de riesgo alto (nueva pareja sexual, múltiples parejas sexuales, sexo sin protección en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum una relación no monógama)

Otras enfermedades

• Sífilis: recomendado para personas en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum grupos de alto riesgo (antecedentes de enfermedades de transmisión sexual, múltiples parejas sexuales, hombres que tienen relaciones sexuales con hombres)
• Los LOS Neisseria CDC recomiendan el tamizaje de la hepatitis B Hepatitis B Hepatitis B virus (HBV) is a partially double-stranded DNA virus, which belongs to the Orthohepadnavirus genus and the Hepadnaviridae family. Most individuals with acute HBV infection are asymptomatic or have mild, self-limiting symptoms. Chronic infection can be asymptomatic or create hepatic inflammation, leading to liver cirrhosis and hepatocellular carcinoma (HCC). Hepatitis B Virus para los LOS Neisseria siguientes grupos:
  • Todos los LOS Neisseria adultos (a partir de 18 años) al AL Amyloidosis menos una vez en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la vida.
  • Los LOS Neisseria individuos con mayor riesgo deben someterse a tamizaje periódicamente, incluyendo:
    • Antecedentes de infecciones de transmisión sexual
    • Antecedentes de infección por hepatitis C Hepatitis C Hepatitis C is an infection of the liver caused by the hepatitis C virus (HCV). The infection can be transmitted through infectious blood or body fluids and may be transmitted during childbirth or through IV drug use or sexual intercourse. Hepatitis C virus can cause both acute and chronic hepatitis, ranging from a mild to a serious, lifelong illness including liver cirrhosis and hepatocellular carcinoma (HCC). Hepatitis C Virus
    • Procedentes de zonas con prevalencia media-alta del VHB
    • Necesidad de hemodiálisis
    • Uso de drogas inyectables
    • Antecedentes de encarcelamiento
    • Múltiples parejas sexuales
    • Hombres que tienen relaciones sexuales con hombres
  • Embarazadas (tamizaje durante cada embarazo)
• Tamizaje de hepatitis C Hepatitis C Hepatitis C is an infection of the liver caused by the hepatitis C virus (HCV). The infection can be transmitted through infectious blood or body fluids and may be transmitted during childbirth or through IV drug use or sexual intercourse. Hepatitis C virus can cause both acute and chronic hepatitis, ranging from a mild to a serious, lifelong illness including liver cirrhosis and hepatocellular carcinoma (HCC). Hepatitis C Virus: todos los LOS Neisseria adultos de 18–79 años
  • Se recomienda el tamizaje de anticuerpos del VHC con pruebas reflejas de ARN del VHC

Tamizajes Misceláneos

Consumo de alcohol y tabaco

• Uso de tabaco/cigarrillos:
  • Interrogue sobre el consumo de tabaco en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum cualquier forma.
  • Discuta los LOS Neisseria riesgos para la salud, determine la preparación para la cesación y ofrezca intervenciones para ayudar en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la cesación.
• Abuso/uso indebido de alcohol:
  • Interrogue sobre las cantidades y la frecuencia del consumo de alcohol en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum ≥ 18 años de edad.
  • Se puede realizar tamizaje adicional mediante el cuestionario CAGE o una herramienta de tamizaje similar:
    • Ever feel the need to Cut down on drinking? (¿ Ha HA Hemolytic anemia (HA) is the term given to a large group of anemias that are caused by the premature destruction/hemolysis of circulating red blood cells (RBCs). Hemolysis can occur within (intravascular hemolysis) or outside the blood vessels (extravascular hemolysis). Hemolytic Anemia sentido alguna vez la necesidad de dejar de beber?)
    • Ever feel Annoyed by others criticizing your drinking? (¿Le ha HA Hemolytic anemia (HA) is the term given to a large group of anemias that are caused by the premature destruction/hemolysis of circulating red blood cells (RBCs). Hemolysis can occur within (intravascular hemolysis) or outside the blood vessels (extravascular hemolysis). Hemolytic Anemia molestado que la gente lo critique por su forma de beber?)
    • Ever feel Guilty about your drinking? (¿Alguna vez se ha HA Hemolytic anemia (HA) is the term given to a large group of anemias that are caused by the premature destruction/hemolysis of circulating red blood cells (RBCs). Hemolysis can occur within (intravascular hemolysis) or outside the blood vessels (extravascular hemolysis). Hemolytic Anemia sentido culpable por su forma de beber?)
    • Have you ever needed a drink first thing in the morning (Eye-opener) to steady yourself or combat a hangover? (¿Alguna vez ha HA Hemolytic anemia (HA) is the term given to a large group of anemias that are caused by the premature destruction/hemolysis of circulating red blood cells (RBCs). Hemolysis can occur within (intravascular hemolysis) or outside the blood vessels (extravascular hemolysis). Hemolytic Anemia sentido la necesidad de beber por la mañana para calmar los LOS Neisseria nervios o eliminar la resaca?)
  • Si el tamizaje es positivo, se recomiendan intervenciones de asesoramiento conductual.

Obesidad

• El IMC debe ser parte del examen del control de salud.
• A los LOS Neisseria individuos con un IMC > 30 se les debe ofrecer intervenciones conductuales (e.g., consulta nutricional) y asesoramiento para promover la pérdida de peso.

Violencia doméstica y salud mental

• La violencia de pareja:
  • Tamizaje para todas las mujeres en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum edad fértil.
  • Si el tamizaje es positivo, se debe proporcionar referencia a servicios de intervención.
• Depresión:
  • El USPSTF recomienda realizar pruebas de tamizaje de depresión en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum todos los LOS Neisseria adultos (incluidas las mujeres embarazadas y en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum posparto) mediante una herramienta validada.
  • Si es positivo, evalúe por ideación suicida y proporcione una evaluación y tratamiento necesarios.
• Ansiedad:
  • USPSTF recomienda el tamizaje en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum todos los LOS Neisseria adultos de ≥ 19 años.
  • Incluye a las personas asintomáticas y sin un trastorno de salud mental diagnosticado previamente

Aneurisma de la aorta Aorta The main trunk of the systemic arteries. Mediastinum and Great Vessels: Anatomy abdominal

• Solo en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum hombres de 65–75 años con antecedentes de tabaquismo
• Ultrasonido único

Osteoporosis Osteoporosis Osteoporosis refers to a decrease in bone mass and density leading to an increased number of fractures. There are 2 forms of osteoporosis: primary, which is commonly postmenopausal or senile; and secondary, which is a manifestation of immobilization, underlying medical disorders, or long-term use of certain medications. Osteoporosis

• Recomendado para mujeres ≥ 65 años para la prevención de fracturas osteoporóticas.
• Considere la posibilidad de realizar pruebas de tamizaje en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum mujeres posmenopáusicas < 65 años de edad si se considera de alto riesgo (fumadora, abuso de alcohol).
• Tamizaje de la densidad mineral ósea mediante densitometría ósea
• Hay datos contradictorios con respecto a las recomendaciones para hombres:
  • El USPSTF afirma que no hay suficiente evidencia para respaldar el tamizaje en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum hombres.
  • Otras organizaciones (como la Endocrine Society) recomiendan el tamizaje:
    • Todos los LOS Neisseria hombres > 70 años
    • Hombres de 50–70 años con factores de riesgo (tratamiento con glucocorticoides, tratamiento de privación de andrógenos para el cáncer de próstata, hipogonadismo, hiperparatiroidismo primario)

Vacunas

Vacunación contra la influenza Influenza Influenza viruses are members of the Orthomyxoviridae family and the causative organisms of influenza, a highly contagious febrile respiratory disease. There are 3 primary influenza viruses (A, B, and C) and various subtypes, which are classified based on their virulent surface antigens, hemagglutinin (HA) and neuraminidase (NA). Influenza typically presents with a fever, myalgia, headache, and symptoms of an upper respiratory infection. Influenza Viruses/Influenza

Vacunas:

• Vacuna inactivada
• Vacunas vivas atenuadas (intranasal):
  • Solo aprobadas para uso en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum individuos de 2–49 años de edad
  • No deben administrarse a personas embarazadas, inmunodeprimidas, con asplenia Asplenia Asplenia is the absence of splenic tissue or function and can stem from several factors ranging from congenital to iatrogenic. There is a distinction between anatomic asplenia, which is due to the surgical removal of the spleen, and functional asplenia, which is due to a condition that leads to splenic atrophy, infarct, congestion, or infiltrative disease. Asplenia funcional o anatómica o con implantes cocleares.

Se recomienda administrar la vacuna contra la influenza Influenza Influenza viruses are members of the Orthomyxoviridae family and the causative organisms of influenza, a highly contagious febrile respiratory disease. There are 3 primary influenza viruses (A, B, and C) and various subtypes, which are classified based on their virulent surface antigens, hemagglutinin (HA) and neuraminidase (NA). Influenza typically presents with a fever, myalgia, headache, and symptoms of an upper respiratory infection. Influenza Viruses/Influenza anualmente a todos los LOS Neisseria adultos ≥ 18 años de edad, a menos que tengan antecedentes de reacciones alérgicas a los LOS Neisseria componentes.

Vacunación contra el tétanos, la difteria y la tos TOS Thoracic outlet syndrome (TOS) is a broad term used for a spectrum of syndromes related to the general region of the thoracic outlet, which involves the compression or irritation of elements of the brachial plexus, subclavian artery, or subclavian vein. Thoracic Outlet Syndrome ferina

Vacunas:

• DTaP DTaP Combined vaccines consisting of diphtheria toxoid; tetanus toxoid; and an acellular form of pertussis vaccine. At least five different purified antigens of b. Pertussis have been used in various combinations in these vaccines. Bordetella
• DT

En EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum Estados Unidos:

• La vacuna DTaP DTaP Combined vaccines consisting of diphtheria toxoid; tetanus toxoid; and an acellular form of pertussis vaccine. At least five different purified antigens of b. Pertussis have been used in various combinations in these vaccines. Bordetella o DT se administra por vía intramuscular cada 10 años a todos los LOS Neisseria adultos con inmunización previa completa contra el tétanos y la difteria.
• Si el adulto no ha HA Hemolytic anemia (HA) is the term given to a large group of anemias that are caused by the premature destruction/hemolysis of circulating red blood cells (RBCs). Hemolysis can occur within (intravascular hemolysis) or outside the blood vessels (extravascular hemolysis). Hemolytic Anemia sido vacunado contra el tétanos y la difteria, se inicia una serie de 3 vacunas con DTaP DTaP Combined vaccines consisting of diphtheria toxoid; tetanus toxoid; and an acellular form of pertussis vaccine. At least five different purified antigens of b. Pertussis have been used in various combinations in these vaccines. Bordetella como la 1era dosis de preferencia, seguida de DT o DTaP DTaP Combined vaccines consisting of diphtheria toxoid; tetanus toxoid; and an acellular form of pertussis vaccine. At least five different purified antigens of b. Pertussis have been used in various combinations in these vaccines. Bordetella.

Adultos mayores:

• Es probable que tengan anticuerpos disminuidos, ya sea por no recibir la vacuna inicial o por no recibir las dosis de refuerzo posteriores.
• Por lo tanto, la vacuna DTaP DTaP Combined vaccines consisting of diphtheria toxoid; tetanus toxoid; and an acellular form of pertussis vaccine. At least five different purified antigens of b. Pertussis have been used in various combinations in these vaccines. Bordetella es importante para todos los LOS Neisseria adultos mayores, especialmente aquellos que están en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum contacto con niños menores de 1 año:
  • La DTaP DTaP Combined vaccines consisting of diphtheria toxoid; tetanus toxoid; and an acellular form of pertussis vaccine. At least five different purified antigens of b. Pertussis have been used in various combinations in these vaccines. Bordetella se puede administrar 1 vez, para reemplazar el refuerzo contra DT.
  • La DTaP DTaP Combined vaccines consisting of diphtheria toxoid; tetanus toxoid; and an acellular form of pertussis vaccine. At least five different purified antigens of b. Pertussis have been used in various combinations in these vaccines. Bordetella se puede administrar independientemente del intervalo desde la última dosis de refuerzo contra DT.

Indicaciones especiales:

• También se administra una dosis de DTaP DTaP Combined vaccines consisting of diphtheria toxoid; tetanus toxoid; and an acellular form of pertussis vaccine. At least five different purified antigens of b. Pertussis have been used in various combinations in these vaccines. Bordetella con cada embarazo.
• También se administra una dosis de DT o DTaP DTaP Combined vaccines consisting of diphtheria toxoid; tetanus toxoid; and an acellular form of pertussis vaccine. At least five different purified antigens of b. Pertussis have been used in various combinations in these vaccines. Bordetella en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum el contexto de una herida o quemadura grave, si han pasado al AL Amyloidosis menos 5 años desde la última dosis de refuerzo.

Vacunación contra el sarampión, las paperas y la rubéola

Vacunas:

• Vacunas de virus Virus Viruses are infectious, obligate intracellular parasites composed of a nucleic acid core surrounded by a protein capsid. Viruses can be either naked (non-enveloped) or enveloped. The classification of viruses is complex and based on many factors, including type and structure of the nucleoid and capsid, the presence of an envelope, the replication cycle, and the host range. Virology vivos contra el sarampión, las paperas y la rubéola
• 2 formulaciones:
  • Sarampión, paperas, rubéola (SPR)
  • Sarampión, paperas, rubéola, varicela (SPRV)

Principios generales:

• Componente de sarampión y paperas:
  • Los LOS Neisseria nacidos antes de 1957, generalmente se consideran inmunes al AL Amyloidosis sarampión y las paperas.
  • Esto no se aplica al AL Amyloidosis personal de salud, que necesita documentación de inmunidad.
• Componente de rubéola:
  • La inmunidad en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la edad adulta no está garantizada.
  • Las mujeres en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum edad fértil deben someterse a pruebas de laboratorio para determinar la inmunidad.

Recomendaciones:

• Se recomienda 1 dosis para la mayoría de los LOS Neisseria adultos sin evidencia de inmunidad y/o los LOS Neisseria nacidos después de 1957.
• Se recomiendan 2 dosis para ciertas poblaciones si no hay evidencia de inmunidad:
  • Personal de salud
  • Estudiantes en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum instituciones de educación postsecundaria
  • Viajeros internacionales
  • Pacientes con VIH (sin inmunodepresión grave)
  • Pacientes con trasplante de células hematopoyéticas 2 años después del trasplante y sin terapia inmunosupresora o enfermedad activa de injerto contra huésped
• Mujeres en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum edad fértil:
  • Aquellas que no tengan evidencia de inmunidad deben vacunarse mientras no estén embarazadas.
  • Aquellas que estén embarazadas y no tengan evidencia de inmunidad deben vacunarse al AL Amyloidosis finalizar el embarazo.

Vacunación contra el virus Virus Viruses are infectious, obligate intracellular parasites composed of a nucleic acid core surrounded by a protein capsid. Viruses can be either naked (non-enveloped) or enveloped. The classification of viruses is complex and based on many factors, including type and structure of the nucleoid and capsid, the presence of an envelope, the replication cycle, and the host range. Virology del papiloma humano

• En EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum Estados Unidos, solo está disponible Gardasil Gardasil Condylomata Acuminata (Genital Warts) 9 (vacuna 9-valente).
• Indicada para adultos hasta los LOS Neisseria 26 años:
  • Si recibió una dosis única entre las edades de 9–14 años y/o se administró una 2da dosis con menos de 5 meses de diferencia, se necesita 1 dosis más.
  • Si no se administraron vacunas antes de los LOS Neisseria 15 años de edad, se deben administrar 3 dosis a los LOS Neisseria 0, 1–2 y 6 meses.
• Se recomienda la toma de decisiones conjunta con respecto a la vacunación de adultos de 27–45 años.
• No aprobada para su uso en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum personas > 45 años.

Vacuna antineumocócica

Vacunas:

• Vacuna antineumocócica polisacárida (PPSV) 23: contiene 23 polisacáridos neumocócicos.
• Vacuna antineumocócica conjugada (PCV) 13, 15 y 20: a base de polisacáridos capsulares de neumococo.

Indicaciones:

• Adultos inmunocompetentes ≥ 65 años:
  • Si no se han recibido vacunas antineumocócicas previas (o se desconoce el estado vacunal), administrar:
    • 1 dosis de vacuna antineumocócica conjugada (PCV) como PCV20 (sola), o bien
    • 1 dosis de PCV15 seguida de la vacuna antineumocócica polisacárida (PPSV) como PPSV23 al AL Amyloidosis menos 12 meses después.
  • Si ya ha HA Hemolytic anemia (HA) is the term given to a large group of anemias that are caused by the premature destruction/hemolysis of circulating red blood cells (RBCs). Hemolysis can occur within (intravascular hemolysis) or outside the blood vessels (extravascular hemolysis). Hemolytic Anemia recibido sólo la PPSV23: administrar PCV20 o PCV15 al AL Amyloidosis menos 12 meses después de la dosis de PPSV23
  • Si ya se ha HA Hemolytic anemia (HA) is the term given to a large group of anemias that are caused by the premature destruction/hemolysis of circulating red blood cells (RBCs). Hemolysis can occur within (intravascular hemolysis) or outside the blood vessels (extravascular hemolysis). Hemolytic Anemia recibido sólo la PCV13: administrar la PCV20 o completar la serie PPSV23 recomendada anteriormente.
• Las mismas recomendaciones que las anteriores para adultos de 19-64 años que tienen un mayor riesgo de infección neumocócica:
  • Insuficiencia cardiaca y cardiomiopatías
  • Enfermedad pulmonar crónica: enfermedad pulmonar obstructiva crónica (EPOC) o asma ASMA Autoimmune Hepatitis
  • Trastorno por consumo de alcohol
  • Diabetes Diabetes Diabetes mellitus (DM) is a metabolic disease characterized by hyperglycemia and dysfunction of the regulation of glucose metabolism by insulin. Type 1 DM is diagnosed mostly in children and young adults as the result of autoimmune destruction of β cells in the pancreas and the resulting lack of insulin. Type 2 DM has a significant association with obesity and is characterized by insulin resistance. Diabetes Mellitus
  • Enfermedad de células falciformes u otras hemoglobinopatías
  • Fumadores actuales
• Administrar PCV20 seguida de PPSV23 al AL Amyloidosis menos 8 semanas después ( en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum lugar de 12 meses) en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum adultos de alto riesgo (cualquier edad) con:
  • Aumento del riesgo de meningitis Meningitis Meningitis is inflammation of the meninges, the protective membranes of the brain, and spinal cord. The causes of meningitis are varied, with the most common being bacterial or viral infection. The classic presentation of meningitis is a triad of fever, altered mental status, and nuchal rigidity. Meningitis:
    • Fuga de LCR
    • Implante coclear
  • Inmunocomprometidos:
    • Inmunodeficiencia congénita o adquirida
    • Infección por VIH
    • Malignidad hematológica o activa generalizada
    • Enfermedad de Hodgkin y linfomas
    • Leucemias
    • Trasplante de órgano sólido
    • Enfermedad renal crónica
    • Asplenia Asplenia Asplenia is the absence of splenic tissue or function and can stem from several factors ranging from congenital to iatrogenic. There is a distinction between anatomic asplenia, which is due to the surgical removal of the spleen, and functional asplenia, which is due to a condition that leads to splenic atrophy, infarct, congestion, or infiltrative disease. Asplenia

Vacuna contra la varicela y el herpes zóster

Vacuna contra la varicela:

• Formulaciones:
  • Vacuna contra la varicela de antígeno único (viva)
  • SPRV
• Indicada para adultos sin antecedentes de varicela o evidencia de inmunidad.
• Vacuna de antígeno único: Se administran 2 dosis, con una diferencia de 1 a 2 meses.

Vacuna contra el herpes zóster:

• Vacuna:
  • Shingrix (vacuna recombinante contra el zóster)
  • 2 dosis, administradas con 2 a 6 meses de diferencia
• Indicada para adultos ≥ 50 años para disminuir el riesgo de desarrollar herpes zóster (culebrilla) y neuralgia posherpética.
• La vacuna debe administrarse independientemente de la vacunación previa o de los LOS Neisseria antecedentes de enfermedades.

Otras vacunas

• Vacuna contra la hepatitis A Hepatitis A Hepatitis A is caused by the hepatitis A virus (HAV), a nonenveloped virus of the Picornaviridae family with single-stranded RNA. HAV causes an acute, highly contagious hepatitis with unspecific prodromal symptoms such as fever and malaise followed by jaundice and elevated liver transaminases. Hepatitis A Virus:
  • Serie de 2 dosis recomendada para personas de alto riesgo
  • Indicaciones: enfermedad hepática crónica, usuario de drogas intravenosas, viajes a zonas endémicas
• Vacuna contra la hepatitis B Hepatitis B Hepatitis B virus (HBV) is a partially double-stranded DNA virus, which belongs to the Orthohepadnavirus genus and the Hepadnaviridae family. Most individuals with acute HBV infection are asymptomatic or have mild, self-limiting symptoms. Chronic infection can be asymptomatic or create hepatic inflammation, leading to liver cirrhosis and hepatocellular carcinoma (HCC). Hepatitis B Virus:
  • Recomendado para:
    • Todos los LOS Neisseria adultos de 19 a 59 años (si no han sido vacunados previamente).
    • Adultos ≥ 60 años, si existen factores de riesgo.
  • Factores de riesgo:
    • Enfermedad hepática crónica, como infección por hepatitis C Hepatitis C Hepatitis C is an infection of the liver caused by the hepatitis C virus (HCV). The infection can be transmitted through infectious blood or body fluids and may be transmitted during childbirth or through IV drug use or sexual intercourse. Hepatitis C virus can cause both acute and chronic hepatitis, ranging from a mild to a serious, lifelong illness including liver cirrhosis and hepatocellular carcinoma (HCC). Hepatitis C Virus.
    • Infección por VIH
    • Uso de drogas por vía intravenosa
    • Comportamiento sexual de alto riesgo
    • Personal sanitario
    • Encarcelamiento
    • Viajes a zonas con prevalencia alta o intermedia de hepatitis B Hepatitis B Hepatitis B virus (HBV) is a partially double-stranded DNA virus, which belongs to the Orthohepadnavirus genus and the Hepadnaviridae family. Most individuals with acute HBV infection are asymptomatic or have mild, self-limiting symptoms. Chronic infection can be asymptomatic or create hepatic inflammation, leading to liver cirrhosis and hepatocellular carcinoma (HCC). Hepatitis B Virus
• Vacuna contra Haemophilus influenzae Haemophilus Influenzae A species of Haemophilus found on the mucous membranes of humans and a variety of animals. The species is further divided into biotypes I through viii. Haemophilus tipo b:
  • 1 dosis (vacuna inactivada)
  • Indicaciones: asplenia Asplenia Asplenia is the absence of splenic tissue or function and can stem from several factors ranging from congenital to iatrogenic. There is a distinction between anatomic asplenia, which is due to the surgical removal of the spleen, and functional asplenia, which is due to a condition that leads to splenic atrophy, infarct, congestion, or infiltrative disease. Asplenia anatómica o funcional o receptor Receptor Receptors are proteins located either on the surface of or within a cell that can bind to signaling molecules known as ligands (e.g., hormones) and cause some type of response within the cell. Receptors de trasplante de células madre hematopoyéticas
• Vacuna meningocócica:
  • En EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum Estados Unidos: vacunas conjugadas meningocócicas tetravalentes (inactivadas)
  • Indicada para estudiantes universitarios y reclutas militares que viven en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum viviendas residenciales si no fueron vacunados previamente a los LOS Neisseria 16 años o más
  • También indicada para personas con asplenia Asplenia Asplenia is the absence of splenic tissue or function and can stem from several factors ranging from congenital to iatrogenic. There is a distinction between anatomic asplenia, which is due to the surgical removal of the spleen, and functional asplenia, which is due to a condition that leads to splenic atrophy, infarct, congestion, or infiltrative disease. Asplenia anatómica o funcional.
• Recomendaciones sobre la vacuna COVID-19 COVID-19 Coronavirus disease 2019 (COVID-19) is an infectious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that mainly affects the respiratory system but can also cause damage to other body systems (cardiovascular, gastrointestinal, renal, and central nervous systems). :
  • Se recomienda 1 dosis de vacuna bivalente de ARNm.
  • Las personas ≥ 65 años pueden recibir una dosis adicional.
  • Ya no se recomiendan las vacunas monovalentes de ARNm.

Asesoramiento Preventivo Adicional

Estilo de vida

• Se recomienda una dieta saludable y actividad física para disminuir el riesgo de enfermedad cardiovascular y los LOS Neisseria factores de riesgo asociados:
  • Al AL Amyloidosis menos 150 minutos de ejercicio de intensidad moderada por semana o 75 minutos de actividad vigorosa por semana
  • Se recomienda la participación en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum ejercicios de fortalecimiento al AL Amyloidosis menos dos veces por semana.
• Exposición a la radiación ultravioleta (UV): Aconseje a los LOS Neisseria adultos, especialmente a las personas de piel clara, que minimicen la exposición al AL Amyloidosis sol para disminuir el riesgo de cáncer de piel.
• Higiene del sueño:
  • La recomendación es dormir al AL Amyloidosis menos entre 7–8 horas por noche.
  • Mantenga un horario de sueño regular Regular Insulin.
  • Evite los LOS Neisseria estimulantes (e.g., cafeína) y las pantallas electrónicas (e.g., teléfonos, computadoras portátiles) antes de acostarse.

Salud sexual y anticoncepción

• Asesoramiento sobre prácticas sexuales seguras
• Si el paciente está interesado en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la anticoncepción, discuta las opciones, los LOS Neisseria métodos, la eficacia, los LOS Neisseria riesgos/beneficios y los LOS Neisseria posibles efectos secundarios de los LOS Neisseria anticonceptivos.
• La suplementación con ácido fólico se recomienda en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum mujeres en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum edad fértil para prevenir defectos del tubo neural en EN Erythema nodosum is an immune-mediated panniculitis (inflammation of the subcutaneous fat) caused by a type IV (delayed-type) hypersensitivity reaction. It commonly manifests in young women as tender, erythematous nodules on the shins. Erythema Nodosum la descendencia.