Source / episode info

• **Episode:**325
• **Title:**Divine Intervention Episode 325 – The Extremely HY Screening Guidelines Podcast.
• **Published:**2021-07-07
• Source:Episode page

One-liner

This episode provides a comprehensive review of seven major categories of medical screening guidelines, covering everything from prenatal care (HIV, GBS) and metabolic disorders (FH, HTN, DM) to specific cancer surveillance protocols for genetic syndromes (Lynch, FAP) and high-risk populations.

High-yield summary

• Prenatal Screening: Must screen all pregnant women at the first visit for HIV, HBsAg, Syphilis, ASB (treated with Nitrofurantoin + TMP/SMX), Group B Strep status, and perform an Indirect Coombs test.
• Genetic Syndromes: Key screening differences include: FH (Rule of 3s: ages 3, 9, 18); Lynch Syndrome (Colon cancer at age 20; Endometrial cancer at age 30); FAP (Colon cancer starting at age 10).
• Cancer Screening Protocols: Colon cancer screening options include colonoscopy (every 10 years), flexible sigmoidoscopy (every 5 years, or every 10 years with FIT test), and CT colonography (every 5 years).
• Metabolic Guidelines: Hyperlipidemia screening frequency increases with age: Men >65 years require annual screening; women >65 years require annual screening. Diabetics require yearly lipid screening regardless of other guidelines.
• High-Risk Populations: High-risk sexual individuals require annual HIV and HBsAg screening, and syphilis screening every three months.
• Cervical Cancer Screening: The preferred method for ages 30-65 is Pap smear + HPV co-testing every five years; the alternative is Pap alone every three years or HPV testing alone every five years.

Learning objectives

• Identify appropriate screening guidelines across diverse populations (pregnant, smokers, genetic risk).
• Differentiate between various types of colon cancer screening and their respective frequencies/modalities.
• Apply knowledge of metabolic disorder screening frequency changes based on age and comorbidities (e.g., HTN, DM, hyperlipidemia).
• Recognize the specific surveillance protocols for high-risk genetic syndromes like Lynch Syndrome and FAP.
• Understand the unique guidelines for cervical cancer screening following hysterectomy or in immunocompromised patients.