APPENDIX A ROUTINE TESTS AND PROCEDURES: AGES 40-64

The following lists include the routine exams and procedures physicians generally recommend for adults age 40-64 and 65 and older every 1-3 years. Obviously, they are not exhaustive, and much depends on a person’s medical history and other individual circumstances. However, the information presented will serve as a good guide to the typical periodic checkup.

Screening

Physical Exam

High-risk groups. Complete skin exam for persons with a family or personal history of skin cancer, frequent occupational or recreational exposure to sunlight, or clinical evidence of premalignant lesions.

Complete oral cavity exam for persons who use tobacco or drink excessive amounts of alcohol or those with suspicious symptoms or lesions detected through self-examination.

Palpitation for thyroid nodules fot persons with a history of upper-body radiation therapy.

Auscultation for carotid bruits for persons who have risk factors for cerebrovascular or cardiovascular disease (e.g., hypertension, smoking, coronary artery disease, atrial fibrillation, diabetes), neurological symptoms, or a history of cerebrovascular disease.