Health Maintenance Guidelines
Ages 50 to 74

Check Up

Check blood pressure, weight and height to calculate body mass index (BMI) and health risks.

Screening Tests

• Hep C: Screening for those born between 1945-1965
  
• HIV: Routine discussion
  
• Diabetes: All non-Caucasians; All Caucasians with sustained blood pressure greater than 135/80, or BMI greater than or equal to 25, or history of gestational diabetes, or family history of diabetes.
  
• Colorectal Cancer (Options): Colonoscopy every 10 years; Fecal Occult Blood Testing every 3 years with sigmoidoscopy every 5 years; or Annual Fecal Occult Blood testing.
  
• Assessment of Risk for TB: To determine risk factors

Immunizations

• Influenza: Yearly
  
• Tdap/Td: Tdap required once in a lifetime. Then, Td is required every 10 years.
  
• Zoster (Shingles): At age 60
  
• Pneumococcal Vaccine: At age 65

Men’s Health

• Lipid Test: Every 5 years
  
• Prostate Specific Antigen (PSA): Current evidence does not recommend routine PSA screening for average risk men.

Women’s Health

• Pap Test: Every 3 years from age 21. At age 30, may switch to every 5 years with HPV screening. Screening may be discontinued after age 65.
  
• Lipid Test: Optional
  
• Mammogram: Every 2 years
  
• Bone Density: At age 65

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