Numbers you need to know

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Temperature

Normal: 97°F (36.1°C) to 99°F (37.2°C)

Fever: Over 100.4°F (38°C) 

Heart Rate

Normal:60 to 100 

Tachycardia:>100

Bradycardia:<60

Respiratory Rate

Normal:12-20

Abnormal:>20

Blood pressure

Normal:SBP<120 mmHg; DBP<80 mmHg

Elevated BP:SBP 120-129 mmHg; DBP < 80 mmHg

Stage 1 hypertension:SBP 130-139 mmHg;DBP 80-89 mmHg

Stage 2 hypertension:SBP >= 140 mmHg; DBP >= 90 mmHg

Pain

0-10, normal is 0, higher is more painful

BMI

Normal:18.5 to <25; Asian <23

Overweight:25.0 to <30; Asian 23-27.9 

Obesity:>=30.0; Asian >=28

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HBA1c

Normal:4% - 5.6%

Prediabetes:5.7% - 6.4% 

Diabetes:>= 6.5% 

Target HbA1c: < 7%

LDL

Normal:<  100 mg/dL

Accepatable if no comorbility: 100 to 129 mg/dL

Borderline: 130 to 159 mg/dL 

High:160 to 189 mg/dL or higher

Triglyceride

Normal: <150

Borderline: 150-199

High: 200-499

Very high: >=500

HDL

Normal: >=60 (higher is better)

Borderline: 60-40

Low: <40

PHQ-9

Mild: 10-14

Moderate: 15-19

Severe: >=20

Physical activity

150 minutes of moderate aerobic activity every week

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Annual well exam = Well visit

The annual exam is easily covered by insurance.

Highly recommended for everyone!!!

Focus on Disease Prevention

STD screen

Indication: 16 - 24 years old

Cervical Cancer

Indication: >=21 years old

Breast cancer screen

Indication: >=40 years old with cancer risk

                  >= 50 years old

Colon cancer screen

Indication: >=45 years old with cancer risk

                  >=50 years old

Lung cancer screen

Indication: 55-80 years old with smoking history

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Prostate cancer screen

Indication: 55-69 years old

Osteoporosis screen

Indication: Female >=65 years old; post-menopausal with risk factors

                  Male >=70 years old; 50-69 years old with risk factors

Diabetic complication screen

Annual eye exam

Annual podiatry exam

Annual renal function exam

COPD

Spirometry

Flu shot

Annually monitor

Pneumococcus vaccine

Indication: > 65 years old or adult with risk factors