Annual Wellness Exam Recommendations for 75-Year-Old Males

Cardiovascular Health Assessment

• The American College of Cardiology recommends blood pressure measurement should be performed annually for a 75-year-old male 1
• The American Heart Association recommends lipid panel screening for men aged 40-75 years to assess cardiovascular risk 2
• The American College of Cardiology recommends cardiovascular risk calculation using tools like the ACC/AHA risk calculator to guide statin therapy decisions 2
• One-time screening ultrasonography for abdominal aortic aneurysm is recommended for men aged 65-75 years who have ever smoked 1

Cancer Screening

• The American Cancer Society recommends colorectal cancer screening should continue until at least age 75 for those with life expectancy >10 years, with options including annual fecal immunochemical test (FIT), colonoscopy every 10 years, or CT colonography every 5 years 3
• The National Comprehensive Cancer Network recommends prostate cancer screening should be individualized through shared decision-making, with PSA testing discussed with men who have at least a 10-year life expectancy 3
• The National Comprehensive Cancer Network recommends digital rectal examination may be considered alongside PSA testing for prostate cancer screening 4
• The National Comprehensive Cancer Network recommends lung cancer screening with low-dose CT for men aged 55-80 years with at least a 30-pack-year smoking history who currently smoke or have quit within the past 15 years 3

Cognitive and Mental Health Assessment

• The Alzheimer's Association recommends cognitive screening using validated tools such as the MoCA (Montreal Cognitive Assessment) or other brief mental status tests 6
• The American Psychiatric Association recommends depression screening using standardized tests or conventional mental health interview 1
• The American Heart Association recommends assessment for neuropsychiatric symptoms that may indicate early cognitive impairment 7

Functional Assessment

• The American Geriatrics Society recommends timed gait assessment to evaluate mobility and fall risk 7
• The American Geriatrics Society recommends assessment of activities of daily living (ADLs) and instrumental activities of daily living (IADLs) 7
• The American Academy of Neurology recommends evaluation of motor movements and reflexes 7

Preventive Care and Immunizations

• The Advisory Committee on Immunization Practices recommends annual influenza vaccination for 75-year-old males 1
• The Advisory Committee on Immunization Practices recommends pneumococcal vaccination for 75-year-old males 1
• The American Heart Association recommends lifestyle counseling on dietary habits and nutrition 8
• The American Heart Association recommends lifestyle counseling on smoking cessation if applicable 8
• The American Heart Association recommends alcohol use assessment 1

Laboratory Testing

• The American College of Physicians recommends complete blood count if clinically indicated for 75-year-old males 1
• The American Diabetes Association recommends fasting blood glucose or HbA1c to screen for diabetes 1
• The American College of Physicians recommends urinalysis if clinically indicated for 75-year-old males 1

Special Considerations

• The National Osteoporosis Foundation recommends bone density testing should be considered in men aged 75 with risk factors for osteoporosis 1
• The American Psychological Association recommends discussion about advance care planning and goals of care 8

Important Caveats

• The American College of Physicians recommends the frequency and extent of testing should be guided by the patient's overall health status and life expectancy 5
• The National Comprehensive Cancer Network recommends avoiding over-screening in patients with significant comorbidities or limited life expectancy 5