Putting Prevention into Practice

This department offers a series of short reports and quizzes based on guidelines issued by the U.S. Preventive Services Task Force (USPSTF).

Apr 15, 2017 Issue
Primary Interventions to Support Breastfeeding
A.R., a 26-year-old woman, presents for a routine prenatal visit at 28 weeks' gestation. Her medical history is significant for poorly controlled asthma, and her family history is significant for breast cancer diagnosed in her mother. Her physical examination is unremarkable.

Oct 15, 2016 Issue
Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer
S.L. is a 55-year-old man who presents to your office for a routine refill of his antihypertension medication. He also takes a statin and an antidepressant. Although he smokes, his blood pressure and cholesterol are well controlled. His history and physical examination are unremarkable.

Aug 15, 2016 Issue
Screening for Depression in Adults
A.B., a 29-year-old man, presents to your office for a routine visit. He has a history of being overweight and has hypertension that is controlled by diet and exercise.

Jul 15, 2016 Issue
Screening for Breast Cancer
S.O. is a 47-year-old woman who presents to your office for a well-woman visit. She is healthy, takes no medications, and has no health concerns. She has never been diagnosed with breast cancer, nor have any of her first-degree relatives. Her digital mammography two years ago was negative, and she asks whether she should be screened again this year.

Jun 15, 2016 Issue
Screening for Abnormal Blood Glucose and Type 2 Diabetes Mellitus
M.A. is a 43-year-old woman with a seven pack-year smoking history. She has no health concerns and has not visited a physician in four years. Her blood pressure and pulse are normal, and her body mass index (BMI) is 27 kg per m2. She does not have a family history of diabetes mellitus but notes that her husband was recently screened for diabetes. She asks if she will be screened during today's visit.

May 15, 2016 Issue
Behavioral and Pharmacotherapy Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Women
A 40-year-old woman presents for a routine antepartum visit. She is 20 weeks pregnant and smokes half a pack of cigarettes per day despite efforts to quit. She has no other concerns, and her physical examination findings are normal. The patient asks if your clinic offers services to help with tobacco smoking cessation and if she should try using e-cigarettes to stop smoking.

Mar 15, 2016 Issue
Screening for High Blood Pressure in Adults
A 55-year-old black man presents for a blood pressure evaluation. He is trying to be more physically active and health conscious but has not seen a physician for five years. He takes no medications, has no concerns, and his physical examination findings are unremarkable. According to the blood pressure monitoring machine at his gym, his blood pressure has ranged from 150 to 160 over 90 to 100 mm Hg over several weeks. Your clinic's technician, using a manual sphygmomanometer on the left arm, measures his blood pressure as 167/95 mm Hg.

Jan 15, 2016 Issue
Screening for Iron Deficiency Anemia and Iron Supplementation in Pregnant Women to Improve Maternal Health and Birth Outcomes
A 28-year-old woman presents for a routine antepartum visit. She is 33 weeks pregnant and also has a four-year-old son. She has no particular problems, and the findings from your examination are unremarkable. She asks if her blood iron level should be tested.

Dec 15, 2015 Issue
Screening for Iron Deficiency Anemia in Young Children
C.C., a 32-year-old white woman, presents to your office with her nine-month-old son for a routine well-child visit. She is preparing to switch him from breast milk to formula and had noted that most formulas contain iron. She wonders if her son should be screened for iron deficiency and possibly iron deficiency anemia before she starts him on formula.

Nov 15, 2015 Issue
Screening for Speech and Language Delay and Disorders in Children Five Years and Younger
A two-year-old girl presents to your office for a routine well-child visit. She has had one ear infection in the past year but is otherwise healthy. Her mother has no specific concerns about her speech and language development. There is no family history of congenital disorders or developmental delay. Her mother says that a neighbor's child was referred for early speech therapy.

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