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).

Jan 15, 2015 Issue
Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer in Women
L.M. is a 37-year-old nonsmoking woman who is not taking any medications and has no significant past medical problems. Three of her female relatives have a history of breast cancer: her mother (diagnosed at 49 years of age, before menopause), her paternal grandmother (diagnosed at 72 years of age), and her maternal aunt (recently diagnosed at 39 years of age). L.M. is concerned that breast cancer runs in her family, and is interested in genetic testing for breast cancer.

Dec 15, 2014 Issue
Peripheral Artery Disease Screening and Cardiovascular Disease Risk Assessment with the Ankle-Brachial Index in Adults
J.P. is a 40-year-old man with a 15 pack-year smoking history. His father has type 2 diabetes mellitus. J.P.'s vital signs, weight, and lipid levels are within normal limits. At his office visit, he brings an advertisement for a health fair with information on screening for peripheral artery disease (PAD) with the ankle-brachial index (ABI), and asks if he should be screened.

Nov 15, 2014 Issue
Primary Care Interventions to Prevent Tobacco Use in Children and Adolescents
A 14-year-old male high school student presents for a preparticipation physical examination. He just started the 9th grade and is trying out for his school's football team. He is a nonsmoker and has never used illicit drugs. However, his parents are longtime smokers, and some of his older friends on the football team smoke.

Oct 15, 2014 Issue
Screening for Glaucoma
A 55-year-old black woman presents to your office for a routine well-woman examination. Her medical history is significant for hypertension, which is well controlled with medication. She mentions that her mother was diagnosed with glaucoma a few years ago and is currently undergoing treatment. She reports no vision symptoms and wonders if she should be checked for glaucoma.

Sep 15, 2014 Issue
Screening for Hepatitis C Virus Infection in Adults
T.S. is a 59-year-old white man born in 1955. He presents as a new patient to request a refill of his cholesterol medication. He has an unremarkable medical history. When you inquire about his social history, he reports that he has been married for 30 years, drinks a moderate amount of alcohol, does not smoke, and has no recent history of illicit drug use.

Aug 15, 2014 Issue
Primary Care Interventions to Prevent Child Maltreatment
A young couple comes to your clinic with their adopted four-year-old daughter for her annual well-child visit. On physical examination, the patient appears to be well developed and well nourished, and measures in the 75th percentile for her height and weight.

Jul 15, 2014 Issue
Screening for Lung Cancer
M.B., a woman with diabetes mellitus, presents to your office for an annual well visit. M.B. reports having smoked one and a half packs of cigarettes daily for 20 years. Her neighbor was recently diagnosed with lung cancer, and M.B. requests to be tested for lung cancer, too.

Jun 15, 2014 Issue
Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse
A 22-year-old man presents for a routine physical examination. While you are taking his history, he states that he “goes out drinking” every weekend with his friends.

Jun 1, 2014 Issue
Vitamin D and Calcium Supplementation to Prevent Fractures in Adults
A 55-year-old woman presents to your office for a refill of her blood pressure medication. She is otherwise healthy and does not take other medications. She states that her older sister has been taking vitamin D and calcium supplements for several years “to keep her bones strong,” and asks whether she should take vitamin D and calcium as well.

Apr 15, 2014 Issue
Screening for HIV
A 19-year-old woman presents to the university health clinic for a well-woman examination. She reports no problems and mentions that she is sexually active with one male partner, who usually uses condoms. She has never been screened for a sexually transmitted infection.

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