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).

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.

Feb 15, 2014 Issue
Screening for Chronic Kidney Disease
A 55-year-old woman with no history of diabetes mellitus or hypertension asks to be screened for chronic kidney disease (CKD). Her 88-year-old mother has end-stage renal disease and is currently undergoing renal dialysis. The patient says she wants to take all necessary precautions to prevent this from happening to her.

Jan 15, 2014 Issue
Screening for Coronary Heart Disease with Electrocardiography
A 60-year-old man presents to your office for routine follow-up and medication refills for hyperlipidemia and hypertension. His blood pressure is 130/80 mm Hg, and his fasting lipid panel reveals a total cholesterol level of 220 mg per dL and a high-density lipoprotein cholesterol level of 35 mg per dL. He does not smoke. His brother recently died from a myocardial infarction, and he inquires if he should undergo screening for coronary heart disease (CHD).

Jun 15, 2013 Issue
Behavioral Counseling Interventions to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults
Case Study: G.H., a 35-year-old woman, presents for a routine preventive visit. She has no chronic illnesses or significant family history of disease. She does not smoke, but admits she does not exercise regularly or eat a very healthy diet. She drinks a moderate amount of alcohol.

May 15, 2013 Issue
Screening for Ovarian Cancer
Case study: A 55-year-old woman presents for a routine well-woman examination. She states that she is worried about ovarian cancer because one of her friends was recently diagnosed. She has no family history of breast, ovarian, or colon cancer.

Apr 15, 2013 Issue
Screening for Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults
Case Study: A 22-year-old primigravid woman at 20 weeks' gestation presents to your office with her boyfriend for a routine obstetric examination. She has had an uneventful pregnancy. She states that things are “okay” at home, even though she was laid off from her job just before finding out that she was pregnant. Because intimate partner violence (IPV) is common in the United States but often goes undetected, you decide to screen for possible signs of abuse.

Mar 15, 2013 Issue
Menopausal Hormone Therapy for the Primary Prevention of Chronic Conditions
Case Study: A 59-year-old healthy, postmenopausal woman presents for a routine health maintenance visit. She has an intact uterus and no history of skeletal fractures. She asks if menopausal hormone therapy would help prevent chronic illness, specifically stroke and dementia.

Feb 15, 2013 Issue
Screening for Prostate Cancer
Case Study: A 61-year-old black man presents for a routine checkup. He has hypertension and diabetes mellitus that are well controlled with medication. During the visit, he tells you that a friend advised him to get a prostate-specific antigen (PSA) test to screen for prostate cancer, and he would like to pursue testing.

Jan 15, 2013 Issue
Screening for Hearing Loss in Older Adults
Case study: A 75-year-old woman presents to your office for a routine well-woman examination. She mentions that her friend was recently diagnosed with hearing loss and fitted for a hearing aid. She has no perceived hearing loss, but she wonders whether she needs a hearing aid.

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