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).

Dec 15, 2012 Issue
Prevention of Falls in Community-Dwelling Older Adults
Case study: A 73-year-old woman comes to your office for routine follow-up for hypertension. She lives alone in an apartment and walks slowly, requiring the use of a cane. She is otherwise healthy and alert. Her most recent eye examination was three years ago.

Nov 15, 2012 Issue
Screening for and Management of Obesity in Adults
Case study: A 40-year-old woman presents to your office for a routine well-woman examination. She has no significant medical history. She recently participated in a health fair at work and underwent free lipid and glucose screening; both levels were within normal limits.

Oct 15, 2012 Issue
Behavioral Counseling to Prevent Skin Cancer
Case study: A 17-year-old white female patient with dark hair comes to your office for a refill of her seasonal allergy prescription. Her primary residence is in Minnesota. She mentions that she heard that sun tanning was “bad for you” and asks whether it is true.

Sep 15, 2012 Issue
Screening for Cervical Cancer
Case study: J.K., a 45-year-old woman, presents to your office for a routine well-woman examination. She has been married for 20 years, and there is nothing remarkable in her medical history, including no previous abnormal Papanicolaou (Pap) smears.

Feb 15, 2012 Issue
Screening for Bladder Cancer
Case study: K.J., a 62-year-old white man, presents for a preventive visit. He has not seen a physician for three years because he is generally healthy. After his 65-year-old neighbor was diagnosed with bladder cancer, K.J.'s wife convinced him to be screened.

Jan 15, 2012 Issue
Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum
Case study: You are called to an emergent but uncomplicated spontaneous vaginal delivery at 38 weeks' gestation. The mother is 19 years of age, with a history of heroin use and multiple sex partners. She has not received medical care for the past few years.

Aug 15, 2011 Issue
Screening for Testicular Cancer
Case study: A 17-year-old male presents to your office for a college entrance physical examination. He learned about testicular cancer in health class, and asks you about screening. He has no history of cryptorchidism and no physical symptoms.

Jul 15, 2011 Issue
Vision Screening for Children One to Five Years of Age
Case study: A three-year-old girl presents for routine childhood immunizations and a routine evaluation. She does not have a history of vision screening and has no abnormal vision symptoms.

Jun 15, 2011 Issue
Aspirin for the Prevention of Cardiovascular Disease
Case study: K.T., a 48-year-old man, presents for a routine office visit. He is worried about cardiovascular disease (CVD) and asks whether he should take daily aspirin to lower his risk. His blood pressure is 120/60 mm Hg, and his total cholesterol is 180 mg per dL (4.66 mmol per L), with a low-density lipoprotein level of 80 mg per dL (2.07 mmol per L) and a high-density lipoprotein level of 40 (1.04 mmol per L). He does not have diabetes mellitus and does not use tobacco.

May 15, 2011 Issue
Screening for Osteoporosis
Case study: A 59-year-old black woman presents for a routine well visit. She reports that her 60th birthday is in a few days, and asks if she should make an appointment to be screened for osteoporosis. She also asks whether her husband, who is 66 years of age, should be screened as well.

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