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, 2011 Issue
Screening for Impaired Visual Acuity in Older Adults
Case study: A 68-year-old black man presents for a routine checkup and refill of his hypertension medication. He has smoked a pack of cigarettes daily for more than 45 years. He asks if he should be screened for cataracts, which his father developed in his 60s. The patient reports no difficulty with his vision and no problem driving at night.

Dec 15, 2010 Issue
Folic Acid for the Prevention of Neural Tube Defects
Case study: A 36-year-old recently married woman comes to your office for a routine gynecologic examination. She tells you that she has been in generally good health since her last visit.

Nov 15, 2010 Issue
Counseling and Interventions to Prevent Tobacco Use and Tobacco-Caused Disease in Adults and Pregnant Women
Case study: A young married couple visits your office for their initial prenatal visit. They each smoke one pack of cigarettes daily.

Oct 15, 2010 Issue
Screening for Depression in Adults
Case study: C.J. is a 54-year-old man who presents with a request to refill his antihypertensive medication. He reports no problems; his blood pressure is well controlled on his current medication regimen; and his physical examination is unremarkable.

Aug 15, 2010 Issue
Screening of Infants for Hyperbilirubinemia to Prevent Chronic Bilirubin Encephalopathy
Case study: K.J. is a full-term newborn male who was born 24 hours ago after an uncomplicated spontaneous vaginal delivery. His parents, who are Asian American, have been attending your practice for five years. K.J. does not appear jaundiced on examination.

Jul 15, 2010 Issue
Screening and Treatment for Major Depressive Disorder in Children and Adolescents
Case study: A woman brings her two children, a 14-year-old boy and a nine-year-old girl, to your office for a routine checkup. She tells you that her husband has major depression, and she wants to know whether her children should be checked for early signs of depression.

Jun 15, 2010 Issue
Screening for Skin Cancer
Case study: S.B., a healthy 47-year-old woman, comes to your office for a routine check-up. S.B. has fair skin and a history of frequent sun exposure and sunburns when she was in college more than 25 years ago. She has no personal or family history of skin cancer.

May 15, 2010 Issue
Primary Care Interventions to Promote Breastfeeding
Case study: L.M. is a 19-year-old woman who is pregnant for the first time. During her first prenatal visit, you ask what she has heard about breastfeeding.

Apr 15, 2010 Issue
Screening for Colorectal Cancer
Case study: N.P., a 51-year-old man, comes to your office because one of his friends was recently diagnosed with colorectal cancer. He is wondering whether he should be screened too.

Mar 15, 2010 Issue
Behavioral Counseling to Prevent Sexually Transmitted Infections
Case study: A.B. is a 16-year-old girl who comes to your office for a sports physical examination. She tells you that since seeing you last year, she has become sexually active with a boy at her school.

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