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).

Mar 15, 2011 Issue
Screening for Obesity in Children and Adolescents
Case study: A seven-year-old boy presents with his mother for a routine well-child visit. He does not report any problems, his medical history is unremarkable, and he has no family history of heart disease or diabetes mellitus.

Feb 15, 2011 Issue
Using Nontraditional Risk Factors in Coronary Heart Disease Risk Assessment
Case study: A 47-year-old man with no history of coronary heart disease (CHD), diabetes mellitus, or any CHD risk equivalent asks about smoking cessation therapies. His past laboratory results include a total cholesterol level of 230 mg per dL (5.96 mmol per L) and a high-density lipoprotein level of 35 mg per dL (0.91 mmol per L).

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.

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