AFP DEPARTMENT COLLECTION

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).

May 15, 2016 Issue
Behavioral and Pharmacotherapy Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Women
A 40-year-old woman presents for a routine antepartum visit. She is 20 weeks pregnant and smokes half a pack of cigarettes per day despite efforts to quit. She has no other concerns, and her physical examination findings are normal. The patient asks if your clinic offers services to help with tobacco smoking cessation and if she should try using e-cigarettes to stop smoking.


Mar 15, 2016 Issue
Screening for High Blood Pressure in Adults
A 55-year-old black man presents for a blood pressure evaluation. He is trying to be more physically active and health conscious but has not seen a physician for five years. He takes no medications, has no concerns, and his physical examination findings are unremarkable. According to the blood pressure monitoring machine at his gym, his blood pressure has ranged from 150 to 160 over 90 to 100 mm Hg over several weeks. Your clinic's technician, using a manual sphygmomanometer on the left arm, measures his blood pressure as 167/95 mm Hg.


Jan 15, 2016 Issue
Screening for Iron Deficiency Anemia and Iron Supplementation in Pregnant Women to Improve Maternal Health and Birth Outcomes
A 28-year-old woman presents for a routine antepartum visit. She is 33 weeks pregnant and also has a four-year-old son. She has no particular problems, and the findings from your examination are unremarkable. She asks if her blood iron level should be tested.


Dec 15, 2015 Issue
Screening for Iron Deficiency Anemia in Young Children
C.C., a 32-year-old white woman, presents to your office with her nine-month-old son for a routine well-child visit. She is preparing to switch him from breast milk to formula and had noted that most formulas contain iron. She wonders if her son should be screened for iron deficiency and possibly iron deficiency anemia before she starts him on formula.


Nov 15, 2015 Issue
Screening for Speech and Language Delay and Disorders in Children Five Years and Younger
A two-year-old girl presents to your office for a routine well-child visit. She has had one ear infection in the past year but is otherwise healthy. Her mother has no specific concerns about her speech and language development. There is no family history of congenital disorders or developmental delay. Her mother says that a neighbor's child was referred for early speech therapy.


Oct 15, 2015 Issue
Screening for Thyroid Dysfunction
A 40-year-old woman presents for a routine well-woman examination. She is not pregnant, is in good health, reports no symptoms, and her physical examination is unremarkable. After seeing a health news segment on television, she asks if she should have her thyroid function checked.


Sep 15, 2015 Issue
Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults with Cardiovascular Risk Factors
J.W., a 34-year-old man who smokes, presents for his annual checkup for hypertension. Hisblood pressure is elevated (142/95 mm Hg), and he has gained 10 lb (4.5 kg) since his lastvisit. J.W. is now considered overweight, with a body mass index (BMI) of 27 kg per m2. He reports no other symptoms or problems.


Aug 15, 2015 Issue
Screening for Hepatitis B Virus Infection in Nonpregnant Adolescents and Adults
P.N. is a 35-year-old man whose parents were born in southeast Asia. Although he was born in the United States, P.N. does not have any vaccination records from his childhood. During an office visit, he mentions that a relative was recently diagnosed with hepatitis B virus (HBV) infection and asks whether he should be screened.


Jul 15, 2015 Issue
Screening for Cognitive Impairment in Older Adults
N.D. is a 72-year-old white man who presents for a preventive visit. He smokes, and his medical history is significant for essential hypertension, which is stable and well controlled with medication. N.D.'s close friend was recently diagnosed with dementia, and N.D. is concerned that he may receive a similar diagnosis in the future. He does not have any symptoms but asks whether he should be screened.


Jun 15, 2015 Issue
Primary Care Behavioral Interventions to Reduce Illicit Drug and Nonmedical Pharmaceutical Use in Children
J.P. is a 16-year-old white female nonsmoker who presents for a sports clearance physical. She is in good overall health, excels academically, and plays water polo at school. During the patient history, she mentions that she and three friends were suspended from school for drinking cough syrup after a water polo tournament.


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