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, 2009 Issue
Screening for Carotid Artery Stenosis
Case study: K.A. is a 63-year-old man who presents for a routine wellness examination. His blood pressure and cholesterol level are within normal limits, and he has no history of tobacco use or heart disease.

Dec 15, 2008 Issue
Screening for Chlamydial Infection
Case study: A 20-year-old woman comes to your office for her initial prenatal visit following a positive home pregnancy test. Her last menstrual period was 10 weeks ago. She is in a monogamous relationship and uses condoms inconsistently. Her only complaint is morning sickness.

Nov 15, 2008 Issue
Screening for Elevated Blood Lead Levels in Children and Pregnant Women
Case study: B.C., a 28-year-old white orthodontist at 32 weeks' gestation, comes to your office for a routine prenatal visit. She brings her two-year-old son, C.C., who is due for his well-child visit. B.C.'s previous pregnancy was uncomplicated, and she has been healthy during the current pregnancy.

Nov 15, 2006 Issue
Genetic Risk Assessment and BRCA Mutation Testing for Breast and Ovarian Cancer Susceptibility
Case study: A 46-year-old woman comes to your office to discuss breast cancer screening. She heard a physician on television who mentioned a genetic test that can tell if a woman will get breast cancer.

Oct 15, 2006 Issue
Screening for Speech and Language Delay in Preschool Children
Case study: R.F. brings her three-year-old daughter in for a routine well-child examination. R.F. says that she is not concerned about her daughter’s development, but that her friend’s preschooler is being evaluated for a possible speech delay.

Sep 15, 2006 Issue
Screening for Developmental Dysplasia of the Hip
Case study: A.L. is a 4,100-g (9 lb, 1 oz), one-day-old boy born at 39 weeks’ gestation by cesarean section because of breech presentation following an uncomplicated pregnancy. One- and five-minute Apgar scores were 8 and 9, respectively.

Aug 15, 2006 Issue
Screening for Peripheral Arterial Disease
Case study: A 57-year-old man visits your office for refills of simvastatin (Zocor) and paroxetine (Paxil). He says his friend had “a bypass operation on the arteries in his legs,” and asks if you think he should be “checked for that disease.” He has never had symptoms of claudication.

May 15, 2006 Issue
Screening for Overweight in Children and Adolescents
Case study: EH is a five-year-old boy seeing you for a routine well-child examination. His mother is concerned about his weight. He weighs 55 lb (25 kg), and his height is 42.5 in (108 cm). His body mass index (BMI) is 21.4 kg per m2, which places him in the 95th percentile for his age.

Dec 15, 2005 Issue
Hormone Therapy for the Prevention of Chronic Conditions in Postmenopausal Women
Case study: In keeping with the 2002 recommendation from the U.S. Preventive Services Task Force (USPSTF) that women 65 years of age and older should be screened for osteoporosis, you have ordered a dual-energy x-ray absorptiometry test for a 66-year-old white woman. The results indicate that she is at increased risk of osteoporotic fractures.

Nov 1, 2005 Issue
Screening for Gonorrhea
Case study: A 22-year-old woman comes to your office for her routine well-woman examination. She says that she is currently sexually active in a long-term monogamous relationship. She had a chlamydial infection two years ago. Her only concern today is that her menstrual period is late.

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