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).

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.

Jul 1, 2005 Issue
Screening for Genital Herpes
Case study: MS, a 26-year-old woman, has arrived for her first prenatal visit. She is in the eighth week of her third pregnancy. Her previous pregnancies were uncomplicated with normal-term deliveries. Although she has never had any sexually transmitted diseases or symptoms of a sexually transmitted disease, she asks that you test her for everything, including herpes simplex virus (HSV) infection.

Jun 1, 2005 Issue
Screening for Abdominal Aortic Aneurism
Case study: M.G., a 70-year-old black man, requests refills for his medicines. His medications include lisinopril, atorvastatin, glipizide, and daily aspirin. He smoked heavily when he was younger but quit about 15 years ago. He also asks that you order “whatever tests should be done at my age.”

May 1, 2005 Issue
Screening for Family and Intimate Partner Violence
Case study: RS, a 37-year-old woman, comes to your office with her four children and elderly mother, who lives with them, for their routine check-ups. She says that her husband has to miss his appointment that day because of work. You see RS first.

Apr 1, 2005 Issue
Screening for Thyroid Disease
Case study: LF, a 50-year-old woman, requests a “thyroid blood test.” You review the symptoms of hypothyroidism and hyperthyroidism with her and find that she has none of them.

Mar 1, 2005 Issue
Screening for Hepatitis C in Adults
Case study: DV, a 35-year-old woman, is concerned about hepatitis C virus (HCV) infection after reading about celebrities who have the infection. She has been in a monogamous relationship for 10 years, has never used illicit drugs, and has never received a blood transfusion. She has no symptoms and is healthy.

Dec 1, 2004 Issue
Screening for Suicide Risk
Case study: SJ is a 17-year-old boy brought in by his mother for a pre-college physical. His mother pulls you aside and shares a story from the local newspaper about a college freshman who committed suicide after the first week of school. She is anxious because of SJ’s history of “cutting himself” after her divorce years ago.

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