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).

Jan 15, 2018 Issue
Screening for Preeclampsia
A 28-year-old white woman comes to your clinic for prenatal care reporting a new-onset severe headache. She is currently pregnant with twins at an estimated gestational age of 22 weeks. Her obstetric history is significant for one previous term singleton vaginal delivery at 24 years of age without complications.


Dec 15, 2017 Issue
Statin Use for the Primary Prevention of Cardiovascular Disease in Adults
L.D., a 66-year-old generally healthy white man, presents for his annual physical. He has no history of cardiovascular disease (CVD); he has had consistent systolic blood pressure measurements of 140 mm Hg; he is not taking any medications; he does not smoke; he exercises three times per week; and his body mass index is 25 kg per m2.


Nov 15, 2017 Issue
Screening for Latent Tuberculosis Infection in Adults
G.R. is a 21-year-old nonpregnant woman who is new to the area and your office. She is applying to graduate school and wants to make sure her vaccinations are up to date. She reports she is doing well and has no concerns.


Oct 15, 2017 Issue
Screening for Lipid Disorders in Children and Adolescents
A healthy 12-year-old boy presents for a school physical and well visit. His family history reveals that his maternal grandfather had a heart attack at 75 years of age and that his 52-year-old father has started taking a medication for elevated cholesterol levels.


Sep 15, 2017 Issue
Screening for Syphilis Infection in Nonpregnant Adults and Adolescents
R.J. is a 27-year-old man who presents for a well-patient visit. He always keeps his appointments and likes to make sure he is healthy. R.J. has started a new relationship and asks if he should be screened for syphilis.


Aug 15, 2017 Issue
Screening for Gynecologic Conditions with Pelvic Examination
A 37-year-old woman presents to your office for her annual wellness visit. She is not due for a Papanicolaou (Pap) smear this year. She is not pregnant, reports no problems, and has no risk factors for sexually transmitted infections. She asks if she should have a pelvic examination today.


Jul 15, 2017 Issue
Screening for Obstructive Sleep Apnea in Adults
R.K. is a 52-year-old white man who presents to your office for a preventive health visit. He is overweight and has a history of hypertension and hyperlipidemia, which are stable and well controlled with medication. One of his coworkers was recently diagnosed with obstructive sleep apnea (OSA), and R.K. wants to know if he should be screened, although he is not aware of any symptoms.


Jun 15, 2017 Issue
Serologic Screening for Genital Herpes Infection
C.D. is a 23-year-old woman who presents to your office for her first prenatal visit. She is in the eighth week of her first pregnancy. She tested negative for sexually transmitted infections (STIs) two years ago, and she has not had a new sex partner since that time. Although she reports no symptoms or history of an STI, she asks to be tested for “everything.”


May 15, 2017 Issue
Screening for Colorectal Cancer
A 50-year-old woman presents for a routine visit. She is healthy with no significant medical history, takes no medications, and has no personal or family history of cancer.


Apr 15, 2017 Issue
Primary Interventions to Support Breastfeeding
A.R., a 26-year-old woman, presents for a routine prenatal visit at 28 weeks' gestation. Her medical history is significant for poorly controlled asthma, and her family history is significant for breast cancer diagnosed in her mother. Her physical examination is unremarkable.


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