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Preventive Medicine
Questions discussed in this category
How do you approach prescribing statins in patients with an ASCVD <7.5% but have a strong family history and/or elevated LDL (but <190)?
1 Answer available
How do you counsel patients with metabolic syndrome who decline statin therapy and have low coronary calcium scores regarding their long-term CVD risk?
3 Answers available
For patients over 70 with elevated ASCVD risk but no prior cardiovascular events, do you ever recommend continuing or initiating low-dose aspirin?
Aspirin Use to Prevent Cardiovascular Disease: Preventive Medication
1 Answer available
Would you pursue a colonoscopy for a patient in their 20s with constipation and rectal bleeding if they had a first-degree relative who died young from a "carcinoid tumor"?
How do you risk-stratify this otherwise low-risk young patient given the lack of specific guidelines for this rare cancer? Additionally, at what point...
1 Answer available
How do you integrate HIV (+) serostatus into a patient's ASCVD if they would not otherwise qualify for a statin either for primary or secondary prophylaxis?
As seen in this published work: Craig Beavers, Alice K. Pau, David Glidden, et al. Statin Therapy as Primary Prevention for Persons With HIV: A S...
1 Answer available
How do you discuss the role (if there is any) of frequently weighing yourself at home for patients who desire weight loss?
Is there a role, or do you find it largely drives the fixation of health being based on the number on the scale?
3 Answers available
How do you counsel non-diabetic patients who wish to start metformin to reduce the risk of developing dementia?
2 Answers available
How do you counsel patients who express concerns about receiving multiple vaccinations at once versus spacing them out over time?
1 Answer available
How do you decide whether average-risk patients should undergo annual or biennial breast cancer screening?
1 Answer available
What is your preferred screening tool for colon cancer in an average-risk patient?
1 Answer available
Is there any role for administering another course of recombinant zoster vaccine (Shingrix) in a previously vaccinated patient with RA, who is in clinical remission on JAK inhibitor but has had a breakthrough shingles infection?
The last SHINGRIX was about 4 years ago and both doses were given.
2 Answers available
How do you approach the use of metformin in the management of prediabetes for patients who are neither obese nor have a family history of diabetes?
2 Answers available
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Papers discussed in this category
Journal of clinical lipidology, 2022 Sep 11
Assessment and management of statin-associated muscle symptoms (SAMS): A clinical perspective from the National Lipid Association.
Lancet (London, England), 2015 Mar 12
A 2 year multidomain intervention of diet, exercise, cognitive training, and vascular risk monitoring versus control to prevent cognitive decline in at-risk elderly people (FINGER): a randomised controlled trial.
AIDS (London, England), 2025 May 23
Risks for sudden cardiac and undetermined cause of death among people with HIV in the REPRIEVE primary cardiovascular prevention trial.
Related Topics
General Primary Care
Primary Care
General Internal Medicine
Preventive Cardiology
Cardiology
Endocrinology
Lipid Disorders
Gastroenterology
Geriatric Medicine
Medical Oncology