Adolescent Medicine Flashcards
(19 cards)
Top three causes of mortality for adolescents
- Unintentional injury
- Homicide
- Suicide
Top two causes of unintentional injury in teens
- motor vehicle traffic
2. poisoning
Morbidities in adolescents (5)
- mental health problems
- obesity
- sexuality-related (preg, STI)
- Injuries
- Dental infections
Congnitive Development: _____ to ____ thinking
concrete to abstract
Breast buds
thelarche, SMR II
Pubic Hair
pubarche, SMR II
Enlargement of testes and pubic hair
SMR II @ 4mL
Growth of penis
SMR III
Facial hair
SMR IV
When does experimental behavior begin?
15-16 years old
What part of exam with parents?
Past medical history and family history
Exceptions to getting consent from parent
- emergency
- mature minor situations (standard)
- emancipated minor
- reproductive care
- outpatient mental health/SA treatment
When is there mandated reporting?
<13 yo
HEEADSSS
Home Education Eating Activities Drugs Sexuality Suicide Safety
CRAFFT
in the past 12 months, did you: 1. Drink any alcohol? 2. Smoke any marijuana? 3. Use anything else to get high? Then ask if they were in the car with anyone then further questions
Vaccines in teenage years
- Tdap
- Varicella
- Menigococcal- two kinds
- Gardasil- 3 shots age 11-26
- Hepatitis A
What STI can you easily screen for in urine?
Gonnorhea, Chlamydia
Common lab testing for teens
- Hg/HCT- for iron deficiency
- Urine
- Cholesterol/Triglyceride screening if obese
Alternatives to eating disorder
thyroid disease, Addison’s, IBD, infections (HIV,TB), Celiac, GI cancer
OR
depression, anxiety, PTSD, family chaos
