Preventive Medicine Adolescent Flashcards
(25 cards)
HEEADSSSS
Home Education Eating Activities Drugs Sexuality - sexual orientation; 5 P’s partner, practice protection, previous STI, pregnancy and abortion Safety Suicide Spirituality Others: chronic illness
When is breast examination done?
1 week after menses
Characterized by a discreet disk of palpable gladular tissue under the nipple Areolar complex
True gynecomastia
Characterized by more diffuse, bilateral adiposity of the anterior chest wall
Pseudogynecomastia
What to do in gynecomastia?
- observe
- if persistent after 6 months, rule out other causes
What test is used to check for scoliosis and kyphosis?
Adam’s test
Forward leaning test
What Screening tests are done for adolescents?
CBC: Hgb U/A TB work up if at risk - ask if there are family members taking meds STI - annually for sexually active Pap smear at 21 yo Visual screening
Depression screening done at?
12 years old and above
Pregnancy test is done if what vaccines are given?
- live attenuated vaccines: Varicella and rubella
Vaccination: HEP B
- unvaccinated 7-18 years old
- 3 doses (0,1,6 months)
- IM
Vaccination: HEP A
- unvaccinated 7-18 years old
- 2 doses
- 2nd dose given at least 6 months from 1st dose
- IM
Vaccination: MMR
- unvaccinated 7-18 years old
- 2 doses
- 4 weeks interval between doses
- SC
- C/I: pregnancy, immunosuppresion, recent receipt of blood products
Vaccination: MMR
- INCOMPLETELY vaccinated 7-18 years old
- 1 dose
- 2nd dose given anytime but at least 4 weeks from 1st dose
- SC
- C/I: pregnancy, immunosuppresion, recent receipt of blood products
Vaccination: VARICELLA
- unvaccinated
- 2 doses
- 7-12 years old: minimum interval between doses is THREE MONTHS
- > 13 years old: minimum interval between doses is ONE MONTH
- SC
- C/I: pregnancy, immunosuppresion, recent receipt of blood products
Vaccination: VARICELLA
- INCOMPLETELY vaccinated 7-18 years old
- 1 dose
- 7-12 yo: given anytime at least 3 months from 1st dose
- 13 yo: at least 1 month from the 1st dose
- SC
- C/I: pregnancy, immunosuppresion, recent receipt of blood products
Vaccination: INFLUENZA
- 9-18 years old
- 1 dose
- annually beginning February
- IM/SC
- C/I: history of GBS following previous dose
Vaccination: Td/Tdap
- unvaccinated 7-18 years old
- 3 doses
- 0,1,6 months ( Tdap as first dose then Td remaining doses)
- IM
Vaccination: Td/Tdap
- INCOMPLETELY unvaccinated 7-18 years old
- 1 to 2 doses
- one dose Tdap the Td remaining dose
- IM
Vaccination: Td/Tdap
- FULLY vaccinated 7-18 years old
- defined as 5 doses of DTap or 4 doses of DTap if the 4th dose was administered on or after the 4th birthday)
- 1 dose
- 1 dose Tdap the Td every 10 years
- IM
Vaccination: Bivalent HPV
- females: 15-18 years old
- 3 doses
- 0,1,6 months
- IM
- if found to be pregnant after starting immunization DELAY remaining doses until completion of pregnancy
Vaccination: QUADRIVALENT / NONAVALENT
- females: 15-18 yo
- males: 15-18 yo
- 3 doses
- 0,2,6 months
- IM
- if found to be pregnant after starting immunization DELAY remaining doses until completion of pregnancy
Vaccination: QUADRIVALENT
- females: 9-14 yo
- 2 doses
- 0.6-12 months
- IM
- if found to be pregnant after starting immunization DELAY remaining doses until completion of pregnancy
Vaccination: NONAVALENT
- males: 9-14 yo
- 2 doses
- 0.6-12 months
- IM
In addition to routine physical examination, the following are done
Tanner staging / sexual maturity rating
Breast examination
Examination of spine and shoulders (check for scoliosis and kyphosis
Inspection of genitals and anus
