Adolescent Flashcards
age range of adolescent
11-21
Thelarche
breast development-first visible sign of puberty
Menarche
first menses, average age 12 yo
Tanner staging
breast and pubic hair development in girls and boys
first visible sign of puberty in males
increase in testicular volume
early adolescent
11-14 yo
middle adolescent
15-17 yo
late adolescent
18-21 yo
what stage is this: prepubertal, with no palpable breast tissue
stage 1
what stage is this: breast and papilla elevated as small mound; areolar diameter increased
stage 2
what stage is this: breast and areola enlarged; no contour separation
stage 3
what stage is this: areola and papilla form secondary mound
stage 4
what stage is this: mature; nipple projects, areola part of the general breast contour
stage 5
what stage is this: no pubic hair
stage 1
what stage is this: sparse, slightly pigmented, straight, at medial border of labia
stage 2
what stage is this: darker, beginning to curl, increased amount
stage 3
what stage is this: course, curly, abundant, but amount less than in adult stage
stage 4
what stage is this: adult feminine triangle, spread to medial surface of thigh
stage 5
what stage is this (male): pubic hair is darker, starting to curl, small amount
stage 3
when does menarche usually occur for a women
between breast stage 4 and pubic hair stage 5
when do males reach their peak height velocity
after pubic hair has started but before there is sperm in the urine; usually around age 13
when do females reach their peak height velocity
after breast development has started but before menarche: usually around age 11
screening recommendations for adolescents engaged in sexual activity
screen for STIs and HIV; HIV screening in sexually active beginning at age 13
By what age should patients be seen alone
11 or 12 yo
list the legal exceptions to informed consent requirement
- emergency
- emancipated minor
- mature minor
- other exceptions are based on specific medical conditions (state laws vary)
In AZ, under what conditions can minors consent for thier own care
- emancipated, homeless, married
- emergencies
- STI/HIV test
- sexual assault if > or = 12 yo
- substance abuse if > or = 12 yo
AZ: rules of minor consent in relation to chemical dependency
- consent is implied if minor is under the influence of a substance
- parents/gaurdians must be notified once admitted for treatment
AZ: rules of minor consent in relation to mental health screening or treatment
- need to obtain written or oral consent of a parent or legal custodian of the minor child
- exception: mental health treatment prevents serious injury to or saves life of a minor child
AZ: rules of minor consent in relation to pregnancy
generally recieve care under “mature minor”
AZ: rules of minor consent in relation to contraceptives
confidential access
AZ: rules of minor consent in relation to emergency contraception
parental consent is not required for Plan B
AZ: rules of minor consent in relation to abortion
- minor may NOT consent for care for abortion in AZ
- exceptions
- emancipated
- judicial bypass
- inappropriate sexual misconduct
- pregnancy is harmful to patient’s health
recommendations of preventitive services from AAP/Bright Futures
- annual routine health visits
- immunizations
- anticipatory guidelines
what is the HEEADSSS assesment
- Home
- Education
- Eating
- Activities
- Drugs
- Safety
- Sex
- Suicidality
if a patient admits to drugs, you should ask the CRAFFT questionnaire. what does it ask?
- Car
- Relax
- Alone
- Forget
- Friends/Family
- Trouble
