Adolescent medicine Flashcards
Most common cause of adolescent mortality
accidents
45%
Homicide 15%
Suicide
11%
*Good screening test:
HEADS interview
% of preventable death in adolescent mortality
72%
*in the three leading causes of death
what % of HS students carry a weapon?
1/3 HS boys
List the ages for these developmental stages:
Early adolescence
Middle adolescence
Late adolescence
Early adolescence - 12-14 yrs Middle adolescence - 15-17 yrs Late adolescence - 18-21 yrs
1st sign of puberty in females and males
Thelarche (breast)
Increase in testicular size
What stage of development is “mound on mound”?
Tanner IV
- nipple sticks out
- breast enlarge
What stage of development is breast bud devel?
Tanner II
What stage of development is the areola raised?
Tanner IV
Sequence for female development *start with B2
- B2 –> P2
- Peak height velocity
- B3–>P3
- B4 –> P4
- Menarche
- P5 –> B5
Sequence for male development
*start with G2
G2 --> G3 P2 --> G4 P3 Peak height velocity P4 G5 --> P5
Does the peak height velocity occur before or after menarche for females?
before!
Peak height PREcedes menarche
Menarche occurs ____ yrs after onset of puberty
2 years
COgnitive development starts at ___ years. Is the physical development happening at the same time?
12
- physical and cognitive NOT simultaneous.
- pt may be physically ready to have sex, but may not make the correct choices
Do adolescents start with abstract or concrete thinking?
Concrete –> abstract
*be very specific w/ what you say, they may not consider “sex” as sex. Not there yet.
Peak of parental conflicts happen when during adolescence? Reacceptance of parental advice?
Peak conflict: middle adolescents (15-17)
Late (18-21):
Re-acceptance.
