Adolescent Medicine Flashcards

1
Q

Top three causes of mortality for adolescents

A
  1. Unintentional injury
  2. Homicide
  3. Suicide
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2
Q

Top two causes of unintentional injury in teens

A
  1. motor vehicle traffic

2. poisoning

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3
Q

Morbidities in adolescents (5)

A
  1. mental health problems
  2. obesity
  3. sexuality-related (preg, STI)
  4. Injuries
  5. Dental infections
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4
Q

Congnitive Development: _____ to ____ thinking

A

concrete to abstract

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5
Q

Breast buds

A

thelarche, SMR II

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6
Q

Pubic Hair

A

pubarche, SMR II

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7
Q

Enlargement of testes and pubic hair

A

SMR II @ 4mL

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8
Q

Growth of penis

A

SMR III

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9
Q

Facial hair

A

SMR IV

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10
Q

When does experimental behavior begin?

A

15-16 years old

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11
Q

What part of exam with parents?

A

Past medical history and family history

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12
Q

Exceptions to getting consent from parent

A
  1. emergency
  2. mature minor situations (standard)
  3. emancipated minor
  4. reproductive care
  5. outpatient mental health/SA treatment
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13
Q

When is there mandated reporting?

A

<13 yo

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14
Q

HEEADSSS

A
Home
Education
Eating
Activities
Drugs
Sexuality
Suicide
Safety
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15
Q

CRAFFT

A
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
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16
Q

Vaccines in teenage years

A
  1. Tdap
  2. Varicella
  3. Menigococcal- two kinds
  4. Gardasil- 3 shots age 11-26
  5. Hepatitis A
17
Q

What STI can you easily screen for in urine?

A

Gonnorhea, Chlamydia

18
Q

Common lab testing for teens

A
  1. Hg/HCT- for iron deficiency
  2. Urine
  3. Cholesterol/Triglyceride screening if obese
19
Q

Alternatives to eating disorder

A

thyroid disease, Addison’s, IBD, infections (HIV,TB), Celiac, GI cancer
OR
depression, anxiety, PTSD, family chaos