Adolscents Flashcards
What is the leading cause of death in teenagers?
Motor Vehicle Fatality
Define Adolescence
Period of Development:
- Early
- Middle
- Late
Define Puberty
Biologic process in which a child becomes an adult:
- Secondary sexual characteristics
- Increase to adult size
- Reproductive capacity
What hormones are responsible for puberty?
LH & FSH
When do girls reach peak velocity?
11.5-12 yrs
How much earlier do girls experience pubertal growth spurts than boys?
2 yrs
When do boys reach peak velocity?
13.5-14 yrs
Early adolescence age range
10-13 y.o.
Middle adolescence age range
14-16 y.o.
Late adolescence age range
> 17 y.o.
According to the Tanner Stages of puberty, at what age/stage do you see breast elevation and pubic hair in girls?
Stage 2: Ages 9-10
When does Menarche typically occur?
Begins 2-2.5 yrs post Pubarche/Thelarche=STages 3/4
What is the first visible sign of puberty in boys? What age?
Scrotum enlargement
Ages 9-10
What Stage does Spermarche begin? Age?
Stages 4/5
Ages 14-15
What is the MC reason for not seeking care in adolescence?
“Not wanting to tell parents”
What does the state of AZ consider a Minor?
Ages 12-18
What are the exceptions when a Minor CAN give consent?
- Emancipated
- Married
- Homeless
- Care relates to: STI, HIV testing, Alcoholism, Substance abuse, Rape
What MUST a clinical do in the setting of sexual assault in a minor?
Report to CPS
When must the parent/guardian be notified about a minors chemical dependency?
Once admitted for treatment
What is the dyslipidemia screening recommendation?
Fasting Lipid Profile @ ages 19-21
What is the largest preventable and most costly pubic health problem?
Adolescent substance use
What is the MC substance use?
Alcohol
What is the leading cause of suicide in youth?
Depression
Beck Depression Inventory is used in what ages?
12-18
Children’s Depression Inventory is used in what ages?
7-17
What is the only medication approved for the treatment of depression in children < 8?
SSRI: Fluoxetine
What is the 3rd MC chronic illness among adolescent girls?
Eating disorders