Chapter 3: Adolescent Medicine Flashcards
How often should vision be checked?
Q 3 yrs
Who should you check hemoglobin and hematocrit in?
Once in menstruating females
Who should lipids be checked in?
All-once during adolescence
When do you check for hearing loss?
Every 3 years
Sequence of sexual maturation-boys
1) Testicular enlargement
2) pubic hair growth
3) lengthening of penis
4) achievement of maximal height velocity
Sequence of sexual maturation-girls
1) thelarche (breast budding)
2) pubarche
3) maximal height velocity
4) menarche
How often should genitalia be examined?
Once per year in all teens
Annual screening for sexually active female?
- gonorrhea
- chlamydia
- RPR (syphillis)
- exam of external genitalia
- wet mount of vaginal fluids (trich, BV, yeast)
- *dont need to do bimanual exam unless sump of PID**
- Start Paps at 21y/o
Annual screening for sexually active male?
- urine based NAAT (gonnorrhea & chlamydia)
- serum HIV
- serum RPR
- consider rapid trich testing if penile discharge.
Screening for men who have sex with men?
- anal and phyarngeal cultures
- Hepatitis B serology
- HIV and syphillis (serum)
Review Tanner stages
Pgs 46 & 47
Most commonly used illicit drug in US
Pot
Most commonly used substance in the US
Alcohol
Most common cause of death in adolescent population
#1 Traumatic injury #2 Homicide #3 Suicide
Risk factors for violent behavior
- Early exposure to violence
- Being a victim of abuse
- Drug and Alcohol abuse
- academic/school failure
- low socioeconomic status
- access to guns
