PEDS Adolescent Medicine Flashcards
Age of breast development in girls
9-10
age of menarche in girls
12-13
completion of puberty in girls
13-14
increased testicular volume age in boys
11-12
stage 2 pubic hair in boys
12
peak height for boys
13-14
sperm in urine in boys
14-15
puberty completion for boys
15
onset of puberty 2-3 standard deviations early
breasts before 8
testes changes before 9
precocious puberty
what constitutes a delayed puberty
2-3 standard deviations delayed
12-13 breast development
13-14 for boys
immunizations before 12
Having A Buddy Makes Me Realize How Much Puberty Varies In Teens
Hep A/B
MMR
HPV
Meningococcal
Pneumococcal
Varicella
Flu
Tdap
HEEADSSS questionnaire…
broad screening of risks
CRAFT screening tool
drug and alcohol
PHQ-2 screening tool
emotional state
Exceptions to confidentiality
abuse suicidal/homicidal ideation violent injury STI consensual sexual activity mental health care parental notification
What can minors consent to?
mental health tx
pregnancy care/contraception
HIV/STI test
drug/alcohol tx
can minors consent to immunization
no
if a child is emancipated what can they consent to
emergencies
STI
sexual assault
substance abuse
parents notified if admitted
can minors consent to mental health screen/tx or abortion?
no