In General
This is the year that the periodicity schedule was first released.
What is "1967"?
A 13 year old girl is in for health supervision. She has no medical diagnoses. Her Mom is concerned because she has been spending hours alone in her room, is no longer interested in the soccer she has played for 4 years, and can only name one friend at school. You pay particular attention to the result of these screenings.
What are PHQ-9 and GAD-7?
According to the periodicity table, all children should have their BP checked from this age onward.
What is 3?
This is the ages that dental fluoride varnish should be applied.
What is "From the first tooth eruption until age 5 years"?
What does Needleman say happens to both clinicians and parents when anticipatory guidance consists of the recitation of long list of points?
What is "they tune out"?
The AAP's periodicity schedule is based on this.
What is "expert opinion"?
This intervention according to substantial evidence is the one that single-handedly makes the biggest difference in a well-child visit, affecting both parent behavior and child development.
What is "the promotion of reading aloud"?
You are seeing a healthy 9 month old for a well check. Her physical examination is unremarkable. When reviewing her growth chart with the family, you note that her HC, which has been tracking along the 75th %tile, has increased to the 95th%tile. This is your best next step.
What is remeasurement?
This is done in the newborn nursery and it is imperative so that a diagnosis of difficulty be made by 1 month of age, so the diagnosis of cause can be made by 3 months of age and a child can start receiving treatment by 6 months of age.
What is hearing screening?
You see a 4 day old neonate for his first office well check. This is the guidance that you give his parents to care for his still-attached cord stump.
What is Keep the area clean, keep it dry, keep it only loosely covered (i.e.diaper below it)?
A well child visit should always begin by eliciting this - and then asking "and what else?"
What is "parental concerns"?
A 24 month old boy is seen for health supervision. He has a history of chronic middle ear effusion. His parents are worried about speech delay. He speaks 10 words and babbles unintelligibly. His other milestones are appropriate. His parents are bilingual, both English and Spanish are spoken at home. He has a 5 year old brother who received speech therapy and an 8 year old sister. This is his most significant factor for speech delay.
What is a family history of speech delay?
3x higher risk
A 10 year old boy is seen for a health supervision visit. The boy's vital signs are normal, his BMI is >99th%tile, and his physical exam is remarkable for acanthosis nigricans. Serum lipids, Hgb A1C, and this lab test to look for comorbidities should be ordered.
What is alanine aminotransferase (ALT)?
For sensory screening, the AAP recommends that this begin at 1 year of age and continue until a child is able to cooperate with a chart method.
What is instrument-based vision screening (Spot-screening)?
This is the age that the AAP and lead-free Ohio recommend giving anticipatory guidance about lead screening.
What is 6 months?
According to Needleman, face to face time between doctors and parents is this.
What is "a scarce resource"?
At a child's health supervision visit, she shows you a stuffed lion then hugs it. She gives it to you when you ask to see it. She says "lala" and her mother roars; she claps in excitement then imitates the sound. After the PE, she points to the ground for help getting down, then takes a few steps and crawls into her mother's lap, turning the pages of her new ROR book. She is this age.
What is 15 months?
A 13 year old is seen for a health supervision visit and although her BMI is at the 24th%tile for age, you find that she does no exercise. You give her family the HHS physical activity guidelines, which is this.
What is "60 mins of moderate aerobic activity daily including 3 days per week of vigorous activity, bone strengthening and muscular strengthening"?
This is one of the most common chronic infectious diseases of childhood, affecting 24% of children between ages 2 and 4 and 50% of older children. The incidence is higher in lower socioeconomic groups and children with special healthcare needs such as developmental delay and autism.
What are dental caries?
At a well check pf siblings aged 2 and 5 years, the parents tell you that they are planning a camping trip to Hocking Hills in Ohio. This is the guidance that you give the parents about insect repellent to prevent tick bites.
What is topical DEET (N,N-diethyl-meta-toluamide) minimum 40%?
The term for when a pediatrician creates a learning situation for the child, then provides encouragement and guidance to assist the parent's own process of discovery.
What is "learning focused primary care"?
The NEW MORBIDITY is this, which occupies center stage in pediatric health supervision.
What is psychosocial concerns?
A 16 year old was seen for a health supervision visit 2 weeks ago and noted to have an elevated BP. Today his BP measures 125/77, 128/75, and 125/80. His BMI is up from 85th% to 97th%, which he says he is doing intentionally to make the varsity football team. He denies any exertional symptoms during 2-a-days. He has no medical conditions and is not on any medications. This is your plan.
What is "prescribe lifestyle modification and recheck in 6 months"?
(Allow competitive activity.)
Combination vaccines are, like most vaccinations, approved for use at a certain age range only. Of the vaccinations that we routinely give in our clinic, these are only recommended at ages 4-6 years.
What are Kinrix (DTaP-IPV) and Proquad (MMR-varicella)?
Many parents of toddlers are anxious to turn their children to forward-facing in the car. During anticipatory guidance, this is what you correctly tell parents.
What is the AAP recommends children ride rear facing until the manufacturer's weight or height limits have been reached, which occurs generally around age 4 years?