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Adolescent Health

Adolescent Health. Stephen L Kebe , M.D. American Health Network Grove City Pediatrics. Health Care Visit. Family History Medical History Social History Exam Anticipatory Guidance/Plan. Family History. Family History. Asthma Allergies(“allergic triad”) Cardiac Disease Diabetes

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Adolescent Health

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  1. Adolescent Health Stephen L Kebe, M.D. American Health Network Grove City Pediatrics

  2. Health Care Visit • Family History • Medical History • Social History • Exam • Anticipatory Guidance/Plan

  3. Family History

  4. Family History • Asthma • Allergies(“allergic triad”) • Cardiac Disease • Diabetes • Mental Disorders

  5. Medical History • Medications • Allergies • Surgery • Chronic Problems • Asthma • Headaches • Allergies

  6. Social History

  7. Social History Family life School Peer relationships Significant other Activities outside of school Hobbies Social networking Gaming

  8. Physical Exam

  9. Confidentiality

  10. Social History Risky Behavior Smoking Drugs Alcohol Pornography Sexual activity

  11. Risky Behavior

  12. Impulsivity Immature Prefrontal cortex development

  13. Impulsivity

  14. Drugs Marijuana Ecstasy Methamphetamines Cocaine

  15. Heroin/Krokodil Bath Salts/K2 or Snow White Steroids

  16. The eyes don’t lie

  17. Warning Signs Mood Swings Withdrawal Changes in school performance Sleeping in class Reduced attention span

  18. Sexual Activity

  19. Pornography

  20. Common Adolescent HealthConditions

  21. obesity Past 30 years, doubled in childhood and quadrupled in adolescents

  22. Nutrition “You are what you eat!”

  23. Obesity Ages 6-11 increased 7% to 18% Ages 12-19 increased 5% to 21% In 2012, Greater than 1/3 children and adolescents are overweight or obese.

  24. obesity Complications ↑ cardiovascular disease ↑ diabetes ↑ stroke ↑ cholesterol ↑ cancer ↑ hypertension ↑ osteoarthritis

  25. Calories consumed – Calories burned

  26. Dietary Habits Too much sugar carbohydrates Too little exercise Too little balance of vegetables and fruit

  27. Nutrition Fluid Intake Inadequate hydration Excess caffeine and sugar

  28. Adequate hydration 64 oz. per day Improve cognitive function Blood pressure stability Physical function Mental awareness Aides in dental decay prevention

  29. Eating schedules Enhanced metabolism Reduces swings in glucose metabolism Hypoglycemia

  30. Eating disorders 24 million people of all ages suffer from eating disorders 3rd most chronic illness 50% tied to depression Highest mortality rate of any mental illness

  31. Eating Disorders 20% will prematurely die from complications: Suicide Heart disease Media driven

  32. Eating Disorder Prototype Depression Perfectionist Competitive

  33. Physical activity

  34. Physical Activity Improves strength Increases mental awareness Decreases: Weight Blood Pressure cholesterol Stress

  35. Hygiene

  36. Puberty

  37. Puberty

  38. Some Common Conditions in Adolescents Asthma Controlled or rescue medications Exacerbations

  39. ADHD/LD Stimulants Behavioral Therapy Nutrition

  40. Some Common Conditions in Adolescents Allergies Medication Prevention

  41. Headaches Migraines Cluster Pseudo tumor Cerebra

  42. ABDOMINAL PAIN

  43. Abdominal Pain Constipation UTI Irritable Bowl Syndrome (IBS) Stress

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