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Peds: Adolescent Medicine
Peds: Adolescent Medicine
20
Anatomy
Graduate
03/01/2012

Additional Anatomy Flashcards

 


 

Cards

Term
3 leading causes of death in adolescents:
Definition
1. Unintentional
2. Homicide
3. Suicide
Term
Leading cause of death in AA ages 15-19 years old:
Definition
Homicide
Term
Parenteral consent to treat NOT required if:
Definition
- Emancipated minor: not living with parents, not subject to parenteral control, self-supporting economically, married, military
- Emergencies- waitig would hurt health
- Mature minor rule- mature enough to understand illness, risk and treatment: drug abuse, suicide, STD, pregnancy
Term
HEADSS in adolescent medicine, helps guide exam:
Definition
- Home- nutrition, sleep, parents, siblings, marriage, divorce
- Education- attendance, grades
- Activities- friends, extra-curricular, college, career goals
- Drugs- frequency, extent, tobacco
- Suicidal ideation
- Sexual activity
Term
Indications for pelvic exam:
Definition
- Sexually active
- Age 21 or older
- Vaginal discharge
- Menstrual irregularities
- Imperforate hymen
- Pelvic pain
- Recurrent UTI or itching
- Patient requests
Term
physical growth during adolescents:
Definition
- Weight nearly doubles
- Height increases 15-20%
- Major organs double in size
- Lymphoid tissue shrinks
- Before puberty, little difference b/w the sexes in muscle size and strength- boys increase in strength and mass throughout puberty
Term
sexual maturation parallels __ __ .
Definition
skeletal maturation
Term
At about _ years old girls begin their growth spurt, it peaks at Tanner stage __ and stops by around age __ years.
Definition
- 9 years
- 3-4
- 14 years
Term
Typical progression of female puberty:
Definition
- Breasts (8-11 years)
- Pubic hair
- Axillary hair

Menses around 2 years after breast buds

Following menarche, girls grow less than 5.0 to 7.5 cm
Term
First sign of puberty in males:
Definition
testicular enlargement around ages 10-12 years, will usually have first ejaculation 1 year after
Term
normal age for growth spurt and PHV in males:
Definition
- 11 years
- PHV 13.5 years
Term
Axillary hair, deepening voice, and chest occur ___.
Definition
mid-puberty
Term
Facial and body hair increase at ages _ and __.
Definition
16 and 17
Term
Early adolescence is ages __ to __. List characterstics of their psychosocial development.
Definition
- 10-13= early
- Rapid physical change
- Body image, self concept, and self esteem fluctuate
- Concerned if diff from peers (esp delayed puberty or growth)
- Most comfortable with same sex
- Concrete thinking- vague, unrealistic goals
Term
Middle adolescence is ages __ to __. List characteristics of this psychosocial development.
Definition
- 14 to 16
- Rapid pubertal growth subsides
- More comfortable with bodies
- Mood swings
- Formal operational thinking (abstract)
- Sense of omnipotence: sex, pregnancy, STD
- Self-centered
- Establishing identity, tries new image
- May begin dating/sex
Term
Late adolescents is age __ and up. Describe characteristics of this psychosocial development.
Definition
- 17 and up
- Less self centered
- Socail interests shifts from peer group to individuals
- Date more intimately
- Abstract thinking
- Realistic future plans
Term
By 18 years, __ girls and __ of boys have had sex.
Definition
-1/2 of girls
- 2/3 of boys
Term
Gender identity is established by age _ years.
Definition
2 years
Term
Masculinity/feminity is established by age __ or __.
Definition
5 or 6
Term
Homosexual identity 2 stages:
Definition
- same sex crush without gay identity
- eventual experimentation and identity

More heterosexual and homosexual promiscuity, STDS, depression, substance abuse, suicide, school failure, etc if orientation is confused
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