By Victor C. Strasburger
Designed for fast reference in a hectic workplace, this guide is a concise, useful advisor to daily scientific difficulties in adolescent drugs. This ready-reference guide is written by means of famous specialists to supply instant, authoritative solutions to questions about universal clinical and behavioral difficulties in kids. various tables, bulleted lists, and charts aid practitioners locate info speedy, and a formulary bargains assistance in prescribing for teenagers.
Coverage contains each vital subject in adolescent gynecology and updated recommendations for comparing and treating overweight little ones. different key matters addressed contain activities drugs, substance abuse, and adolescent violence and suicide.
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Extra resources for Adolescent Medicine : A Handbook for Primary Care
Up to 25% of female migraineurs experience their first migraine headache shortly after menarche. • Most frequent headache sufferers do not seek medical care explicitly for their headaches, but the complaint often comes up during routine office visits. B. Classification: Clarifying the headache pattern is a critical step in headache evaluation (see Figure 3-1). Headaches may be acute or chronic. Acute headaches may last hours to days. A patient’s acute headache may be an isolated event, such as the headache accompanying a viral infection, or it may be one of a series of acute recurrent headaches, such as migraines.
Laboratory evaluation and tests: The history and physical examination should guide clinicians in choosing the diagnostic tests that apply to a given adolescent with syncope. Patients often present several hours or even days after the event occurred. • All patients should have a 12-lead electrocardiogram • Postmenarchal females should be tested for pregnancy • A complete blood count, serum glucose, electrolytes, urinalysis (to assess dehydration), and/or toxicology screen should be considered • If episodes are associated with palpitations, a 24-hour Holter monitor or an event recorder may help to capture the cardiac rhythm when these patients are symptomatic • Further outpatient studies may include echocardiography, electroencephalography, and tilt-table testing.
3. Chronic nonprogressive headache: This is the most common headache pattern encountered by primary care providers. Most adolescents with chronic nonprogressive headache experience migraine, tension-type, or analgesic withdrawal headaches. Migraine headaches are characterized by a specific constellation of symptoms, described by the International Headache Society, that distinguish them from tension-type headaches (see Table 3-1). Special considerations must be made when diagnosing migraine in a child or younger adolescent.