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The adolescent patient.

C E Rapp

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    |July 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Physicians must build trust with adolescent patients, understanding legal consent laws and recognizing that depression may manifest as behavioral issues. Comprehensive medical histories and physical exams are crucial for adolescent health assessment.

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    Area of Science:

    • Adolescent Medicine
    • Pediatric Healthcare
    • Clinical Practice Guidelines

    Background:

    • Establishing trust and confidentiality is paramount in adolescent healthcare.
    • Adolescent consent for medical treatment varies by age and condition across states.
    • Depression in adolescents can present with behavioral, academic, or somatic symptoms.

    Purpose of the Study:

    • To outline essential components of medical history and physical examination for adolescent patients.
    • To detail recommended laboratory and diagnostic tests for adolescents based on risk factors.
    • To emphasize the importance of a comprehensive approach to adolescent health.

    Main Methods:

    • Review of medical history elements including developmental, social, and family history.
    • Physical examination protocols covering growth, sexual development, and specific assessments.
    • Guidance on laboratory testing, including urinalysis, hematocrit, STI screening, and lipid profiles.

    Main Results:

    • Key historical data points include pregnancy, immunizations, sexual activity, and substance use.
    • Physical exams should assess development, vital signs, and include age/risk-appropriate screenings.
    • Recommended tests include urine analysis, hematocrit, STI screening for sexually active individuals, and lipid panels for those with family history of early heart disease.

    Conclusions:

    • A thorough medical history and physical examination are fundamental for adolescent care.
    • Targeted laboratory testing ensures early detection and management of health issues in adolescents.
    • Physicians play a vital role in navigating the complexities of adolescent health, including consent and mental well-being.