Pediatric Health Maintenance Exam and PPE

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Pediatric Health Maintenance Exam and PPE
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The foundation of pediatric healthcare visits, both sick and well, starts with a thorough health history; from the data collected, an accurate physical examination and diagnosis can be made. Primary care healthcare visits are an integral part of ensuring the health and well-being of the child. In children that participate in sports, a pre-participation physical examination (PPE) is required and may be the only contact the healthy child has with their healthcare provider.

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Topic 1: What are the different types of pediatric health histories? When would you use each specific type?

Topic 2: What is the review of systems (ROS)? In a SOAP note, where does the ROS belong? What is the relationship between the ROS and the physical exam?

Topic 3: Shelby is a 5-year-old female, brought to the clinic by her parents and will be starting kindergarten in the fall. The parents state that she needs her physical and shot record to register her for school. The parents state that she has been healthy and voice no concerns although Shelby is “scared” about the exam and vaccines. How would you address Shelby’s fear of the exam and vaccines? What age-appropriate screenings and lab tests are recommended for Shelby? What immunizations will Shelby require, if any?

Topic 4: Peyton is a 2-month-old female brought to the clinic by her 18-year-old mother for her health maintenance exam. What should the physical examination focus on for this child? What immunizations are due, if any? What age-appropriate anticipatory guidance topics should be discussed with mom?

Topic 5: George is a 12-year-old male brought to the clinic by his father and wants to start playing football and needs a preparticipation physical examination (PPE). He is an established patient in your practice and his last health maintenance exam was at 11 years of age. In reviewing his health history, you note that he has sickle cell trait but otherwise healthy. During his exam, you auscultate a Grade I murmur, and the remaining exam is normal. Dad asks if you will clear George to start football practice tomorrow. Would you clear George? Why or why not? Are there any specialists George needs to see before clearance? What are some of the preventive measures you would discuss with George and his father related to playing sports, specifically football?

superadmin (28431)
New York University
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