By Victor C. Strasburger
Designed for fast reference in a hectic workplace, this instruction manual is a concise, functional consultant to daily medical difficulties in adolescent medication. This ready-reference guide is written via famous specialists to supply instant, authoritative solutions to questions on universal clinical and behavioral difficulties in kids. a number of tables, bulleted lists, and charts support practitioners locate info speedy, and a formulary deals suggestions in prescribing for teenagers.
Coverage comprises each vital subject in adolescent gynecology and up to date ideas for comparing and treating overweight little ones. different key issues addressed contain activities drugs, substance abuse, and adolescent violence and suicide.
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Extra info for Adolescent Medicine : A Handbook for Primary Care
If an adolescent is being considered for AED cessation, this process should take place before driving becomes an issue. • Sexuality: The issues in this area include sexual function/enjoyment, pregnancy, and menstrual disorders. Adolescents on AEDs report an increased rate of deficits in libido and arousal. Adolescent women on AED also are at increased risk of endocrine malfunctions such as polycystic ovary syndrome, particularly with valproic acid and its attendant weight gain. Also, efficacy of combined hormonal contraceptive pills can be compromised to some degree with certain AEDs.
There must be a minimum of 1 month between the first and second, and 4 months between the first and third, as well as 2 months between the second and third doses. • Measles, Mumps, and Rubella (MMR) should be given if there have not been two doses. Both doses must have been given after 12 months of age. • Hepatitis A should be given in parts of the country at high risk for hepatitis A and for certain high-risk groups such as homosexual males. Two doses are given 6 months apart. • Meningococcal vaccine: In May of 2005, recommendations for the use of the meningococcal vaccine were revised following the release of the quadravalent conjugate vaccine named Menactra.
Chiari malformations and other congenital malformations may cause intermittent increases in intracranial pressure; the associated pain is often occipital and is worsened with the Valsalva maneuver. Although these conditions are relatively uncommon, they must be considered and ruled out, either clinically or with the appropriate use of laboratory and neuroimaging studies. Idiopathic intracranial hypertension (pseudotumor cerebri) is characterized by elevated cerebrospinal fluid (CSF) pressure in the absence of a mass lesion or obstruction to CSF flow.