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Adolescent Health. Stephen L Kebe , M.D. American Health Network Grove City Pediatrics. Health Care Visit. Family History Medical History Social History Exam Anticipatory Guidance/Plan. Family History. Family History. Asthma Allergies(“allergic triad”) Cardiac Disease Diabetes
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Adolescent Health Stephen L Kebe, M.D. American Health Network Grove City Pediatrics
Health Care Visit • Family History • Medical History • Social History • Exam • Anticipatory Guidance/Plan
Family History • Asthma • Allergies(“allergic triad”) • Cardiac Disease • Diabetes • Mental Disorders
Medical History • Medications • Allergies • Surgery • Chronic Problems • Asthma • Headaches • Allergies
Social History Family life School Peer relationships Significant other Activities outside of school Hobbies Social networking Gaming
Social History Risky Behavior Smoking Drugs Alcohol Pornography Sexual activity
Impulsivity Immature Prefrontal cortex development
Drugs Marijuana Ecstasy Methamphetamines Cocaine
Heroin/Krokodil Bath Salts/K2 or Snow White Steroids
Warning Signs Mood Swings Withdrawal Changes in school performance Sleeping in class Reduced attention span
obesity Past 30 years, doubled in childhood and quadrupled in adolescents
Nutrition “You are what you eat!”
Obesity Ages 6-11 increased 7% to 18% Ages 12-19 increased 5% to 21% In 2012, Greater than 1/3 children and adolescents are overweight or obese.
obesity Complications ↑ cardiovascular disease ↑ diabetes ↑ stroke ↑ cholesterol ↑ cancer ↑ hypertension ↑ osteoarthritis
Dietary Habits Too much sugar carbohydrates Too little exercise Too little balance of vegetables and fruit
Nutrition Fluid Intake Inadequate hydration Excess caffeine and sugar
Adequate hydration 64 oz. per day Improve cognitive function Blood pressure stability Physical function Mental awareness Aides in dental decay prevention
Eating schedules Enhanced metabolism Reduces swings in glucose metabolism Hypoglycemia
Eating disorders 24 million people of all ages suffer from eating disorders 3rd most chronic illness 50% tied to depression Highest mortality rate of any mental illness
Eating Disorders 20% will prematurely die from complications: Suicide Heart disease Media driven
Eating Disorder Prototype Depression Perfectionist Competitive
Physical Activity Improves strength Increases mental awareness Decreases: Weight Blood Pressure cholesterol Stress
Some Common Conditions in Adolescents Asthma Controlled or rescue medications Exacerbations
ADHD/LD Stimulants Behavioral Therapy Nutrition
Some Common Conditions in Adolescents Allergies Medication Prevention
Headaches Migraines Cluster Pseudo tumor Cerebra
Abdominal Pain Constipation UTI Irritable Bowl Syndrome (IBS) Stress