tailieunhanh - Adolescent Medicine Online Handbook

Lux discusses the spiritual nature of healing in Plains culture and how one Blackfoot woman, Last Calf, contracted tuberculosis and dreamt of a cure. She was instructed to boil pitch of the lodgepole pine and drink the brew. She was recorded as vomiting profusely until her chest was cleared. Last Calf’s remedy was widely used for tubercular cough. Lux also elaborates on the high social standing of Plains midwives and how they not only performed prenatal care, but also postnatal care for the woman and her child months after the baby was born. Sarah Carter’s article, “First Nations. | Adolescent Medicine Online Handbook Anjana Chandran MD and Claire Najim MD Table Of Contents The Adolescent History and Physical Puberty Illinois Consent and Confidentiality Laws Contraception Sexually Transmitted Diseases and Treatment Teen Pregnancy Acne Menstrual Disorders Depression in Adolescents Eating Disorders Substance Abuse Obesity in Adolescents These topics are intended for pediatric residents at University of Chicago Children s Hospital for use in their care of adolescent patients. Please note that these are general reviews and that all information regarding medical evaluation and treatment should be discussed with an attending physician. For further information please refer to the websites and references listed. The Adolescent History and Physical In the adolescent patient a detailed medical history and physical exam are essential components of the well-adolescent visit. A history should include the same elements as a general pediatric H and P with the addition of the following areas of questioning. HEADSS H- Home environment- How are things going at home How is the interaction between the teen and the parent s Does the teen feel safe at home E- Education- How is school going How are the teen s grades What does the teen like dislike about school Is the teen involved in any extra-curricular activities or team sports A- Activity- Does the teen get regular physical activity How often does the teen exercise D- Diet Drugs Depression- How is the teen s diet - is it well balanced or include a lot of junk food Is the teen worried about his her weight Does the teen use drugs of any kind like marijuana crack cocaine or heroin Does the teen or his friends smoke cigarettes or drink alcohol If so how often Has the teen ever been drunk Does the teen ever feel sad or overwhelmed by the events in his life Does the teen feel any loss in interest in usual activities S- Sexuality- Is the teen sexually active If so is the teen sexually active with men women or both Does