Term
| 3 leading causes of death in adolescents: |
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Definition
1. Unintentional
2. Homicide
3. Suicide |
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Term
| Leading cause of death in AA ages 15-19 years old: |
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Definition
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Term
| Parenteral consent to treat NOT required if: |
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Definition
- Emancipated minor: not living with parents, not subject to parenteral control, self-supporting economically, married, military
- Emergencies- waitig would hurt health
- Mature minor rule- mature enough to understand illness, risk and treatment: drug abuse, suicide, STD, pregnancy |
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Term
| HEADSS in adolescent medicine, helps guide exam: |
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Definition
- Home- nutrition, sleep, parents, siblings, marriage, divorce
- Education- attendance, grades
- Activities- friends, extra-curricular, college, career goals
- Drugs- frequency, extent, tobacco
- Suicidal ideation
- Sexual activity |
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Term
| Indications for pelvic exam: |
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Definition
- Sexually active
- Age 21 or older
- Vaginal discharge
- Menstrual irregularities
- Imperforate hymen
- Pelvic pain
- Recurrent UTI or itching
- Patient requests |
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Term
| physical growth during adolescents: |
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Definition
- Weight nearly doubles
- Height increases 15-20%
- Major organs double in size
- Lymphoid tissue shrinks
- Before puberty, little difference b/w the sexes in muscle size and strength- boys increase in strength and mass throughout puberty |
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Term
| sexual maturation parallels __ __ . |
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Definition
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Term
| At about _ years old girls begin their growth spurt, it peaks at Tanner stage __ and stops by around age __ years. |
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Definition
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Term
| Typical progression of female puberty: |
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Definition
- Breasts (8-11 years)
- Pubic hair
- Axillary hair
Menses around 2 years after breast buds
Following menarche, girls grow less than 5.0 to 7.5 cm |
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Term
| First sign of puberty in males: |
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Definition
| testicular enlargement around ages 10-12 years, will usually have first ejaculation 1 year after |
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Term
| normal age for growth spurt and PHV in males: |
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Definition
- 11 years
- PHV 13.5 years |
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Term
| Axillary hair, deepening voice, and chest occur ___. |
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Definition
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Term
| Facial and body hair increase at ages _ and __. |
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Definition
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Term
| Early adolescence is ages __ to __. List characterstics of their psychosocial development. |
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Definition
- 10-13= early
- Rapid physical change
- Body image, self concept, and self esteem fluctuate
- Concerned if diff from peers (esp delayed puberty or growth)
- Most comfortable with same sex
- Concrete thinking- vague, unrealistic goals |
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Term
| Middle adolescence is ages __ to __. List characteristics of this psychosocial development. |
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Definition
- 14 to 16
- Rapid pubertal growth subsides
- More comfortable with bodies
- Mood swings
- Formal operational thinking (abstract)
- Sense of omnipotence: sex, pregnancy, STD
- Self-centered
- Establishing identity, tries new image
- May begin dating/sex |
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Term
| Late adolescents is age __ and up. Describe characteristics of this psychosocial development. |
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Definition
- 17 and up
- Less self centered
- Socail interests shifts from peer group to individuals
- Date more intimately
- Abstract thinking
- Realistic future plans |
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Term
| By 18 years, __ girls and __ of boys have had sex. |
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Definition
-1/2 of girls
- 2/3 of boys |
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Term
| Gender identity is established by age _ years. |
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Definition
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Term
| Masculinity/feminity is established by age __ or __. |
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Definition
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Term
| Homosexual identity 2 stages: |
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Definition
- same sex crush without gay identity
- eventual experimentation and identity
More heterosexual and homosexual promiscuity, STDS, depression, substance abuse, suicide, school failure, etc if orientation is confused |
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