Document Detail


Health Maintenance in School-aged Children: Part I. History, Physical Examination, Screening, and Immunizations.
MedLine Citation:
PMID:  21404978     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The goals of the well-child examination in school-aged children (kindergarten through early adolescence) are promoting health, detecting disease, and counseling to prevent injury and future health problems. A complete history should address any concerns from the patient and family and screen for lifestyle habits, including diet, physical activity, daily screen time (e.g., television, computer, video games), hours of sleep per night, dental care, and safety habits. School performance can be used for developmental surveillance. A full physical examination should be performed; however, the U.S. Preventive Services Task Force recommends against routine scoliosis screening and testicular examination. Children should be screened for obesity, which is defined as a body mass index at or above the 95th percentile for age and sex, and resources for comprehensive, intensive behavioral interventions should be provided to children with obesity. Although the evidence is mixed regarding screening for hypertension before 18 years of age, many experts recommend checking blood pressure annually beginning at three years of age. The American Academy of Pediatrics recommends vision and hearing screening annually or every two years in school-aged children. There is insufficient evidence to recommend screening for dyslipidemia in children of any age, or screening for depression before 12 years of age. All children should receive at least 400 IU of vitamin D daily, with higher doses indicated in children with vitamin D deficiency. Children who live in areas with inadequate fluoride in the water (less than 0.6 ppm) should receive a daily fluoride supplement. Age-appropriate immunizations should be given, as well as any missed immunizations.
Authors:
Margaret Riley; Amy B Locke; Eric P Skye
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American family physician     Volume:  83     ISSN:  1532-0650     ISO Abbreviation:  Am Fam Physician     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1272646     Medline TA:  Am Fam Physician     Country:  United States    
Other Details:
Languages:  eng     Pagination:  683-8     Citation Subset:  AIM; IM    
Affiliation:
University of Michigan Medical School, Ann Arbor, MI, USA.
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