Adolescents: Case Study

1. What are the components of an annual exam for an adolescent patient? A detailed history and physical examination. The history address the immunizations, past medical history, family history, psychosocial history, and an age-appropriate review of systems. The physical examination focuses on height, weight, and vital signs measurements, vision screening and hearing screening, body systems, sexual maturity rating, as well as the neurologic examination (Neinstein, 2008).
2. Is the mother required to be present during your exam? Privacy is of paramount importance to teens during the exam and most of the history should be obtained privately and directly from the teenager with absentia of the mother after obtaining the consent. However, it is valuable to obtain additional history from parents, both to corroborate the teen’s history and to gather additional information (Neinstein, 2008).
3. Describe 1 health promotion idea that you would discuss

What are some screening tools that might be of importance in this situation? (Hint: do you suspect drug or alcohol abuse here?) The U.S. Preventive Services Task Force recommend that mental health problems screening be incorporated into routine primary care visits for adolescents and it includes social and emotional competencies expected for each age. A brief, scientifically tested, self-administered screening questionnaire such as the Pediatric Symptom Checklist Youth Report (PSC-Y) can be used. PSC-Y is widely used in primary care settings and is a 35-item self-completion screening questionnaire that focus on internalizing, externalizing, and attention problems. It can be completed and scored in less than five minutes. A positive score on the PSC-Y suggests psychosocial impairment and the need for further evaluation by a qualified health or mental health professional. Validation studies of the PSC-Y demonstrate good psychometrics, with sensitivity at 94% and specificity at 88% (Jackson-Allen, & McGuire,