The Well Visit -School Age/adolescents |21 Questions| With Correct Answers.

Neck {Ans: Trachea Midline ●Palpate thyroid gland ●Thyroglossal duct cyst** ●Average age 6 y/o ●Most common congenital cyst of neck ●Moves with swallowing}The Older Child-Age 6-12 {Ans: Child should have a gown ●Talk to child before examining ●Examine "private area" towards the end, giving them time to get comfortable ●Explain what you are doing ●Make it fun! ●Expected growth: about 7 lbs and 6-7 cm per year ●Plot BMI ●Obesity becomes and issue}Male tanner staging {Ans: 1. Prepubertal, testicular size less than 4 cc volume and 2.5 cm in longest dimension 2. Enlargement of scrotum and testes, scrotal skin reddens and changes in texture, growth of testes to 4 cc or greater in volume 3. Enlargement of penis (length at first), further growth of testes 4. Increased size of penis with growth in breadth and development of glans, testes and scrotum larger, scrotal skin darker 5. Adult}Puberty in boys {Ans: Growth of testes & thinning of scrotum 1st sign - ages 11-12 ◦Pigmentation changes of scrotum and growth of penis follows ◦Axillary hair occurs in the middle of puberty ◦Growth can continue past 18 years}Early adolescence - Tanner stages 1-2 {Ans: Concrete thought ◦Self-conscious about