Review of Systems and Examination of the Adolescent

The review of systems for the adolescent is almost the same as for the adult. Of note, questions about menstruation, including menstrual cramps or premenstrual symptoms;about sexual function and symptoms of sexually transmitted disease;and about sports injuries, mood disorders, and thought disorders become relevant with the teenaged patient. The examination of adolescents is also exactly the same as that of adults. It is appropriate for the examiner to ask

9.5-14.5

1 1

Menarche

10-16.5

8-13

1 1

2IIIIIIIII3IIIIIIII4IIIIIIIIIIIIII5 1 1 1 1

1 1

Age (years)

Age (years)

Figure 24-48 Developmental sequence in girls.

the parent to leave during the examination. However, some younger adolescents prefer to have their parent present for the examination;therefore, ask the patient his or her preference.

Because the examination is so similar to that of adults, only the dissimilarities are described in this section.

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