13 to 18 Years of Age

Age: 13-18 years

Frequency of Visits:
1 visit every other year

Examination to Include:

• Interval history, Height & weight, blood pressure
• Scoliosis screening
• Testicular exam or Breast exam
• Hematocrit/Hemoglobin & Urinalysis - once at 13-18 years
• Pap Smear - annually if sexually active
• Serum Cholesterol/HDL - once every 5 years, if there's a family history of early heart disease or hyperlipidemia

Immunizations & Counseling:

• Tetanus-diphtheria (Td) booster: once at 11-16 years
• Hepatitis B (3 doses) & Varicella (2 doses) - if not previously immunized
• Breast self-examination: teach to perform
• Testicular self-examination: teach to perform
• Alcohol, Tobacco, Substance Abuse: identify risk & counsel
• Sexually Transmitted Diseases: identify risk & counsel