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Pediatric Health Maintenance 2 Year quick look
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This chart rates treatment options according to general effectiveness, ease of use,
side effects and safety.
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Check coordination and muscle strength, and language, social skills
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Not available
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Child should walk and run well, throw a ball overhand, go up and down stairs. Child can dress with help, has at least a 50-word vocabulary, uses 2-3 word sentences, and can follow two-step commands.
Tell Me More...
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Full physical exam
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Not available
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Physician compares height to a growth chart to see if growth is normal. Also an informal vision and hearing assessment should be done.
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Full physical exam
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Lead and tuberculosis tests if child is at risk
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Excellent
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Risks for lead poisoning include living in an older house and having a sibling (brother or sister) who has had lead poisoning.
Risks for tuberculosis exposure in the childhood years includes the following: living in an area where tuberculosis is present, being homeless, being a recent immigrant, or history of exposure to family members with tuberculosis.
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Lead and tuberculosis tests if child is at risk
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Hepatitis A now recommended for all children. No longer just recommended for children living in certain states with higher rates of hepatitis A.
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Very good
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Hepatitis A vaccine is given in 2 doses 6-12 months apart beginning at age 12-18 months, although some pediatricians wait until age 2
Tell Me More...
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Hepatitis A now recommended for all children. No longer just recommended for children living in certain states with higher rates of hepatitis A.
States with higher rates of Hepatitis A include: Arizona, Alaska, California, Idaho, New Mexico, Nevada, Oklahoma, South Dakota, Utah, and Washington. Because of the increasing number of cases of Hepatitis A, vaccination that was at one time restricted to states with high rates of this infection. The current recommendation is that Hepatitis A vaccine is given to all children. Side effects from this vaccine are pain at the area of the injection. Severe side effects have not been reported.
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Influenza Vaccine
(flu shot)
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Good
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Children over 6 months of age should get the flu shot every year. The best time to get the shot is from October to mid-November.
Tell Me More...
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Influenza Vaccine
If a child has never had a flu shot he/she will need two doses (about a month apart) the first year the vaccine is given. After the first year only one dose is needed per year. The major side effects are local pain and fever. There have been rare severe side effects reported involving the nervous system. The only children who should not get a flu shot are those with a severe allergic reaction to eggs.
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Meningitis vaccine
(Meningovax is recommended only for high risk children at this age level)
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Not available
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One dose of Meningovax, the vaccine against meningococcal meningitis, is only recommended at age 2 for children who have immune deficiencies, do not have a functioning spleen, or have certain other chronic diseases.
Routine meningitis vaccination for healthy children is deferred until teen-age, pre-college, or pre-military years.
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Meningitis vaccine
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Other immunizations (unless catching up on missed doses)
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Not available
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Other immunizations are not considered necessary according to guidelines, unless a child is catching up on missed doses.
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Other immunizations (unless catching up on missed doses)
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Discuss nutrition, health and sleep habits, behavior, and safety issues
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Not available
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Children should be drinking low fat milk. Discuss nutritional snacks and limiting fat and sugar. Only a cup should be used for drinking by this point. Physicians should discuss street and playground safety. Potty training techniques should be discussed
Tell Me More...
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Discuss nutrition, health and sleep habits, behavior, and safety issues
Avoid excessive television and exposure to violence. Watching over an hour of television per day is not advised.
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Back
Very Good 
Good 
Fair 
Poor 
Not available 
