AJAX_TARGET
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Pediatric Health Maintenance 3 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, language, and social skills
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Not available
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Child should be able to pedal a tricycle, jump, and alternate feet when using stairs. Can dress self, stack 8-10 blocks, draw a circle and scribble. Should speak in short sentences that are mostly understood by family members. Asks "Why?"
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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 tuberculin screen 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 tuberculin screen if child is at risk
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Blood pressure check
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Excellent
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A growing number of children have high blood pressure. While most cases are due to other medical conditions, an increasing number of children are being diagnosed with primary, or "essential" hypertension (high blood pressure without a known cause). High blood pressure in children is different than in adults. It follows different diagnosis guidelines, has different treatment options, and different measures of treatment success. Early detection is important.
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Blood pressure check
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Cholesterol blood test if there is a family history of high cholesterol
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Not available
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This can be delayed a year or so if the parent feels that drawing blood will be very traumatic for the child.
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Cholesterol blood test if there is a family history of high cholesterol
Cholesterol screening is recommended after age two, and no later than age ten for children with a family history of high cholesterol or heart disease, for children with an unknown family history, as well as for children who are obese, have high blood pressure, or diabetes. Children who have elevated levels of cholesterol should focus on weight reduction, increased physical activity, and nutritional counseling.
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Hepatitis A booster (#2) for children who received the first dose within the past 6-12 months
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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 2.
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Hepatitis A booster (#2) for children who received the first dose within the past 6-12 months
Hepatitis A vaccination is now recommended for all children, whether or not they live in a state with higher incidence of cases of Hepatitis A. Side effects to this vaccine are local pain. 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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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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Physicians should discuss limiting junk foods, brushing teeth daily with a small amount of toothpaste. The first dental visit should occur now. Toilet training progress should be addressed.
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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NOTE: Just because a drug or combination of drugs can cause a
symptom does not mean it is actually causing your symptom. Symptoms can be caused by
medical conditions as well. Make sure that your physician is aware of any symptoms you
are experiencing so he/she can work with you to determine the cause. Please DO NOT STOP
MEDICATIONS without first consulting a physician since doing so could be hazardous to
your health.
DISCLAIMER: Please note that the information DoubleCheckMD.com provides is intended
to help individuals to work with their medical professionals and is for educational purposes
only. It does not constitute medical or healthcare advice and serves to supplement, not
substitute for, the expertise and judgment of a healthcare professional. In all cases
individuals should consult with a physician before taking any action based on DoubleCheckMD
feedback including, but not limited to ceasing taking any drug, changing diet or commencing or
discontinuing any course of treatment. The information provided by DoubleCheckMD.com is not
intended to cover all possible uses, directions, precautions, drug interactions or adverse
effects, nor should it be construed to indicate that the use of a particular drug is safe,
appropriate or effective.
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