Repeated STIs Repeated pregnancy/abortion Tattoos Lacerations Bruises Scars Inappropriate clothing Evidence of controlling relationship or IPV Is fearful, anxious, depressed, submissive, tense, or nervous/paranoid Exhibits unusually fearful or anxious behavior…
Fig. 13.1 Bacterial vaginosis on wet mount . From [18]. Seattle STD/HIV prevention training center at the University of Washington. Centers for disease control and prevention division of STD prevention….
Fig 12.1 Growth chart depicting decrease in growth velocity prior to menarche (Source: CDC 2001. Form No. 100125: Growth chart, 2–20 years, girls, stature for age, weight-for-age percentiles. http://www.cdc.gov/growthcharts) The…
Fig. 3.1 Growth chart [(a) stature for age and (b) weight for age] The patient and her parents want to know if there is any future health risk due to…
Fig. 17.1 Teen Birth Rates (US) [2] However, it is important to note that not all teen pregnancies are unplanned. In fact, the Millennium Cohort Study suggested 15% of teens…
Affective Somatic Depression Breast tenderness Angry outbursts Abdominal bloating Irritability Headache Anxiety Swelling of extremities Confusion Social withdrawal Timing: at least one of the above symptoms experienced: • Prior to menses…
Category Method Brand names Mechanism Frequency of use Menstrual suppression Considerations in the special needs population Estrogen- and progesterone-containing methods Combined oral contraceptive Many options available, ranging from first- to…
Fig. 10.1 A 3 kg weight loss in the peripubertal period, when patients are naturally supposed to grow in height, weight, and BMI, can cause a steep decline in BMI…
Fig. 23.1 Imaging of femur . (a) X-ray. (b) MRI The young woman is otherwise healthy, with no significant past medical history . She has never been hospitalized nor had…
Site Average annual # % Attributable HPV % Caused by HPV 16 or 18 % Additional caused by HPV 31, 33, 45, 52, 58 Cervix 11,967 96% 66% 15% Vulva…
