ISSUES UNIQUE TO ADOLESCENCE

1. A fourteen-year-old female is seen in the clinic with her mother for acute onset of dysuria and urinary frequency. How would you evaluate and manage this patient?
2. His parents bring a fifteen-year-old boy to your clinic, after he threatened to "take a bunch of pills". Although he seems depressed in affect, he is not currently suicidal. Explain your approach to this young man, including important history, physical exam findings, diagnostic studies, management principles and advice to his parents.
3. A seventeen-year-old female sees you for a pre-college physical. Describe your approach to history, physical exam, and guidance/Counciling.
4. A sixteen-year-old boy presents to your clinic with polyuria and weight loss over the past three weeks. Describe the important aspects of the history and physical exam, diagnostic considerations, differential diagnosis, and basic management principles.
5. The mother of a thirteen-year-old female expresses concern that her daughter has not yet had the onset of menses. How would you Council her?
6. A sixteen-year-old male presents with fever, fatigue, and sore throat for four days. Discuss what aspects of physical exam and lab data will help establish a diagnosis.
7. A fourteen-year-old female well known to your practice makes an appointment to see you alone regarding a desire for contraception. What advice would you give her? What are her rights to confidentiality? What are your responsibilities to inform her parents?
8. A seventeen-year-old female presents to Teen-OB clinic for prenatal care. What screening tests should be performed?
9. A fourteen-year-old male presents for a football sports physical. What are the important points to cover in the history and physical exam?
10. Late one Sunday night, his parents bring a previously healthy fifteen-year-old male to you after he returned home from a party confused and combative. Describe your approach to this clinical problem.
11. A fifteen-year old boy is concerned that he is not yet developing facial hair and is now considerably shorter than most of his peers. How would you evaluate and Council him?
12. A sixteen-year old girl presents with fever and lower abdominal pain but denies urinary urgency or frequency. She is sexually active and uses condoms infrequently. How would you evaluate this patient?