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| Child Preventive Exams |
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Birth to 12 Months |
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| Screening |
Frequency/Age |
| Metabolic hemoglobinopathy prior to discharge |
Birth |
| Well visits - height, weight, subjective vision and hearing, head circumference |
Birth, 2-4 weeks, 2, 4, 6, 9, 12 months |
| Developmental milestones: lift head and chest, make sounds, follow object across midline |
2 months |
| Developmental milestones: grasping for object, follows object with eyes, turns head toward sounds |
4 months |
| Developmental milestones: sits with support, rolls over, babbles and laughs, eats mashed foods |
6 months |
| Developmental milestones: sits alone, crawls, picks up objects with thumb and finger, makes two same sounds like "ba-ba" |
9 months |
| Developmental milestones: sits alone, pulling up to walking, follows simple commands and copies others, assessment of language development |
12 months |
| PPD, high risk and offer Mantoux at age 1 |
6, 12 months |
| Hemoglobin/hematocrit - high risk before 15 months |
6, 12 months |
| Assess risk - Lead - high risk screening |
6, 12 months |
Common Vaccines Include:
(Discuss immunization schedule with your physician)
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Frequency/Age |
| Hepatitis B |
Birth-2, 1-4, 6-18 months |
| DTaP |
2, 4, 6 months |
| H. Influenza b |
2, 4, 6, 12-15 months |
| Polio (IPV) |
2, 4 months, 6-18 months |
| Influenza - high risk > than 6 months |
6, 9, 12 months |
| MMR |
12-15 months |
| Varicella |
12-18 months |
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13 to 24 Months |
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| Screening |
Frequency/Age |
| Well visits - height, weight, subjective vision and hearing, head circumference |
15, 18, 24 months |
Assess language development
Developmental milestones: walks alone, gives and takes toys, drinks from a cup held in both hands, listens to stories and points to pictures |
15 months |
Assess language development
Developmental milestones: walks up stairs with hand held, eats from a spoon and fork, points to body parts |
18 months |
Assess language development
Developmental milestones: runs, jumps and throws ball, scribble with crayon/tool, says 50 words, uses 2 to 3 word sentences |
24 months |
| Hemoglobin/hematocrit - high risk before 15 months |
15, 18, 24 months |
| Assess risk - Lead - high risk screening |
15, 18, 24 months |
Common Vaccines Include:
(Discuss immunization schedule with your physician) |
Frequency/Age |
| Basic immunization schedule should be completed by age 2 |
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| Hepatitis B |
6-18 months |
| DTaP |
15-18 months |
| H. Influenza b |
12-15 months |
| Polio (IPV) |
6-18 months |
| MMR |
12-15 months |
| Varicella |
12-18 months |
| Influenza - high risk |
15, 18, 24 months |
| Pneumococcal 23 valent - immunosuppressed, high risk |
24 months |
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25 to 36 Months |
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| Screening |
Frequency/Age |
| Blood pressure, height, weight |
36 months |
| Cholesterol - high risk |
36 months |
| Assess risk - Lead - high risk screening |
36 months |
| Physical and social development, assessment of language development |
36 months |
| Well visits - height, weight, subjective vision and hearing |
36 months |
Common Vaccines Include:
(Discuss immunization schedule with your physician) |
Frequency/Age |
| H. Influenza - high risk - annually |
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| Pneumococcal - immunosuppressed, high risk - provide if not given at 2 years of age |
24 months |
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Ages 3 to 12 |
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| Screening |
Frequency/Age |
| Blood pressure, height, weight annually 3-8 years, biannually 9-12 years |
9-12 years |
| Cholesterol - high risk |
3 years |
| Physical and social development |
annually 3-6 years, biannually 9-12 years |
| Subjective physical and social |
9-12 years |
| Speech language development |
3-8 years |
| Objective vision and hearing |
annually 3-8 years, biannually 9-12 years |
| Assess risk - Lead - high risk screening |
3-8 years |
| Hemoglobin/hematocrit - high risk |
annually 3-8 years, biannually 9-12 years |
| PPD, high risk and offer Mantoux |
4, 5, 6 years |
| Urinalysis - once |
4-6 years |
Common Vaccines Include:
(Discuss immunization schedule with your physician)
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Frequency/Age |
| DTaP |
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| Polio (IPV) |
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| MMR - assure completion of series |
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| Hepatitis B - review status; assure completion of series |
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| Influenza - high risk - annually |
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| Pneumococcal - immunosuppressed, high risk - once |
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| Varicella - evaluate status - immunize if indicated |
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Ages 13 to 18 |
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| Screening |
Frequency/Age |
| Blood pressure, height, weight |
biannually 13-18 years |
| Hemoglobin/hematocrit - high risk |
biannually 13-18 years |
| PPD, high risk and offer Mantoux 11-16 years |
biannually 13-18 years |
| Evaluate sexual activity, high risk - test for STDs, including chlamydia |
annually 13-18 years |
| Rubella screening - pregnant females |
biannually 13-18 years |
| Pap smear exam - if sexually active |
annually 13-18 years |
| Urinalysis - first morning specimen |
biannually 13-18 years |
Common Vaccines Include:
(Discuss immunization schedule with your physician) |
Frequency/Age |
| Hepatitis B - review status; assure completion of series |
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| Varicella - evaluate status - immunize if indicated (2 doses, 4 weeks apart) |
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| Influenza - high risk - annually |
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| Pneumococcal - immunosuppressed, high risk Td-booster every 10 years |
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