HealthCheck Training
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Post-Test
Overview
Health Supervision
- Introduction
- Health History
- Physical Examination
- Screening Services
- Laboratory Tests
- Immunizations
- Health Education
Special Health Issues
- Introduction
- Dental Health
- Overweight and Obesity
- HIV Guidelines
- Child Abuse & Neglect
- Language Barriers
- Early Intervention
Documentation
Go To Resources »
Health Supervision
Physical Examination: Comprehensive Unclothed Physical Examination
Assess and document the following in the child's or teen's medical record:
Height
and weight (Growth Assessment)- General appearance
- Head and neck (including facial features, fontanelles in infants)
- Skin and hair (including evidence of scars, burns, bruises)
- Eyes and ability to see (Vision Screening)
- Ears and ability to hear (Hearing Screening)
- Nose
and throat
Oral
cavity (Dental Health)
- Palate, cheeks, tongue, and floor of the mouth
- Dental ridges (including malformations of erupting teeth)
- Gums (evidence of infection, inflammation, bleeding)
- Dental caries (in existing or erupting teeth)
- Need for daily fluoride intake
- Need for dental referral for obvious caries, regardless of age
- Vocalization and speech
- Extremities
- Rectum and genitalia
- Blood pressure (for children 3 years and older) and pulses
All
organs and systems
- Pulmonary
- Cardiac
- Gastrointestinal
- Urogenital
- Musculoskeletal (including spine, hips, muscle tone)
- Nervous system (including gross and fine motor coordination)
- Developmental, behavioral, and mental health (Developmental Screening)
- Signs of abuse or neglect
Adolescent Physical ExamAdolescent physical exams must include all of the components listed above, Sexual Maturity Ratings (Tanner Stages), and the following: Adolescent males:
Adolescent females:
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