Childhood Immunizations<DIV id=article-content-body> <P>While time with patients is limited, pediatricians need to build a rapport that permits a glimpse into the adolescent's real concerns. In general, if a teen is treated with respect and addressed nonjudgmentally, he or she will learn to regard the physician as an ally. Here I present a basic framework for obtaining the relevant psychosocial information that is important for maintaining a teenager's well-being.</P></DIV>
Childhood ImmunizationsVaccination must be prompted before and on entry into elementary school. Not only does vaccination provide substantial health benefits to society, it is the law.
Hereditary diseases<div id="article-content-body"><p><img src="/sites/default/files/transfer/0709cfpPCMacrocephaly_thumb.jpg" alt="Benign Macrocephaly" width="80" height="90" style="margin: 5px; float: left;">This 21-month-old toddler was brought for a well child visit. His head had been large since birth; at this visit, head circumference was 51 cm (significantly above the 95th percentile). Neurological findings were normal; except for some early developmental gross motor delays, he was on a par with his peers. All other physical findings were normal. His mother's head circumference is 59 cm and his father's is 64 cm.</p></div>
Idiopathic scoliosisA 5-year-old boy with seizure disorder and developmental delay presented to our allergy and immunology clinic for a severe reaction that developed after he had received multiple vaccines.
Idiopathic scoliosisAdolescent scoliosis often is identified as idiopathic scoliosis--the precise cause of the spinal curvature that occurs in early adolescence remains unknown.
Tuberculin skin testWidespread vaccination has led many parents to underappreciate the severity of vaccine-preventable diseases.
Tuberculin skin test
Tuberculin skin testSince infancy, the child has had moderate to severe eczema that is controlled with a topical corticosteroid (hydrocortisone 1%), moisturizer, and tacrolimus( 0.03% (on the facial rash).
Tuberculin skin test
Tuberculin skin test<DIV id=article-content-body> <P><IMG style="MARGIN: 5px; FLOAT: left" alt="Atypical tuberculin skin test response" src="/sites/default/files/transfer/0709cfpPCPPDTestA_thumb.jpg" width=90 height=61>Twenty-four hours after receiving a standard 5-unit purified protein derivative of tuberculin (PPD) skin test, a young African American presented with a slightly pink, raised, firm plaque at the site of the injection. His previous PPD test results were negative. He denied any constitutional symptoms and rashes. He was otherwise healthy, was not taking any medication, and was HIV-negative.</P></DIV>