Social Hx for Adolescents (Puberty)

Adolescent Exam

• **always interview patient alone with parent out of the room (prior to any counselling, treatments, etc., particularly for sensitive topics)
• Know what HEADSS stands for

Key Tips

1. Pronoun, name, age
2. Ask Parents to Leave
3. Confidentiality Statement
   • any concern of immediate suicidal or homicidal risk of harm
   • abuse of a child under the age of 16
   • some STIs
4. Start with ****HPI, FIFE, PMHx, Med, Allergy, PFHx, SHx = HEEDSSS

HEEADSSS

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Education and Employment

• When kids have chronic/mental illness, school/grade might be the first thing to drop

  

Eating

• After 9 yr old: uses BMI (18.5 - 25)
• Before 9 yr old: uses + growth chart
• Ask about sleep