13 to 18 Years of Age

Age: 13-18 years

Frequency of Visits:
1 visit every other year

Examination to Include:

  • Interval history, Height & weight, blood pressure
  • Scoliosis screening
  • Testicular exam or Breast exam
  • Hematocrit/Hemoglobin & Urinalysis - once at 13-18 years
  • Pap Smear - annually if sexually active
  • Serum Cholesterol/HDL - once every 5 years, if there's a family history of early heart disease or hyperlipidemia

Immunizations & Counseling:

  • Tetanus-diphtheria (Td) booster: once at 11-16 years
  • Hepatitis B (3 doses) & Varicella (2 doses) - if not previously immunized
  • Breast self-examination: teach to perform
  • Testicular self-examination: teach to perform
  • Alcohol, Tobacco, Substance Abuse: identify risk & counsel
  • Sexually Transmitted Diseases: identify risk & counsel