Topics Discussed: abnormal uterine bleeding; adolescent care and gynecology; adolescent health services; anorexia nervosa; bacterial vaginosis; bulimia nervosa; candidiasis, vulvovaginal; chancroids; chlamydia; combined oral contraceptives; condoms; condoms, female; contraception, postcoital; contraceptive methods; dysmenorrhea; eating disorder; genital herpes; gonococcal infection; gynecological examination; herpes simplex infection; history and physical examination, sports participation; human papillomavirus; immunization; implantable contraception; injectable contraception; intrauterine devices; lymphogranuloma venereum; menstruation disturbances; oral contraceptives; oral contraceptives, progestin-only products; pelvic inflammatory disease; pelvic pain; pubic lice infestation; scabies; screening; screening of the adolescent patient; scrotal mass; sexually transmitted diseases; spermatocidal agents; syphilis; transdermal contraception; trichomonas vaginitis; tubal ligation; vaccination; vaginal bleeding, abnormal; vaginal rings; vaginitis; vasectomy; vulvovaginal disease.
Excerpt:"(Pediatr Clin North Am 1997;44(6):1525)Full clearance for participation
Participation with limitations (with restrictions)
3. Clearance withheld pending further evaluation
- Structure of Interview: Do an initial assessment with the parent and adolescent, focusing on chief complaint and history. Then speak with the adolescent alone. Start with a confidentiality statement, saying, "Everything is confidential unless I have a concern that you will harm yourself or someone else, or if someone is harming you."
- Identify and diagnose conditions that preclude participation in specific activities.
- Develop treatment and rehabilitation plans for identified problems.
- Provide anticipatory guidance to prevent further injuries (especially un-rehabilitated injuries).
- Advise the athlete regarding sports restrictions if a condition exists.
- Fulfill legal, insurance, and school requirements.
- For pelvic exam: Symptoms of vaginal or uterine infection, asymptomatic STI screening in sexually active young women, menstrual disorders, undiagnosed lower abdominal pain, sexual assault, suspected pelvic mass, request by the patient.
- For Pap smear: Cervical cancer screening should begin at age 21, not sooner,..."
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