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Adolescent Medicine : A Handbook for Primary Care by Victor C. Strasburger

By Victor C. Strasburger

Designed for speedy reference in a hectic workplace, this guide is a concise, useful advisor to daily medical difficulties in adolescent drugs. This ready-reference handbook is written by way of famous specialists to supply speedy, authoritative solutions to questions about universal clinical and behavioral difficulties in youngsters. a variety of tables, bulleted lists, and charts aid practitioners locate details speedy, and a formulary deals suggestions in prescribing for teenagers.

Coverage contains each very important subject in adolescent gynecology and up to date thoughts for comparing and treating overweight little ones. different key issues addressed comprise activities drugs, substance abuse, and adolescent violence and suicide.

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Most frequent headache sufferers do not seek medical care explicitly for their headaches, but the complaint often comes up during routine office visits. B. Classification: Clarifying the headache pattern is a critical step in headache evaluation (see Figure 3-1). Headaches may be acute or chronic. Acute headaches may last hours to days. A patient’s acute headache may be an isolated event, such as the headache accompanying a viral infection, or it may be one of a series of acute recurrent headaches, such as migraines.

This includes making them available at school as well as at home. In order to avoid analgesic withdrawal headache, they should not be used more than two to three times a week. Patients who experience migraine headache two or more times a week, have severe and debilitating headaches, or have a poor response to abortive treatments may be candidates for daily prophylactic therapy. Medications used for prophylactic Table 3-3. Acute (abortive) therapies for adolescent headachea Nonspecific analgesics • Acetaminophen • Ibuprofen • Naproxen sodium • Ketorolac Combination products • Midrin® (isometheptene, dichloralphenazone, acetaminophen) • Fioricet® (butalbital, acetaminophen, caffeine) • Excedrin® (acetaminophen, aspirin, caffeine) Migraine-specific therapies • Sumatriptan (oral, intranasal, or subcutaneous) • Rizatriptan • Zolmitriptan • Naratriptan • Dihydroergotamine mesylate (with caffeine) (intranasal) a Many used “off-label” in adolescents.

Prim Care 2004;31(1):175–199. Willis J. Syncope. Pediatr Rev 2000;21:201–204. qxd 7/1/05 6:58 PM Page 40 6 Common Respiratory Infections BACTERIAL RHINOSINUSITIS I. II. 40 Description of the condition: A. Definition: Rhinosinusitis is the more correct term for sinusitis in children and adolescents because most sinus infections begin with or have a concomitant rhinitis. Rhinosinusitis denotes an array of acute and chronic neutrophilic and eosinophilic allergic and nonallergic inflammatory processes in the nasal and sinus mucosa.

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