| 12 to 20 Years |
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- Vision exam (as recommended)
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- Dental exam - every 6 months
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- Tuberculin test - all teens screened for risk factors; testing based on risk
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- Pelvic exam - all sexually active females or initially at 18 to 21 years
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- Sexually Transmitted Disease (STD) screen - all sexually active teens
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- Cholesterol - all teens screened for risk factors; testing based on risk
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| Immunizations |
| Tetanus and diphtheria toxoids (Td) |
Recommended at age 11 - 12 years if it has been at least 5 years since the last dose. Td boosters recommended every 10 years subsequently. |
| Hepatitis B (Hep B) series |
Complete series if needed. |
| Measles, mumps and rubella (MMR) |
Those who have not received the second dose of MMR should complete the schedule by 11 - 12 years. |
| Varicella (chicken pox) |
Those who lack a reliable history of chickenpox age > 13 years should receive 2 doses, given at least 4 weeks apart. |
| Hepatitis A |
Recommended for children and adolescents in selected areas and for certain high-risk groups. Two doses should be administered 6 months apart. |
| Influenza |
Yearly for certain high risk groups and their household contacts. |
| Anticipatory Guidance For Teens |
| Work on having healthy habits |
- Exercise and nutrition
- Avoid tobacco, alcohol, marijuana or other drugs
- Sexual abstinence to prevent pregnancy and diseases
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| Work on preventing injuries and violence |
- Use seatbelts, helmets, protective sports gear and sunscreen
- Do not carry or use a weapon of any kind
- Learn skills on conflict resolution, negotiation and dealing with anger constructively
- Get help if you are physically or sexually abused or fear you are in danger
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| Work on being a competent, responsible person |
- Spend time with family
- Respect others
- Learn consequences for unacceptable behavior
- Discuss sexuality issues
- Practice handling negative peer pressure
- Recognize and learn to deal with stress
- Identify your talents and start planning for the future
- Participate in school, social, religious, cultural, volunteer and recreational activities
- Talk with someone if you are often stressed, nervous, sad or feel things are not going right
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