Part II: Clinical Practice Guidelines for Adolescents and Young Adults With Down Syndrome: 12-21 Years

Susan Van Cleve, MSN, RN, CPNP; Sheila Cannon, MEd; William I. Cohen, MD


J Pediatr Health Care. 2006;20(3):198-205. 

In This Article

Laboratory Tests and Consultations

  • Thyroid function tests (free T4 and TSH) yearly

  • Audiologic evaluation annually

  • Yearly ophthalmologic examinations if normal or more frequently if indicated

  • Dental examination every 6 months

  • Repeat cervical spine x-rays as needed for Special Olympics participation.

  • Echocardiogram if evidence of valvular disease on clinical examination

  • Consult with an adolescent practitioner or gynecologist experienced in working with individuals with developmental disabilities to address issues of sexuality and reproductive health care for sexually active teenagers.


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