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.

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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Cite this: Part II: Clinical Practice Guidelines for Adolescents and Young Adults With Down Syndrome: 12-21 Years - Medscape - May 01, 2006.

Introduction
Health Conditions
Puberty and Sexuality in Adolescents With DS
Sexuality
Education and Self-determination
Transition Process
Health Care
Health Care Guidelines
History
Physical Examination
Laboratory Tests and Consultations
Anticipatory Guidance
Summary
References

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