Advice 1: How to check girls to the examinations in school

The physical - an emotional topic for many students and their parents, but the real reason to worry there. The examination is complex and collects the conclusion of a number of physicians usually do not even need to leave the school.
How to check girls to the examinations in school
You will need
  • the conclusion of doctors - a neurologist, orthopedist, ophthalmologist, internist, otolaryngologist, dentist, gynecologist or urologist, endocrinologist.
Instruction
1
Examination in the Junior school for boys and girls the same - it is held by the specialists in public profiles. The schedule of examination is composed of the neurologist, orthopedist, pediatrician (internist), dentist and otolaryngologist - each of the findings required to determine the physical groups, that is, the level of allowable physical activity in physical education classes, and identify other constraints that may prevent the child to do in school on a General basis. Each of the doctors can make a referral for further treatment or examination, if you find signs of any disease.
2
Starting from the age of 14, examinations for boys and girls start to differ. For girls, invite the gynecologist, whose task is to determine whether the not occur in girls of any inflammatory or congenital disease. Also there are disruptions or delays monthly cycle and issues associated with it - pain menstruation, too long or too short cycles and other such symptoms indicating possible disease or hormonal imbalance.

The doctor performs the initial examination and asks the girls questions about their health. Inspection on the chair, as a rule, is not carried out the medical examinations are traditionally held in the schools themselves, where the chair is simply impossible to bring in for one session. Even if girls are sent to the gynecologist in the clinic, the doctor spends only a quick visual inspection.
3
For graduates of the medical examination connected with receipt in Institute, therefore, to the usual list of doctors (internist, neurologist, orthopedist, otolaryngologist, dentist, and gynecologist) is added endocrinologist, also have to do chest x-rays. For girls there is an additional breast exam and the list of questions at the reception adds to the question of whether sexual life. Possible and inspection on the chair, but using a special pediatric tools that are made in such a way that can not damage the health of the girls.
Note
Prepare your child for a medical check-up in advance - tell us how to dress, why the inspection does not need to be afraid about and what's going to happen.
Useful advice
From a routine inspection can be waived - for example, if you want to provide information about the condition from reliable specialists who've been watching your child.

Advice 2: As it tests the endocrinologist

Qualified physicians-endocrinologists are trained to diagnose and treat hormonal dysfunction, and help to restore the required amount of hormones in the body. The most common disorders of the endocrine system include problems with the thyroid gland and diabetes.
The endocrinologist

Training of doctors-endocrinologists



In Europe, the future doctors-endocrinologists are trained for four years in medical school, and the next three or four years studying in internship and residency. These programs cover the study of internal diseases, Pediatrics, obstetrics and gynecology. Only then can the future doctors two years to devote to the diagnosis and treatment of hormonal disorders. Formation of endocrinologist are the knowledge of the physiology and functioning of the endocrine system, including hormone action and biochemistry. After completing all these steps you can begin to gain a broad practical experience and management of diseases related to endocrine system diseases.

Diabetes



So called the most common disease with which, in practice, have to see endocrinologist. Most often, diabetes occurs because of the shortage of production the pancreas of the hormone insulin that leads to increased blood sugar level and damage to various organs. For a full treatment of diabetes endocrinologists appointed special diets and medications, reducing sugar, including insulin. In this case, doctors must work with patients in close contact with the aim of optimizing the level of blood sugar.

The thyroid problem



Some dysfunction of the organism, for example, hypothyroidism or low production of thyroid hormones, can diagnose only endocrinologist. Doctors-endocrinologists prescribed for patients with special treatment to achieve hormonal balance by blocking or replacement thyroid hormones. But a disorder may have another cause, (e.g., infertility) that require treatment, in collaboration with the relevant medical specialist.

Other disorders



Doctors-endocrinologists in their work, may encounter the following relevant diseases:
• insufficient or excessive production of hormones;
• the imbalance of hormones caused by menopause;
• metabolic disorders;
• infertility;
• neoplasms of the endocrine glands;
• excessive or low growth;
• early puberty;
• osteoporosis and lack of vitamin D;
• diseases of the endocrine system in children;
• high blood pressure associated with endocrine disorders;
• lipid disorders;

Advice 3: What and how checks gynecologist

Prophylactic a woman should visit the gynecologist at least once a year in the absence of any complaints. This will help to identify pathology that may not manifest any symptoms. As required, visits to the gynecologist can be more often.
What and how checks gynecologist

Preparing for the inspection



Before visiting of the gynecologist shower or bathe, put on fresh linen. You should not douche to the vaginal flora remained in "everyday" condition. The day before the visit to the gynecologist eliminate unprotected sex, because the vagina will remain a small amount of semen, which will affect the results of the analysis. In the case of antibiotics, antifungal drugs to the gynecologist is recommended to go in 1-2 weeks. after cessation of therapy, as these drugs have a significant impact on vaginal microflora and prevent accurate diagnosis.

It is not recommended to pass inspection at the gynecologist during menstruation, except in cases of emergency (severe bleeding, accompanied by pain). The best period is the first few days after menstruation. Before visiting the gynecologist empty the bladder, intestines, possibly, should be empty.

How is the inspection



During the examination, the doctor will ask questions about the date of the last menstrual period, the nature and duration of the menstrual cycle. The doctor will be interested in information about previous gynaecological and infectious diseases, sexuality, contraception, pregnancy, abortion, the nature of childbirth, their complications, the health of the child. The answers to these questions will help the gynecologist to make a diagnosis. In the next step the doctor will do examination on the couch. When this is palpated anterior abdominal wall for possible tumors. Using the stethoscope, it listens for the movement of gases or fluid within the body. This method allows to study the bowel, condition often indicates the presence of a number of disorders and diseases of the female genital organs.

A pelvic exam is held in a horizontal position on a special chair by using disposable and sterile instruments (tweezers, mirrors, devices for taking smears, etc.). Before you climb on that chair, lay on it, the seat cloth, and then climb the steps. To go it is necessary so that the buttocks was located on the edge of the chair. Then raise your legs and place them on trivets to "slingshot" appeared in the popliteal fossa.

Before examination, the doctor wears sterile rubber gloves. During the examination the doctor inspects the vulva. Then, with the help of special tools the investigation of the cervix and vagina. Gynecologist explains the size, position and condition of the uterus, ovaries and fallopian tubes. Vaginal examination may reveal endometriosis, uterine fibroids, ovarian cysts, inflammation of the appendages, ectopic, uterine pregnancy, etc. During the examination the doctor takes a swab for infection, Cytology. If necessary, can be carried out a colposcopy, ultrasound was scheduled.
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