Advice 1: What tests pass in front of the school

To enroll a child in school must provide the school a personal health record card of the student. For registration of medical card must pass a number of specialists and required to pass, and, if necessary, additional laboratory tests.
What tests pass in front of the school

A medical examination before school

Medical examination of the child is preferable to pass in medical institution of the place of residence. Medical examination is done only once when placing the child in school, in the future, this examination will be conducted as appropriate: as part of routine medical examination, after contact with patients with infectious diseases, before vaccination. Local pediatrician gives direction to visit the necessary specialists to conduct laboratory analyses. Before enrolling in school a child needs to visit the following specialists: otolaryngologist, ophthalmologist, neurologist, orthopedic surgeon, dentist, speech therapist, psychologist. Teenagers under the age of 14, recommended additional testing at the doctor-endocrinologist, female gynecologist, men – urologist-andrologist. Mandatory laboratory studies for processing of personal medical cards student include: General clinical analysis of blood (KLA) clinical urinalysis (OAM), fecal worm eggs and protozoa, fecal enterobiasis. If necessary, the pediatrician will prescribe additional examinations and laboratory tests, consultations of doctors-specialists. Depending on the specialization of educational institutions, research facilities can be expanded based on the specifics of teaching children.

The tests needed to enroll in school

General analysis of blood for laboratory at the health facility in the morning on an empty stomach from the finger. Urine for General analysis, it is necessary to collect in the morning in a container for biological material, purchased at the pharmacy, after hygienic procedures. Going to an average portion of urine newly issued, capacity marked with the indication of surname, name, date of birth and date of urine collection, and delivered to the laboratory in the shortest time. Cal for research on helminth eggs and protozoa collected in clean dry container after showering and signed. To obtain reliable results it is preferable to collect feces from different places of the stool and deliver to the laboratory within a short time. Cal for pinworms is taken with the use of a cotton swab, which you must take in the lab. The biomaterial for research going early in the morning from the folds around the anus.

Documents required for registration of a medical card

For the passage of medical specialists and delivery of laboratory studies in the clinic by place of residence, it is necessary to have only the policy of obligatory medical insurance of the child. When contacting another health care facility need to take birth certificate of the child, the identity document of the attendant, a medical insurance policy and vaccination certificate.

Advice 2 : How is the medical examination of schoolchildren

Clinical examination – routine complex medical monitoring of the health of schoolchildren. The purpose of this event - early detection of affected children and prevention of morbidity.
How is the medical examination of schoolchildren
Each year students undergo a medical examination. Many children, students in schools that have health problems:
- bad posture,
- curvature of the spine,
- blurred vision,
- gastritis,
- headaches, etc. Parents are not always able to detect that their child is unwell. School medical examination reveals the disease in children with the subsequent treatment, and those who during the survey revealed chronic diseases put on the account to the appropriate specialist.

A comprehensive inspection

In the school medical examination the doctors involved such as surgeon, neurologist, orthopedist, pediatrician, dentist, a girl of fourteen, is invited to a gynecologist. Also, during the clinical examination the children take a blood test of hemoglobin and glucose. The mandatory stages of the examination is the chest x-ray, electrocardiogram, ultrasound of the thyroid and General health questionnaire.

Through the examination the doctor can determine the appropriate level of physical activity for physical education classes, if necessary, the students are distributed to medical groups. The first (main) group include students with good health and normal physical development, the second – children with poor physical preparation, as well as those who are shown the physical culture under the special supervision of a teacher. There is a third (special) group, where children with severe diseases. For them developed a special course of medical physical education as a regular curriculum, they do not.

The benefits of prophylactic medical examination at school

By law, medical examinations in educational institutions is free of charge. Conducting examinations in the school whether the children can receive medical care without leaving the walls of the institution, without detracting from the learning process. Medical professionals pay attention to as many children as are not distracted by other patients, if it happened in the clinic.

Practice shows that the clinical examination of school children quieter to communicate with the doctor in a familiar setting, when a number of classmates and peers.

- medical examination are not present in the parents, and the child not always can adequately answer medical questions and to voice their complaints;
- parents learn medical advice than from the doctor and from the school nurse or child, the information often gets distorted.

Parents, it is important never to abandon the examination of children, as timely inspection prevents the development of serious diseases.

Advice 3 : What doctors need to bypass first grade

School is an important and serious stage in a child's life. Unusual for body burden, psychological stress is inevitable for first graders. He must pass all assigned district pediatrician doctors. The child fewer missed classes because of illness, it is better to detect health problems at an early stage.
What doctors need to bypass first grade
Usually a referral to various specialists prescribes by the doctor. For this you need to contact the clinic . If some of the doctor will not be on the site, will have to apply for paid services in other medical facilities. Therefore, it is better to start the examination in advance. Medical examination for admission to primary school is compulsory for all. So to avoid going to the doctors will not work.
The audiologist will check the condition of the ears and the nasopharynx of the child. The most common ENT infections (otitis, sinusitis, frontal sinusitis, tonsillitis, adenoids, sinusitis, pharyngitis, rhinitis, laryngitis) need timely prevention. This is particularly necessary in the first year of schooling. That's when the body adapts to the new conditions. In a large team of infection spread faster and easier. First graders often suffer from acute respiratory diseases. In the future this may lead to such diseases as chronic tonsillitis, adenoiditis, rhinitis, etc. for Example, the adenoids obstruct the breathing of the child. In this regard, impaired pronunciation, there are problems with voice and hearing. Sometimes the doctor recommends the removal of the inflamed nasopharyngeal tonsils. But the final decision is up to the parents. The doctor will also check the child's hearing. On the identified problems need to notify the teacher. Then he will choose for a baby seat at the Desk closest to the Board.
Ophthalmologist checks visual acuity of the child. Reduced vision in the first class, may cause low academic performance of the child. As a result, the doctor may recommend wearing glasses. At school, the strain on children's eyes increases significantly. Teaching reading and writing should not eventually damage the eyesight of the child or exacerbate the problem with him.
The dentist will examine the oral cavity of a child for different diseases. Tooth and tissues around it can be a source of infections. Dental disease is often a cause of diseases of the gastrointestinal tract. Moreover, in this age, the milk teeth change on the root is not yet completed. It is therefore important to check the proper growth of teeth and development of occlusion.
The body of a first grader experiencing a pretty serious load on the nervous system. Irritability, nervousness, stuttering, headaches and anxiety - this is an incomplete list of the problems experienced by the child in school. The huge flow of information, the mode change and reduced physical activity have consequences for a growing body. Especially when the existing deviations. The neurologist can give appropriate guidance to parents of the future student.
Podiatrist and surgeon - here are two experts that need to attend before school. The survey can identify problems with musculoskeletal disorders, impaired posture, flat feet. Based on this, the child may be encouraged to attend lessons of physical therapy. In the presence of umbilical or inguinal hernia, the surgeon may recommend surgery.
The purpose of the visit of a speech therapist is the identification and elimination of speech disorders speech therapy means. Contribute to the successful socialization of primary school pupils in the process of adaptation to new conditions. Carrying out diagnostics of a child's speech, speech therapist identifies the need for speech therapy services and its character. It can be as regular classes, and consultations as needed.
Before you enroll in school you need to pass some tests. It is the General analysis of blood General analysis of urine, analysis of blood sugar, as well as the analysis of a feces on eggs of worms. Need to do a ECG, ultrasound of abdomen, heart, thyroid gland. For boys – ultrasound examination of reproductive organs. As the doctor observes the child's development since birth, he can appoint additional examination and consultation. For example, a cardiologist or an allergist.

Advice 4 : Medical examination of children before school

A full medical examination of child before school is a mandatory procedure regulated by the legislation of the Russian Federation. Results on health are entered into the reference on the basis of which the school mode of the student.
Children's prophylactic medical examination
Preparing children for school is not only to trouble to purchase a beautiful shape, comfortable backpack and notebooks with writing. An equally important step is compulsory children medical examination for timely detection of possible health problems.

A visit to the pediatrician

Medical check-up before school is mandatory, but you can get it for free at the district clinic, and in any commercial medical center. First specialist, who is obliged to visit the child, is a local pediatrician. The doctor will record physical indicators: height, weight, pressure; check availability of all required age of vaccination; give directions on tests and visits to specialists; writes a final report on the results of the examination.

The list of required studies and analyses became slightly wider than the accepted 3-4 years ago: the child is required to pass a General analysis of blood and analysis to check blood glucose levels, urinalysis, feces analysis on helminth eggs and scraping on enterobiasis, undergo electrocardiography, ultrasound of abdomen, thyroid, pelvic, and heart.

Visits to specialists

In addition to laboratory and diagnostic tests child before school must obtain a report on the status of the health experts.

The surgeon will examine the child for the presence of tumors, inguinal and umbilical hernias. In boys, the doctor checks the development of the sexual organs and identifies possible abnormalities: cryptorchidism, phimosis, etc.

Visit to the gynecologist recently is a must for girls. A medical examination at the specialist is more preventive in nature and is conducted without the use of observation instruments, through a visual identification of possible developmental abnormalities of the genital organs.

The ophthalmologist determines the child's visual acuity and detects possible pathologies, giving recommendations for the optimal distance from the desks to the chalkboards taking into account the visual characteristics of the student.

The podiatrist will identify violations of the child's posture and possible problems with his musculoskeletal system: flat feet, spinal curvature, etc.

A neurologist explores the features of the nervous system of the student, check reflexes, coordination, muscle tone and psychomotor skills in its reaction to external stimuli.

Otolaryngologist reveals the tendency of the child to diseases of ear, throat, nose, checks his hearing.

The dentist will check the correctness of formation of malocclusion and hyoid ligament, is a common condition of the teeth, reveal the incipient caries.

According to the results of examinations by specialists, the pediatrician may prescribe additional examination by a psychologist, cardiologist, therapist, endocrinologist.
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