Discuss the immunizations recommended at this visit

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A 16-year-old adolescent female presents for a routine well examination and sports preparticipation examination for her school's softball team. ROS: She received all of the routine childhood immunizations, a complete hepatitis B series, last tetanus shot was at 5yoa. Family history no medical problems, the exception was the mother stated was their 21-year-old cousin died of sudden death. On exam: vital signs and weight wnl for age group. ENT, Lungs, GI, Skin, Neuro: Negative findings; Cardiac: on auscultation a 2/6 systolic murmur is present; on valsalva it increases in intensity. Peripheral pulses are strong and symmetric; capillary refill within 3 seconds, without cyanosis or clubbing in all extremities.

Discuss the immunizations recommended at this visit. Discuss the GUIDELINES FOR ADOLESCENT PREVENTIVE SERVICES.

Reference no: EM133502799

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