originally posted on The Pediatric Insider © 2014 Roy Benaroch, MD
All of these children, who fail the initial screen, need more evaluation to make sure there isn’t something important going on.
Sometimes we do a poor job explaining this to parents. If your child failed our hearing screen, it doesn’t mean he is deaf, or that he even definitely has a hearing problem: It just means he might have a hearing problem, and needs further evaluation. Maybe a retest, or a more-thorough hearing test at an audiologist. The follow-up testing might be normal, and that would be good news.
© 2014 Roy Benaroch, MD
In pediatrics, almost all of our patients are healthy. We’ve got some doozies of special-needs kids, but by-and-large your ordinary pediatric patient is doing well, and does not need extensive testing or elaborate procedures to ensure good health.
Still, we do run across some occasional problems. Some children have poor vision, or hearing problems, or kidney disease, or hypothyroidism. Or autism, or Tay-Sachs Disease, or a penny up their nose. A whole lot of what we do in our “check ups” are easy, cheap, and quick tests to screen for these and many other problems. Just a taste:
- We look at height. If Junior is gaining height as expected, he almost certainly doesn’t have hypothyroidism.
- We look at blood pressure. If it’s normal, kidney disease is less likely.
- We look in noses. Usually you can see a penny up there.
- We test…
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