Forword |
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xvii | |
Contributors |
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xix | |
Abbreviations |
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xxi | |
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1 Introduction - Adolescent medicine: Pharmacotherapeutics in general, mental, and sexual health |
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1 | (8) |
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2 Overview on adolescence |
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9 | (30) |
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9 | (3) |
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9 | (1) |
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2.1.2 Demography of adolescent population |
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10 | (1) |
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2.1.3 Normal adolescent sexuality stages |
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10 | (2) |
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2.1.4 The process of CNS maturation |
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12 | (1) |
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12 | (3) |
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15 | (6) |
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19 | (1) |
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20 | (1) |
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2.3.3 Caring for the gay, lesbian, bisexual, and transgendered (GLBT) youth |
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21 | (1) |
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2.3.4 The adolescent sex offender |
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21 | (1) |
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2.4 Health status of adolescents |
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21 | (6) |
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22 | (1) |
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23 | (1) |
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24 | (1) |
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2.4.4 Homicide and suicide |
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24 | (1) |
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2.4.5 Motor vehicle accidents |
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25 | (1) |
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25 | (1) |
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26 | (1) |
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2.4.8 Runaway and homeless youth |
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26 | (1) |
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2.5 Caring for adolescents |
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27 | (7) |
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2.5.1 Involvement of parents |
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27 | (6) |
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33 | (1) |
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34 | (1) |
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35 | (1) |
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35 | (4) |
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3 Concepts of health care in adolescents in the twenty-first century |
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39 | (16) |
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39 | (1) |
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3.2 Adolescents: The population |
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39 | (3) |
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3.2.1 Financing of the adolescent population |
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40 | (1) |
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3.2.2 Subgroups of the adolescent population |
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40 | (1) |
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3.2.3 Complexity of the adolescent population |
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41 | (1) |
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3.3 Use of modern health-ITs |
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42 | (2) |
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42 | (1) |
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42 | (1) |
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3.3.3 Multifaceted approaches |
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43 | (1) |
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3.4 Challenges: Use of modern health-ITs |
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44 | (3) |
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3.4.1 Accuracy and validity of data and data sources |
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44 | (1) |
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3.4.2 Privacy and security responsibilities |
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44 | (1) |
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3.4.3 Health literacy and health-IT literacy |
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45 | (1) |
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3.4.4 Cost and lack of revenue |
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46 | (1) |
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3.5 Opportunities: Use of modern health-ITs |
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47 | (4) |
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3.5.1 Provider-adolescent engagement at visit |
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47 | (1) |
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3.5.2 Provider-adolescent engagement between visits |
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47 | (2) |
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3.5.3 Provider-provider engagement |
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49 | (2) |
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3.6 Practicalities: Use of modern health-ITs |
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51 | (1) |
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52 | (3) |
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4 Principles of pharmacology |
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55 | (12) |
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55 | (1) |
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55 | (5) |
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55 | (1) |
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56 | (1) |
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57 | (1) |
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58 | (1) |
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4.2.5 Drug dosing and therapeutic drug monitoring |
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59 | (1) |
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60 | (1) |
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4.4 Pharmacogenetics and Pharmacogenomics |
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61 | (3) |
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64 | (3) |
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5 Basic concepts of neurotransmission |
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67 | (12) |
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67 | (1) |
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67 | (3) |
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67 | (1) |
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68 | (1) |
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5.2.3 Chemical neurotransmission |
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69 | (1) |
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5.3 Allosteric modulation |
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70 | (1) |
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5.4 Nonsynaptic (volume) neurotransmission |
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70 | (1) |
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5.5 Divergence and covergence |
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70 | (1) |
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5.5.1 Agonists and antagonists |
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70 | (1) |
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5.6 Major neurotransmitter systems |
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71 | (3) |
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71 | (1) |
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5.6.2 Dopaminergic system |
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71 | (1) |
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72 | (1) |
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5.6.4 Glutamatergic system |
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73 | (1) |
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5.6.5 Noradrenergic system |
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73 | (1) |
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5.6.6 Serotonergic system |
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74 | (1) |
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74 | (5) |
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6 Genetics and adolescent medicine |
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79 | (14) |
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79 | (1) |
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6.2 How genetic disease occurs |
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79 | (1) |
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6.3 Chromosomal inheritance |
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79 | (1) |
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6.4 Single gene disorders |
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80 | (1) |
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6.5 Multifactorial inheritance and complex traits |
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81 | (2) |
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83 | (2) |
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83 | (1) |
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83 | (1) |
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6.6.3 Mitochondrial disorders |
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83 | (1) |
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6.6.4 Syndromes associated with SCD as an example |
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83 | (1) |
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6.6.5 Syndromes associated with the structurally normal heart |
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84 | (1) |
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6.6.6 Syndromes associated with the structural heart disease |
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84 | (1) |
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6.6.7 Factors to be considered regarding the syndromes associated with SCD |
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85 | (1) |
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6.7 Complex disorders: Behavioral phenotypes as an example |
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85 | (3) |
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85 | (1) |
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6.7.2 Alcohol and drug use |
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86 | (1) |
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87 | (1) |
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6.8 Predispositional testing |
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88 | (1) |
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89 | (4) |
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7 Concepts of emergency care |
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93 | (6) |
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93 | (1) |
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7.2 Advanced cardiac life support (ACLS) |
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94 | (1) |
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95 | (1) |
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96 | (2) |
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98 | (1) |
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8 Concepts of surgical disorders in adolescents |
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99 | (46) |
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99 | (1) |
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99 | (26) |
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99 | (7) |
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106 | (4) |
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110 | (11) |
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121 | (4) |
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125 | (3) |
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125 | (1) |
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8.3.2 Clinical presentation |
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125 | (1) |
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125 | (1) |
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126 | (2) |
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128 | (1) |
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8.4 Abdominal wall hernias |
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128 | (2) |
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128 | (1) |
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8.4.2 Clinical presentation |
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128 | (1) |
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8.4.3 Differential diagnosis |
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129 | (1) |
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129 | (1) |
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129 | (1) |
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130 | (1) |
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130 | (2) |
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130 | (1) |
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131 | (1) |
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132 | (4) |
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132 | (3) |
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135 | (1) |
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8.7 Skin and soft-tissue lesions |
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136 | (5) |
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8.7.1 Benign skin lesions |
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136 | (1) |
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137 | (2) |
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139 | (2) |
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141 | (4) |
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9 Concepts of psychotherapy in adolescents |
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145 | (12) |
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145 | (1) |
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145 | (3) |
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148 | (5) |
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9.3.1 Controversey surrounding the use of evidence-based treatment approaches |
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149 | (1) |
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9.3.2 Obstacles to psychopharmacotherapy |
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149 | (1) |
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9.3.3 Obstacles to psychotherapy |
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150 | (1) |
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9.3.4 Insurance providers |
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150 | (1) |
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9.3.5 Access to therapists |
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150 | (1) |
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9.3.6 Differential diagnosis |
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151 | (1) |
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9.3.7 Treatment modalities used with adolescents |
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151 | (2) |
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153 | (1) |
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153 | (4) |
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10 Substance abuse disorders |
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157 | (44) |
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157 | (5) |
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162 | (9) |
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10.2.1 Alcohol abuse management |
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168 | (3) |
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171 | (8) |
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10.3.1 Management of tobacco abuse |
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172 | (7) |
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179 | (2) |
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181 | (2) |
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182 | (1) |
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183 | (2) |
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10.6.1 Management of cocaine addiction |
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183 | (2) |
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185 | (5) |
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186 | (3) |
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189 | (1) |
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189 | (1) |
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190 | (1) |
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190 | (1) |
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190 | (1) |
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191 | (1) |
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192 | (1) |
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10.10.1 Flunitrazepam (Rohypnol®) |
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193 | (1) |
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193 | (1) |
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193 | (1) |
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193 | (3) |
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196 | (1) |
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196 | (1) |
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196 | (1) |
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197 | (4) |
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11 Pharmacotherapy of adolescent attention deficit/hyperactivity (ADHD) disorder |
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201 | (26) |
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201 | (1) |
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11.2 Assessment and treatment principles |
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202 | (2) |
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202 | (1) |
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202 | (1) |
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11.2.3 Discussing treatment options, medications, and monitoring with patients and caretakers |
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202 | (2) |
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11.3 Psychopharmacology of ADHD |
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204 | (1) |
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11.4 FDA-approved stimulant agents |
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205 | (7) |
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207 | (1) |
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11.4.2 Short-acting AMP formulations (about 6 hours' duration) |
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207 | (1) |
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11.4.3 Long-acting AMP formulations (about 8-10 hours' duration) |
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207 | (1) |
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11.4.4 Prodrug formulation |
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208 | (1) |
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209 | (1) |
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11.4.6 Oral short-acting MPH formulations (about 3-5 hours' duration) |
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210 | (1) |
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11.4.7 Oral intermediate-acting MPH formulations (about 8 hours' duration) |
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211 | (1) |
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11.4.8 Long-acting MPH formulations (about 12 hours' duration) |
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211 | (1) |
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11.4.9 MPH transdermal formulation |
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212 | (1) |
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11.5 Special safety considerations regarding stimulants |
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212 | (2) |
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212 | (1) |
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213 | (1) |
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11.5.3 Cardiovascular effects |
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213 | (1) |
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11.6 FDA-approved nonstimulant agents |
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214 | (3) |
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11.6.1 Atomoxetine (Strattera) |
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214 | (2) |
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11.6.2 Guanfacine XR (Intuniv) |
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216 | (1) |
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11.6.3 Clonidine XR (Kapvay) |
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216 | (1) |
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11.7 Non-FDA-approved treatments |
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217 | (1) |
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11.8 General treatment guidelines |
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217 | (4) |
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11.8.1 Child versus adolescent symptom presentation |
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217 | (1) |
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218 | (1) |
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218 | (1) |
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11.8.4 Differential diagnosis versus comorbidity |
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218 | (1) |
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11.8.5 Pretreatment procedures |
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219 | (1) |
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11.8.6 Choosing a starting agent |
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219 | (1) |
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11.8.7 Short-versus long-acting stimulant formulations |
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219 | (1) |
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219 | (1) |
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11.8.9 Medication titration |
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220 | (1) |
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11.8.10 What to do when side effects develop |
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220 | (1) |
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11.8.11 Nonimprovement using FDA-approved treatments |
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220 | (1) |
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11.8.12 Duration of successful treatment |
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220 | (1) |
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221 | (6) |
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12 Disorders of disruption, violence, and cognitive abilities |
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227 | (16) |
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227 | (1) |
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227 | (2) |
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12.2.1 Disruptive behavior disorders |
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227 | (1) |
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227 | (1) |
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228 | (1) |
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12.2.4 Developmental disorders (DDs) |
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228 | (1) |
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12.2.5 Aggression and violence |
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228 | (1) |
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229 | (1) |
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12.4 Differential diagnosis |
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230 | (5) |
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230 | (2) |
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232 | (1) |
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12.4.3 Psychiatric disorders |
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233 | (1) |
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234 | (1) |
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235 | (3) |
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236 | (1) |
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236 | (1) |
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12.5.3 Psychiatric disorders |
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237 | (1) |
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238 | (1) |
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238 | (5) |
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243 | (12) |
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243 | (1) |
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243 | (2) |
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13.3 Differential diagnosis |
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245 | (1) |
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245 | (7) |
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13.4.1 Depressive disorders |
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245 | (3) |
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248 | (4) |
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252 | (1) |
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252 | (3) |
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255 | (14) |
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255 | (3) |
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255 | (1) |
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256 | (1) |
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256 | (1) |
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14.1.4 Social anxiety disorder |
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257 | (1) |
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257 | (1) |
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257 | (1) |
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258 | (1) |
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14.3 Differential diagnosis |
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258 | (1) |
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259 | (6) |
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259 | (1) |
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259 | (1) |
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260 | (1) |
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260 | (1) |
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260 | (2) |
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262 | (2) |
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14.4.7 Treatment of comorbidities |
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264 | (1) |
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265 | (4) |
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269 | (16) |
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269 | (1) |
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270 | (1) |
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270 | (1) |
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15.1.3 Disorganized speech |
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270 | (1) |
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15.1.4 Disorganized behavior |
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270 | (1) |
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270 | (1) |
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270 | (1) |
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15.2.1 Premorbid symptoms |
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271 | (1) |
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271 | (1) |
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15.4 Differential diagnosis |
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272 | (2) |
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15.4.1 Substance use disorders (SUDs) and drug intoxications |
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272 | (1) |
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15.4.2 Bipolar disorder (BD) |
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273 | (1) |
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274 | (1) |
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274 | (5) |
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274 | (2) |
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15.5.2 Atypical antipsychotics |
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276 | (1) |
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277 | (1) |
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15.5.4 Typical antipsychotics |
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277 | (2) |
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15.5.5 Psychosocial interventions |
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279 | (1) |
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279 | (6) |
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SEXUAL AND GYNECOLOGIC HEALTH |
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285 | (16) |
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285 | (1) |
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16.2 Clinician's breast examination |
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285 | (1) |
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16.3 Congenital anomalies |
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286 | (1) |
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16.3.1 Athelia and amastia |
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286 | (1) |
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16.3.2 Polythelia and polymastia |
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286 | (1) |
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16.3.3 Other nipple anomalies |
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286 | (1) |
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16.4 Asymmetric breast development |
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287 | (1) |
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16.5 Underdeveloped breasts |
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287 | (1) |
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288 | (1) |
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16.6 Virginal hypertrophy |
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288 | (1) |
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288 | (5) |
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16.7.1 Cystosarcoma phylloides |
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290 | (1) |
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16.7.2 Cystic breast disease |
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291 | (1) |
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16.7.3 Fibrocystic change |
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292 | (1) |
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293 | (5) |
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298 | (3) |
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17 Menstrual disorders in the adolescent female |
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301 | (30) |
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301 | (1) |
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17.1.1 Adolescent menstrual patterns |
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301 | (1) |
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302 | (15) |
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17.2.1 Amenorrhea in adolescent athletes |
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308 | (1) |
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17.2.2 Management of amenorrhea |
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309 | (1) |
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17.2.3 Management of PCOS |
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310 | (1) |
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311 | (3) |
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314 | (1) |
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17.2.6 Absence of anemia or mild anemia |
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314 | (1) |
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315 | (1) |
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17.2.8 Management of DUB due to coagulation disorders |
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316 | (1) |
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17.2.9 Other DUB management options |
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317 | (1) |
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317 | (5) |
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319 | (1) |
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17.3.2 Primary dysmenorrhea management |
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319 | (2) |
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17.3.3 Secondary dysmenorrhea |
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321 | (1) |
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322 | (4) |
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322 | (1) |
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323 | (2) |
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17.4.3 Management of endometriosis |
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325 | (1) |
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326 | (3) |
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328 | (1) |
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329 | (2) |
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18 Sexually transmitted diseases (STDs) |
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331 | (30) |
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331 | (3) |
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334 | (1) |
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335 | (1) |
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18.4 Urethritis and epididymitis |
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336 | (1) |
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336 | (1) |
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337 | (3) |
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18.7 Fitz-Hugh-Curtis syndrome |
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340 | (1) |
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340 | (1) |
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341 | (2) |
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343 | (1) |
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344 | (1) |
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345 | (3) |
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348 | (1) |
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18.14 Physiological leukorrhea |
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349 | (1) |
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349 | (2) |
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351 | (3) |
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18.17 Homosexuality and STDs in adolescents 18.17.1 HIV/AIDS |
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354 | (5) |
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359 | (2) |
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19 Contraception in adolescents |
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361 | (26) |
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Carolyn M. Lentzsch-Parcells |
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361 | (3) |
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19.2 Oral contraceptives (OCPs; combined oral contraceptives [ COCs]) |
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364 | (6) |
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19.2.1 Contraindications to OCPs/COCs |
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367 | (2) |
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19.2.2 Cardiovascular risks and OCPs |
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369 | (1) |
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19.2.3 OCPs and miscellaneous risks |
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370 | (1) |
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19.3 Transdermal hormonal contraception |
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370 | (1) |
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19.4 NuvaRing vaginal ring |
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371 | (1) |
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371 | (1) |
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371 | (1) |
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19.7 Injectable contraceptives |
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372 | (2) |
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374 | (1) |
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375 | (2) |
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19.9.1 Diaphragm and vaginal spermicides |
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375 | (1) |
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376 | (1) |
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19.9.3 Vaginal contraceptive sponge |
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377 | (1) |
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377 | (1) |
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377 | (1) |
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377 | (1) |
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377 | (10) |
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387 | (14) |
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387 | (2) |
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20.2 Risks of adolescent pregnancy |
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|
389 | (3) |
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20.3 Risks for children of adolescents |
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|
392 | (2) |
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394 | (1) |
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394 | (1) |
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20.6 Prevention of adolescent pregnancy and pregnancy complications |
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394 | (1) |
|
|
395 | (1) |
|
|
396 | (5) |
|
|
|
|
401 | (2) |
|
22 About the Department of Pediatrics and Human Development, Michigan State University College of Human Medicine, Michigan State University/Kalamazoo Center for Medical Studies, Kalamazoo, Michigan, United States |
|
|
403 | (2) |
|
23 About the Division of Adolescent Medicine at the University of Kentucky, Lexington, Kentucky, United States |
|
|
405 | (2) |
|
24 About the National Institute of Child Health and Human Development in Israel |
|
|
407 | (4) |
Index |
|
411 | |