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Most popular medical Questions
How common is teenage pregnancy in the United States?About 1 in 10 young women under the age of 20 years become pregnant each year (about 1 million pregnancies). The likelihood that an adolescent will become pregnant before age 20 is about 1 in 4. Up to 90% of these pregnancies are unplanned. About 50% progress to delivery, 35% are terminated by abortion, and 15% end by miscarriage.
If a teenager has been pregnant once, how likely is she to become pregnant again during her teenage years?
Repeat adolescent pregnancy is common. Up to 30% of these patients become pregnant again within 1 year, and 25-50% become pregnant again within 2 years. Factors associated with a likely second teen pregnancy include age 16 years at first conception, boyfriend >20 years, school dropout, below expected grade level at the time of first pregnancy, welfare dependency after the first pregnancy, complications during the first pregnancy, and departure from the hospital without birth control.
How soon after conception will a urine pregnancy test be positive?
Human chorionic gonadotropin (hCG) is a glycoprotein (with alpha and beta subunits) that is produced by trophoblastic tissue. Urine levels of 25 mIU/mL are detectable by the most sensitive methods (i.e., radioimmunoassay or enzyme immunoassay to the beta subunit) by about 7 days after fertilization. Although many home pregnancy tests can detect these low levels, some are less sensitive and detect levels of hCG that are around 1500 mIU/mL. This occurs, on average, about 3 weeks after fertilization (or 1 week after the missed menstrual period).
In what setting should ectopic pregnancy be suspected?
Amenorrhea with unilateral abdominal or pelvic pain and irregular vaginal bleeding is ectopic pregnancy until proven otherwise. Sequential hCG levels can help with differentiating an ectopic from an intrauterine pregnancy. Ordinarily, the doubling time of hCG levels is about 48 hours; in ectopic pregnancy, there is usually a significant lag. Other causes of lag include missed abortion and spontaneous abortion. Abdominal or transvaginal ultrasound is also useful for diagnosis. Laparoscopy may be necessary if the diagnosis remains unclear.
How commonly do adolescents attempt suicide in the United States?
About 2,000 teenagers die from suicide each year, but data about the frequency of attempts are hampered by underreporting. For each death by suicide, there are an estimated 50-200 attempts that fail, placing the number of attempts between 250,000-1,000,000. From 1950 to 1990, the suicide rate for adolescents in the 15- to 19-year-old group increased by 300% as compared with a 17% increase for the general population.
Who are more likely to attempt suicide, males or females?
Up to nine times as many females as males attempt suicide. However, males (particularly white males) are much more likely to succeed, due in large part to the choice of more lethal methods (especially firearms). Females more commonly try ingestions or wrist slashing. What conditions can mimic ADHD?
Medical: Lead toxicity, iron deficiency, thyroid dysfunction, visual/hearing impairment, sleep disorders, mass lesions (e.g., hydrocephalus), seizures, complex migraines, fetal alcohol syndrome, fragile X syndrome, Williams syndrome, neurofibromatosis, tuberous sclerosis, medication side effects (e.g., cold preparations, steroids), and substance abuse.
Developmental or learning disorders: Mental retardation (MR), autistic spectrum disorders (e.g., pervasive developmental disorder, Asperger syndrome), and specific learning disabilities. Central auditory processing difficulties have also been investigated, although it is still unclear as to whether such difficulties are a different disorder or if they represent the cognitive deficits seen with ADHD.
Behavioral or emotional disorders: Affective disorders (e.g., dysthymia, bipolar disorder), anxiety disorders, stress reactions (e.g., posttraumatic stress disorder, adjustment disorder), other disruptive behavior disorders (e.g., oppositional defiant disorder), and personality disorders.
Psychosocial factors: Family dysfunction, parenting dysfunction, and abuse.
What is infantile colic?
Colic is excessive crying or fussiness, which occurs in 10-20% of infants. For study purposes, it is defined as paroxysms of crying in an otherwise healthy infant for >3 hours per day on >3 days per week. The typical picture is that of a baby (usually between the ages of 2 weeks and 3 months) who cries intensely for several hours at a time, usually during the late afternoon or evening. Often the infant appears to be in pain and has a slightly distended abdomen, with the legs drawn up; occasional temporary relief occurs if gas is passed.
The symptoms nearly always resolve by the time the infant is 3 to 4 months old, but the problem can have repercussions, including early discontinuation of breastfeeding, multiple formula changes, heightened maternal anxiety and distress, diminished maternal-infant interaction, and increased risk for child abuse.
What causes colic?
No precise cause has been identified, and the etiology is likely multifactorial. Theories have involved intolerance or allergy to cow milk or soy protein, immaturity of the gastrointestinal tract and/or the central nervous system, difficult infant temperament, and interaction problems between the infant and the caregiver (e.g., misinterpreted infant cues, transfer of parental anxiety).
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