Well Child Office Visits

Well-child visits are designated and scheduled to help children grow into healthy adults. Keeping the well child well is one of the major goals of pediatrics.  A well-child visit includes monitoring of growth and development, early detection of illness through screening and laboratory tests, immunizations, parental guidance and counseling, and, of course, getting to know one another. It is your opportunity to ask questions and address any concerns that you may have.
Lydig Pediatrics follows the well child check schedule recommended by the American Academy of Pediatrics and Bright Futures Guidelines.

3-5 days visit
1 month visit
2 month visit
4 month visit
6 month visit
9 month visit
12 month visit
18 month visit
24 month visit
30 month visit
3 year visit
continue with annual physical unless recommended otherwise (for children with chronic illnesses)

What to expect at your Well-Child Office Visits:

Newborn (usually while in the hospital, otherwise 1st office visit as early as possible for home or birth center delivery): initial history, measurements (length, weight, head circumference), hearing test, developmental surveillance, psychosocial/behavioral assessment, physical examination, heart defect screening, risk assessment for elevated blood pressure and vision problem, blood test for bilirubin, newborn blood screen, immunization (Hepatitis B 1st dose), ANTICIPATORY GUIDANCE for parents.

3-5 Days Visit: initial/interval history, measurements (length, weight, head circumference), developmental surveillance, psychosocial/behavioral assessment, physical examination, newborn blood screening follow up, risk assessment for hearing, vision, and blood pressure problem, immunization (Hepatitis B 1st dose, if was not given at birth), anticipatory guidance.

2 Week Visit: may be recommended for weight check up

1 Month Visit: initial/interval history, measurements (length, weight, head circumference), developmental surveillance, psychosocial/behavioral assessment, physical examination, newborn blood screening follow up, risk assessment for hearing, vision, and blood pressure problem, as well as assessment of risk factors for tuberculosis, anticipatory guidance.

2 Month Visit: initial/interval history, measurements (length, weight, head circumference), developmental surveillance, psychosocial/behavioral assessment, physical examination, newborn blood screening follow up, risk assessment for hearing, vision, and blood pressure problem, immunization (Hepatitis B 2nd dose, DTaP #1, Rotavirus #1, Hib #1, Pneumococcal #1, Polio #1 ), anticipatory guidance.

4 Month Visit: initial/interval history, measurements (length, weight, head circumference), developmental surveillance, psychosocial/behavioral assessment, physical examination, risk assessment for hearing, vision, ANEMIA, and blood pressure problem, immunization (DTaP #2, Rotavirus #2, Hib #2, Pneumococcal #2, Polio #2 ), anticipatory guidance.

6 Month Visit: initial/interval history, measurements (length, weight, head circumference), developmental surveillance, psychosocial/behavioral assessment, physical examination, risk assessment for hearing, vision, blood pressure problem, lead exposure, tuberculosis, oral health,  immunization (Hepatitis B 3nd dose, DTaP #3, Rotavirus #3, Hib #3, Pneumococcal #3, Polio #3, 1st Flu vaccine during flu season ), anticipatory guidance.

9 Month Visit:  initial/interval history, measurements (length, weight, head circumference),  DEVELOPMENTAL SCREENING, psychosocial/behavioral assessment, physical examination, risk assessment for hearing, vision, blood pressure problem, lead exposure, oral health,  immunization (catch-up, 2nd Flu vaccine during flu season, if not given before), anticipatory guidance.

12 Month Visit:  initial/interval history, measurements (length, weight, head circumference), developmental surveillance, psychosocial/behavioral assessment, physical examination, risk assessment for hearing, vision, blood pressure problem, tuberculosis, oral health, BLOOD TESTS for anemia and lead level, immunization (varies, usually MMR, Varicella, Hep A 1st dose, 4th dose of Hib and PCV can be given, as well), anticipatory guidance. 

15 Month Visit: initial/interval history, measurements (length, weight, head circumference), developmental surveillance, psychosocial/behavioral assessment, physical examination, risk assessment for hearing, vision, blood pressure problem, anemia, immunization (varies, 4th dose of DTaP, Hib and PCV can be given), anticipatory guidance.

18 Month Visit: initial/interval history, measurements (length, weight, head circumference), DEVELOPMENTAL SCREENING, AUTISM SCREENING, psychosocial/behavioral assessment, physical examination, risk assessment for hearing, vision, blood pressure problem,  anemia and lead exposure, oral health,  immunization (varies, 4th dose of DTaP can be given, catch-up), anticipatory guidance.

24 Month Visit: initial/interval history, measurements (length, weight, BMI, head circumference), developmental surveillance, AUTISM SCREENING, psychosocial/behavioral assessment, physical examination, risk assessment for hearing, vision, blood pressure problem, anemia, lead exposure, tuberculosis, dyslipidemia screening, oral health, immunization (catch-up, seasonal Flu), anticipatory guidance.

30 Month Visit: initial/interval history, measurements (height, weight, BMI), DEVELOPMENTAL SCREENING, psychosocial/behavioral assessment, physical examination, risk assessment for hearing, vision, blood pressure problem, anemia screening, oral health, immunization (catch-up, seasonal Flu), anticipatory guidance.

3 Year Visit: initial/interval history, measurements (height, weight, BMI, blood pressure), vision (if the patient is uncooperative, re-screen within 6 months), developmental surveillance, psychosocial/behavioral assessment, physical examination, risk assessment for hearing problem, anemia, lead exposure, tuberculosis, oral health, immunization (catch-up, seasonal Flu), anticipatory guidance.

4 Year Visit: initial/interval history, measurements (height, weight, BMI, blood pressure), vision and hearing tests, developmental surveillance, psychosocial/behavioral assessment, physical examination, anemia, lead, tuberculosis, and dyslipidemia screening, immunization (DTaP, Polio, MMR, Varicella), anticipatory guidance.

Middle Childhood: 5-10 year visits:
Continue with Annual Physical unless recommended otherwise (for children with chronic illnesses)
What to expect at your visits:
Initial/interval history, measurements (height, weight, BMI, blood pressure), vision and hearing tests, developmental surveillance, psychosocial/behavioral assessment, physical examination, anemia, lead (until 6 year of age), tuberculosis, and dyslipidemia (every other year) screening, lipid profile at 10 year of age, oral health (visit the dentist every 6 months), immunization (catch-up, HPV (Papillomavirus) series may be started at age 9 years), anticipatory guidance.

Adolescent Appointment: 11-21 year visits:
We enjoy guiding adolescents through the physical and emotional changes that make the transition to young adulthood such an exciting, but often turbulent time.
What to expect at your visits:
Initial/interval history, measurements (height, weight, BMI, blood pressure), vision test and hearing problem screening, developmental surveillance, psychosocial/behavioral assessment, Alcohol and Drug Use Assessment, Depression Screening, physical examination, anemia, tuberculosis, and dyslipidemia screening, lipid profile at 20 year of age, STI/HIV Screening (a screen for STI/HIV between 16 and 18 years), screening for cervical dysplasia at age 21, oral health (visit the dentist every 6 months), immunization (Tdap, Meningococcal vaccine at 11 year of age with a booster dose of MCV4 given at age 16 years, HPV, if not given before), anticipatory guidance.