Objective: To characterize adolescents referred to medical consultation based on the screening tool "Perfil de Saúde do Utente Adolescente", and to compare to information gathered from a questionnaire and data assessed during the visit. Methods: A retrospective and descriptive study, with analysis of the questionnaires filled out by adolescents and their respective medical records, in the period from January 2013 to June 2016. Results: A total of 54 adolescents were seen, 57% male and mean age of 12±1.7 years. In the questionnaire, 37% stated that they had some kind of health problem; 35% would like to change the relationship with their parents; 18% had some concern about safety at school; and 39% made dietary mistakes. Approximately 31% had consumed alcohol, 13% had tried smoking, and 4% had used other drugs. At the first medical appointment, 38% stated they had chronic disease, 11% reported poor family environment, 39% had school problems and 39% made dietary mistakes. About 13% had tried smoking, 24% had tried to consume alcohol, and 2% had tried other drugs. Thirty seven percent of adolescents were referred to adolescent medicine consultation, and 39% to another hospital consultation. Conclusion: Many of the biopsychosocial risk items identified through the questionnaire were confirmed during consultation, indicating that it could be a useful screening method for problems linked to the adolescence period.
A male newborn who was the third child of a nonconsanguineous couple was referred for further management on the fourth day of life. Asymptomatic toxoplasmosis seroconversion was detected at 21 st week of pregnancy in the pregnant lady with maternal toxoplasma IgG level of 88.9 IU/mL (positive range >8.8 IU/mL), IgG avidity test of 0.18 (low) and IgM of 10.3 IU/mL (positive range >8.0 IU/mL). Oral spiramycin (3g/day) was started in the mother five weeks later. Amniotic fluid Toxoplasma gondii PCR was negative and routine antenatal ultrasound scans were normal. Lower segment caesarean section delivery was done due to two previous caesarean section deliveries, at the gestational age of 38 weeks, with an Apgar score at the 1 st and 5 th minutes of 9/10. Post-delivery, clinical examination of the child was normal. Birth weight was 3650 g, length 51 cm and head circumference 34.7 cm, all appropriate for gestational age according to the Fenton Growth Charts. Cord blood analysis revealed toxoplasma IgG level of 96.5 IU/mL (positive range >8.8 IU/mL) and IgM <3 IU/mL (negative range <6.0 IU/mL). Placental inoculation in mice was done and toxoplasma antigen at 10 days and three weeks were negative.
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