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Tuesday, September 7, 2010

2 week well child exam

So what do we do for the two week well child exam you ask?  After all, wasn't my child just there 2 weeks ago?

Well, first and foremost we check the child's weight.  At this time your child should be back to or above his or her birth weight.  If they have not regained their birthweight there is potential for several serious problems to be present.

Next we will address any concerns that the parents may have for the child.  By now many children have dry skin and the parents wonder what to do about this.  Many children are also spitting up and this raises many parental questions.

Finally we do a complete physical.  The artery pressures in the lungs have finally dropped to their normal adult levels making many murmurs not heard at birth now audible.  We check for liver and kidney size and recheck the hips since dysplastic hips can show up any time in the first 18 months of life.

We end with some safety recommendations for parents and set up the next visit.

I hope that this has helped to demistify what we do.

Kevin M. Windisch MD, FAAP
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