4 month well child exam

So what do we do at 4 months you ask?

First we again check height, weight and head size.  Are you seeing a theme here.  These parameters are critical for monitoring your child's health and brain development.

Next we again review developmental milestones.  In my office we now start to use a standardized screening tool for development called the ages and stages questionaire.  This test allows us to check for signs of developmental delay that are very subtle and if present allows us to intervene early.

We then perform the usual physical exam.  Close attention this time is paid to the tone of the muscles throughout.  This is the age when cerebral palsy first becomes easily noticed.

Next we discuss and administer the vaccines

Finally we provide guidance and safety teaching.  This is the age when we first introduce solids so alot of time is spent discussing what foods to introduce and how to introduce them.

I hope that this helps.

kevin m. windisch md, faap
sparks pediatric and adolescent medicine
775-359-7111