Reply to Very young moms and their “research”

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]oh, and another thing I noticed - Bloodwork is much more a part of routine care with children in Europe
Than in the US. because omg the child is going to scream!![/quote]

scratches head...Why is bloodwork a part of standard care there? [b]No reason to do blood draws in kids unless they're presenting with some condition that would warrant it.[/b] Can't imagine ordering blood draws on a healthy little one.[/quote]

If you don't, you probably aren't practicing evidence-based medicine -- at least in pediatric care. The AAP does have recommendations for some minimal labwork in children, based on benefits/risk analysis.

1. Two newborn screens (universal): heel pricks in the newborn period, with conditions tested varying somewhat by state

2. Newborn bilirubin: recommended each newborn have one level drawn, with others in follow-up if indicated

3. Iron deficiency anemia: All children at 12 months, with levels at other times if indicated

4. Lead level if at risk (not just when they present with signs or symptoms of the condition, but based on risk): Specifically at 12 and 24 months in high-risk children, and as indicated otherwise

5.Lipid profile: all children at 9-11 years of age and a second at 17-21 years of age, as well as when indicated

6. HIV at 15-18 years of age, and when indicated

Many of these are screens also indicated when there is risk identified, not just when presenting with a condition. There are other screens I did not list which are only indicated because of risk (again, not because of presenting condition). More info at --&gt; https://www.aap.org/en-us/professional-resources/practice-transformation/managing-patients/Pages/Periodicity-Schedule.aspx

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