Routine Exams

Routine physical exams and immunizations from birth to age 21


Routine Well Child Checkups are as follows:
Newborn 5-7 days after discharge, unless instructed otherwise by your pediatrician,
2 weeks, 1 month (weight check and 2nd Hep B vaccine), 2 months, 4 months, 6 months, 9 months, 12 months, 15 months, 18 months, 2 years, 2 1\2 years, and yearly checkups thereafter.

 
While vaccine schedules can certainly change from time to time, listed here is the current schedule that we are using in the office. April 5, 2018
 
Birth:                            Hep B

1 week                         None
2 weeks                       None (Newborn Screen)

1 month                       Hep B
2 months                     Pentacel, Prevnar, Rotateq
4 months                     Pentacel, Prevnar, Rotateq
6 months                     Pentacel and Hep B or Pediarix and HIB, Prevnar, Rotateq
9 months                     None
12 months                   Proquad, HepA, Prevnar
15 months                   DTap, Hib (Pentacel)

18 months                   Hep A

2 years                        None

2.5 years                     None

3 years                        None

4 years                        Quadracel, Proquad

5-10 yearly                  None

11-12 years                 Adacel, Menactra, Gardasil

13-16 yearly                None
17-21 years                 Menactra
 
HepB: This vaccine protects against hepatitis B -- a viral liver infection that is spread by blood and sexual contact.
 
Pentacel: This is a combination vaccine that combines five different antigens including:
Diphtheria: a throat infection that is life-threatening -- rarely seen because of the vaccines
Pertussis: whooping cough -- still present in our communities and life-threatening to babies.
Tetanus: an infection that can cause “Lock Jaw” a type of paralysis caused by a germ that is found in the dirt.
Polio: a viral illness that causes high fever and paralysis. Largely eliminated since the institution of the vaccines. This component is called IPV.
Hib: Hemophilus influenza type B: This is one of the deadly forms of meningitis that particularly hit babies which was very prevalent as recently as the early 1980s and has been dramatically decreased with the advent of vaccinations.

 

Pediarix:  This is a combination vaccine that combines five different antigens including:

Diphtheria: a throat infection that is life-threatening -- rarely seen because of the vaccines

Pertussis: whooping cough -- still present in our communities and life-threatening to babies.

Tetanus: an infection that can cause “Lock Jaw” a type of paralysis caused by a germ that is found in the dirt.

Polio: a viral illness that causes high fever and paralysis. Largely eliminated since the institution of the vaccines. This component is called IPV.

HepB: This vaccine protects against hepatitis B -- a viral liver infection that is spread by blood and sexual contact.


Prevnar: This vaccine prevents most disease caused by a germ called Pneumococcus responsible for pneumonia as well as meningitis in children.

Rotateq: This is a vaccine that prevents a form of diarrhea called Rotavirus which hospitalized a lot of babies every year. It is a liquid oral vaccine and has significantly decreased the number of hospitalizations in our community since its inception in 2006.

Hep A:  This vaccine protects against hepatitis A-- a viral liver infection that is spread by contaminated food or water or from close contact with a person or object that's infected.

Proquad:  This is a combination vaccine that includes:

Measles: a viral disease that could cause neurological problems including deafness

Mumps: a viral illness that infects the parotid gland in the cheek. In adolescent and adult boys it also hits the testicle and can cause sterilization.

Rubella: a mild viral illness except when it occurs in pregnancy and it can cause mental retardation in the babies.

Varicella: Many of you may remember chickenpox from your childhood. This is the vaccine against chickenpox (varicella.) What you might not know is that we had about 50 deaths every year from chickenpox, and thousands of hospital admissions for subsequent skin infections. With the vaccine we will not only prevent this but also prevent cases of shingles.
 
Quadracel: combination vaccine against diphtheria, pertussis, tetanus, and polio all described above.
 
Adacel: This is the adolescent version of the vaccine against diphtheria, tetanus, and pertussis. The recent change has been to include the vaccine against pertussis in order to prevent transmission from adolescence down to babies where it is life-threatening.
 
Menactra: This is a vaccine against a fatal form of brain infection (meningitis) which hits suddenly in the teenager and young adult age group.
 
Gardasil: This is a vaccine against Human Papilloma Virus (HPV) which is commonly called "genital warts." The problem is that this virus can also go on to cause cervical cancer in women and other cancers in men and may be responsible for as much as 60% sign of these cancers. This is a series of two-three vaccines each separated by 2-6 months depending on age of first dose. 

* Single antigen vaccines may be available if combination vaccines are not desired.

 

Call us today at (830) 257-1440

1331 Bandera Hwy, STE 10

Kerrville, TX 78028

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