Advances in Pediatrics

School-Based Health Centers: A Model for the Provision of Adolescent Primary Care

      Annie (identity disguised) is a student at one of the public high schools where a school-based health clinic (SBHC) is located in the building. Annie is called to the clinic during school to receive her second human papilloma virus (HPV4) vaccination. The medical assistant checking her into the clinic noticed that she has lost quite a bit of weight. When questioned further, Annie stated that she was not trying to lose weight. The medical assistant had her see the primary care provider in the clinic instead of only vaccinating her and sending her back to class. After a history and physical examination were obtained, the clinician notes that Annie has experienced polyuria and polydipsia. A urinalysis in the clinic displays glucosuria and ketonuria. Fortunately, she was not severely acidotic at this time. Ultimately, Annie was referred to endocrinology and diagnosed as having Type I diabetes.
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