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Back to School – The Wellness Checkup

It is that time again that every parent’s wallet fears… back to school. The school supplies have been purchased. Your kids will be dressed and the newest, trendiest cloths and shoes. The backpack that voices your child’s personality has been chosen. But did you remember to add immunizations, vision & hearing tests, and physicals? Many schools will not enroll children without an immunization record and proof of a recent wellness checkup that includes hearing and vision tests.

Immunizations

To view recommended vaccinations from the CDC and read what each vaccine is, visit our immunizations page on our website.. If you need a copy of your child’s immunizations records, you can contact your local health department or we would gladly provide this for you.

Vision & Hearing

Kids who cannot see or hear well cannot perform as well in school. It is estimated that one out of every 20 children cannot see fully out of at least one of their eyes. Some of the more serious eye diseases like amblyopia (lazy eye) or strabismus (crossed eyes) are correctable with eye patches or surgery if caught early. Once a child is seven or eight years old, the opportunity to correct the problem may have been lost, resulting in permanent vision problems.

Children with hearing loss who begin early intervention earlier have significantly better developmental outcomes than similar children who begin intervention later. Those children are able to progress at age-appropriate rates. Left undetected, mild or unilateral hearing loss can result in delayed speech and language acquisition, social-emotional or behavioral problems, and lags in academic achievement.

Wellness Visit

During your wellness visit at The Children’s Clinic, we will monitor your child’s physical growth, developmental activities, hearing & vision, review immunization records, and review safety and nutritional milestones.

Also, getting a physical examination for your young athlete is very important to address sports-specific issues, including injuries, nutrition, training and exercise programs, and even attitudes, peer pressure and feelings.

If your child needs a wellness visit before school starts, call us at 870-935-6012 to schedule their visit today.

Bites

Dogs or Other Domestic Animal Bites

Any animal bite that breaks the skin requires two types of management. The first is local wound care. If the wound is minor, it should be thoroughly cleansed with soap and water, and then Neosporin ointment applied. The wound should be carefully watched for signs of secondary infection (pain, swelling, redness, red streaks, fever, discharge). If these symptoms should occur or if the wound is more extensive, then contact your physician.

The second part of management of animal bites involves the prevention of rabies from the bite exposure. If the animal is well known and has been vaccinated against rabies, there is little chance that your child will catch this disease. The offending animal should be kept confined ten days and observed. If the animal is healthy at the end of ten days, the child has no need for rabies prevention. If, however, your child is bitten by a stray or wild animal, an animal which cannot be found or an animal that subsequently dies, it is very important to bring this to your physician’s attention immediately. As with any other wound, it is important that the child be up-to-date with their immunization to tetanus. After an animal bite or other dirty wound, a tetanus immunization is required if the child has not had one in the past five years. If your child is not up-to-date and they suffer a wound, you should contact your physician during regular office hours.

Human Bites

Human bites should be treated like domestic animal bites.

Insect Bites and Stings

Most insect bites and stings are not dangerous unless the child is severely allergic to a particular bite or sting.

Treatment

  • If the stinger is present, remove it with a horizontal scraping motion.
  • Place a cold compress on the bite for several minutes to reduce swelling and redness of the bite or sting. Some redness and swelling are to be expected. You should contact your doctor if this becomes severe.
  • Treat with Benadryl elixir (per package instructions; for dosing for children less than 6 years of age please contact physician for dosing instructions.) and/or a paste of baking soda and water to relieve the symptoms.
  • Apply 0.5% Hydrocortisone ointment or cream to the area to help with further itching. This is available without prescription.
  • Call your physician for any difficulty in breathing.
  • Use Acetaminophen (Tempra, Tylenol) for pain. (see Dosing Guide).

Snake Bites

Non-poisonous snake bites are the same as bites from a dog or other domestic animal. Reptile bites do not cause rabies. If a child has been bitten by a poisonous snake, they should be taken immediately to the nearest hospital. You should make no effort to treat this yourself. Cutting the wound, oral suction, suction from snake bite kits, compresses, tourniquets, etc., are no longer recommended for poisonous snake bites.

Tick Bites

Most tick bites are harmless, but ticks are potential carriers for three serious diseases: Rocky Mountain Spotted Fever, Ehrlichia, Tularemia, and Lyme Disease. All three infections involve a 5 to 10 day incubation period followed by fever, muscle aches and headache. Tularemia (rabbit fever) causes swollen tender lymph nodes in areas near the tick bite. Rocky Mountain Spotted Fever and Lyme Disease can involve characteristic rashes over the entire body, but these vary greatly. If your child has a history of tick bites with any of these symptoms, it is important that they be seen by their physician. If a tick is found, it can be removed with tweezers, grasping the tick nearest the mouth and pulling it straight out with steady pressure, followed by a soap and water scrub. It is common for a small crusty sore to remain at the site for several days. This is not an indicator of severe disease. The tick-borne diseases are much less likely to occur if a tick is removed within 24 hours of imbedding.

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Back to School – The Wellness Checkup

It is that time again that every parent’s wallet fears… back to school. The school supplies have been purchased. Your kids will be dressed and the newest, trendiest cloths and shoes. The backpack that voices your child’s personality has been chosen. But did you remember to add immunizations, vision & hearing tests, and physicals? Many schools will not enroll children without an immunization record and proof of a recent wellness checkup that includes hearing and vision tests.

Immunizations

To view recommended vaccinations from the CDC and read what each vaccine is, visit our immunizations page on our website.. If you need a copy of your child’s immunizations records, you can contact your local health department or we would gladly provide this for you.

Vision & Hearing

Kids who cannot see or hear well cannot perform as well in school. It is estimated that one out of every 20 children cannot see fully out of at least one of their eyes. Some of the more serious eye diseases like amblyopia (lazy eye) or strabismus (crossed eyes) are correctable with eye patches or surgery if caught early. Once a child is seven or eight years old, the opportunity to correct the problem may have been lost, resulting in permanent vision problems.

Children with hearing loss who begin early intervention earlier have significantly better developmental outcomes than similar children who begin intervention later. Those children are able to progress at age-appropriate rates. Left undetected, mild or unilateral hearing loss can result in delayed speech and language acquisition, social-emotional or behavioral problems, and lags in academic achievement.

Wellness Visit

During your wellness visit at The Children’s Clinic, we will monitor your child’s physical growth, developmental activities, hearing & vision, review immunization records, and review safety and nutritional milestones.

Also, getting a physical examination for your young athlete is very important to address sports-specific issues, including injuries, nutrition, training and exercise programs, and even attitudes, peer pressure and feelings.

If your child needs a wellness visit before school starts, call us at 870-935-6012 to schedule their visit today.

Bites

Dogs or Other Domestic Animal Bites

Any animal bite that breaks the skin requires two types of management. The first is local wound care. If the wound is minor, it should be thoroughly cleansed with soap and water, and then Neosporin ointment applied. The wound should be carefully watched for signs of secondary infection (pain, swelling, redness, red streaks, fever, discharge). If these symptoms should occur or if the wound is more extensive, then contact your physician.

The second part of management of animal bites involves the prevention of rabies from the bite exposure. If the animal is well known and has been vaccinated against rabies, there is little chance that your child will catch this disease. The offending animal should be kept confined ten days and observed. If the animal is healthy at the end of ten days, the child has no need for rabies prevention. If, however, your child is bitten by a stray or wild animal, an animal which cannot be found or an animal that subsequently dies, it is very important to bring this to your physician’s attention immediately. As with any other wound, it is important that the child be up-to-date with their immunization to tetanus. After an animal bite or other dirty wound, a tetanus immunization is required if the child has not had one in the past five years. If your child is not up-to-date and they suffer a wound, you should contact your physician during regular office hours.

Human Bites

Human bites should be treated like domestic animal bites.

Insect Bites and Stings

Most insect bites and stings are not dangerous unless the child is severely allergic to a particular bite or sting.

Treatment

  • If the stinger is present, remove it with a horizontal scraping motion.
  • Place a cold compress on the bite for several minutes to reduce swelling and redness of the bite or sting. Some redness and swelling are to be expected. You should contact your doctor if this becomes severe.
  • Treat with Benadryl elixir (per package instructions; for dosing for children less than 6 years of age please contact physician for dosing instructions.) and/or a paste of baking soda and water to relieve the symptoms.
  • Apply 0.5% Hydrocortisone ointment or cream to the area to help with further itching. This is available without prescription.
  • Call your physician for any difficulty in breathing.
  • Use Acetaminophen (Tempra, Tylenol) for pain. (see Dosing Guide).

Snake Bites

Non-poisonous snake bites are the same as bites from a dog or other domestic animal. Reptile bites do not cause rabies. If a child has been bitten by a poisonous snake, they should be taken immediately to the nearest hospital. You should make no effort to treat this yourself. Cutting the wound, oral suction, suction from snake bite kits, compresses, tourniquets, etc., are no longer recommended for poisonous snake bites.

Tick Bites

Most tick bites are harmless, but ticks are potential carriers for three serious diseases: Rocky Mountain Spotted Fever, Ehrlichia, Tularemia, and Lyme Disease. All three infections involve a 5 to 10 day incubation period followed by fever, muscle aches and headache. Tularemia (rabbit fever) causes swollen tender lymph nodes in areas near the tick bite. Rocky Mountain Spotted Fever and Lyme Disease can involve characteristic rashes over the entire body, but these vary greatly. If your child has a history of tick bites with any of these symptoms, it is important that they be seen by their physician. If a tick is found, it can be removed with tweezers, grasping the tick nearest the mouth and pulling it straight out with steady pressure, followed by a soap and water scrub. It is common for a small crusty sore to remain at the site for several days. This is not an indicator of severe disease. The tick-borne diseases are much less likely to occur if a tick is removed within 24 hours of imbedding.