Synonyms
U-examination, examination at the pediatrician, U1- U11, youth health counseling, development guidelines, pre-school examination, one-year examination, four-year examination
General information
The U 9 is the tenth examination of the child and is accomplished at the age of approx. 5 to 5 1⁄2 years thus in the 60. up to the 64th life month. In total there are 12 examinations from the first minute of life until the 10th year of life.
Recently there are also J1 and J2 which are carried out during puberty. The preventive examinations for children are intended to detect diseases and malformations as early as possible so that the children can be treated quickly. Mental development, neglect and child abuse should also be detected and prevented at an early stage.
The U 9 is the last examination before school enrolment, so that once again we pay close attention to whether a child has disorders in motor skills, i.e. in muscle and nerve development, as well as in perception. The hearing and vision are also tested again. and U-examinations
Procedure of the examination
Every examination should start with a medical history. The pediatrician will pay special attention to the linguistic and social development. Also, as with the U8, the medical history will be reviewed.
The pediatrician will ask whether the child has had seizures before, whether he or she is often ill and whether the language development is inconspicuous. Parents do not need to worry if their child has not yet mastered everything perfectly. The guidelines are guidelines and differ for each child.
The most important anamnesis questions are listed below. Seizures Behavioral problems, such as isolation or outbursts of anger Clumsiness Language disorders Social behavior disorders Speech comprehension If the medical history is empty and the previous history inconspicuous, the examination can begin. The pediatrician will then look at the child from head to toe at U9 and see if he sees anything unusual during the inspection.
If he does not find anything, the examination continues. First the weight is determined, as with every examination. Then the body length is measured, the head circumference and the blood pressure.
The organs are also scanned and listened to. This includes listening to the heart and lungs, as well as listening to and palpating the abdomen. Weight, body length and head circumference should always be entered in the percentiles.
The percentiles are a kind of diagram that records the growth of a child. This makes it easy for the doctor to see if a child is growing and gaining weight. This makes it easier to detect developmental disorders.
In addition, all vaccinations are checked again and possibly made up for. During the U9 examination, the vaccination for tetanus, diphtheria and whooping cough is refreshed. If some vaccinations are missing, they can be made up for in the U9 examination.
As with the U8, the child’s urine is checked in the U9. A urine sample is taken and tested for bacteria and blood. In this way, hidden urinary tract infections and other kidney diseases can be ruled out. This is important because about 3-5% of children develop a urinary tract infection before the age of 10, especially girls are affected.
- Seizures
- Behavioral problems, such as isolation or outbursts of rage
- Clumsiness
- Speech disorders
- Social Behavior Disorders
- Speech comprehension
