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All is Well Wednesday Week 10: The 2 Year Old Visit


Never miss an opportunity to pose with bears! Charlotte had a successful 2 year old well visit. Read below to find out what would have occurred at this visit.


  • On this visit, your child will have a small finger poke to do a check for anemia and lead level. These tests are performed on-site and you will know the results today.

    • Hemoglobin and hematocrit, commonly called H&H, is a screening for iron deficiency anemia. 

    • Lead level- There has been no established safe blood lead levels. Increased exposure to lead can have detrimental effects on the development of children, including lower IQ and poorer academic performance. The long term effects of lead poisoning are not reversible so early detection is key. As babies are becoming more mobile and exploring their environment, things inevitably end up in their month. The most common source of lead in the environment is from paint chips of houses built before 1978, but it can also be in soil that food is grown in, toys, furniture, etc. If your child is found to have an elevated level, they will need recheck to confirm in 1-3 weeks.


  • Spot Vision Screener

Your nurse will use  a handheld device to quickly assess your child’s vision. The patient will look at the spot screener for a few seconds as if getting a picture made. It quickly screens for vision issues such as near- or far-sightedness. 


  • No routine vaccines this visit

  • Seasonal influenza (Children 6 months and older may get a flu vaccine if appropriate age and season.)


Remember to visit summitpediatrics.patientmedrecords.com 

Before your visit to check for any surveys. There are two surveys at this visit focusing on the development of your child.

  • Modified Checklist for Autism in Toddlers (M-CHAT)

The M-CHAT  is a validated screening tool used to identify children between the ages of 16 and 30 months who may benefit from a more thorough evaluation for autism and other developmental disorders. This tool is not diagnostic.

  • Ages & Stages, 24 months

The Ages & Stages Questionnaire (ASQ) is a developmental screening tool used to assess your child’s development periodically through 5 years old. The parent completes the age specific questionnaire before the visit to help the pediatrician gauge the child’s development in five domains: Communication, Fine Motor, Gross Motor, Personal-Social and Problem-solving. Please, allow 15-20 minutes to complete the survey. It is helpful to have your child with you when completing to better answer some of the questions.

If your child has not mastered all the skills in the survey (and most have not), don’t worry. The survey is designed to check for a range of development.

Next routine well visit: 30 months old. There will NOT be vaccines on this visit.


See you next time! 

As always, take care and remember we are here if you need us!

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