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Adolescence Visits

11 Through 21 YearsAdolescence VisitsBFG 4TH 7311/20/17 2:48 PM733 EARLY ADOLESCENCE11 THROUGH 14 YEAR VISITSE arly Adolescence11 Through 14 Year VisitsContextThe early adolescent is embarking on a journey of remarkable transitions and transformations physically, cognitively, emotionally, and socially and the pace at which he experiences these physical and emotional changes varies widely. The onset of puberty is one indicator that the adoles-cent phase of life is beginning. Puberty typically manifests itself visibly with breast development at about age 9 or 10 years for girls, and testicular enlargement for boys at about age 11 years.

girls, the maximal growth rate is reached about 6 to 12 months before menarche. Boys have a later growth spurt and, during their growth spurt, have a greater peak height velocity 1 than girls. Other physical changes also become apparent. The skin of both boys and girls becomes oily as apocrine glands begin to secrete. Secondary sex character -

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