Pupil Health Examination Form: Fill & Download for Free

A total of 3,790 school pupils aged 14 and 15 years attending the ninth form during the school session 1986/87 were submitted to blood pressure measurements employing a digital sphygmomanometer. Where boys were concerned an average blood pressure of 123.9/65.9 mmHg was found while, in girls, the average blood pressure was 117.6/70.9 mmHg. In cases with blood pressure readings over the 90% fractile, repeated measurements are recommended. The 90% fractile for boys was 139/80 mmHg and for and for girls 133/84 mmHg. In cases where repeated measurements show blood pressure readings over the 95% fractile, further investigation and advice about risk factors are recommended. The 95% fractile for boys was 144/84 mmHg and 138/88 mmHg for girls. The influence of pubertal development and body-weight on the blood pressure are reviewed. Screening in connection with health examination in the ninth form is recommended in order to identify adolescents at risk for development of hypertension.

I assume that you do not live in Nigeria hence you are asking this question. Let me give you a break down of the Nigeria education system which consist of 3 stages,primary education: pupils are usually taught general subjects such as mathematics, English language, quantitative reasoning, verbal reasoning, religious studies ( either Christian or Muslim), fine art, social studies, physical health education, the language of the region and some other subjects. Every pupil is expected to obtain the primary school leaving certificate in order to continue to the next stage of his or her education. This stage usually take 6 years to complete.Secondary School: this is the next stage after primary school. This stage consist of two parts, the junior secondary and the senior secondary.Junior Secondary: here every student is taugh the same subject without the option of selecting any subject. The typical subject includes mathematics, English language, basic science, basic technology, business studies, the language of the region, physical health education, social studies, religious studies ( either Christian or Muslim), French, fine art and some other subjects. This stage usually last 3 years and the students is expected to write a junior secondary school exam and obtain a certificate.Senior Secondary School: this is where students begin to specialize, they can decide to move to the arts, social science and science classes however subjects like mathematics, English language, biology, geography and economics are compulsory for all students. This phase lasts 3 years and then the student writes a standardize examination run by various bodies such West Africa Examination Council (WAEC), Cambridge GCE, Nigeria Examination Counicl (NECO) and NABTEB. The student is expected to score at least a credit in all relevant subjects in order to gain admission into any university.Tertiary Education: here the student has the option to select whatever course they want to study ranging from the arts to engineering. Tertiary education covers all education and degrees acquired from colleges polytechnics, conventional universities, specialized universities, technical schools, education universities and colleges, etc. Then you have post-tertiary education that also take place in the aforementioned institutions of higher learning.As you can see form the above explanation of the Nigerian education system, students are taught STEM right from primary school ( the quality of the education remains a debate for another day). History used to be a part of the curriculum however it was removed in the early 2000’s but plans are being made to bring it back into the curriculum (The Reintroduction Of History In Nigerian Schools).Nigerians value STEM as it provides some of the highest paying jobs in Nigeria such as engineers, doctors and other science related profession.Most people value their history, my father for one made sure we had a lot of history books lying around. A little bit of history is usually taught in social studies, topics such as the almagamtion of Nigeria, finding of the source of the river Niger, the colonization of Nigeria, history of empires such as Bini, Yuroba, Zaria and Sokoto empires amongs other history topics are taught in social studies class.I hope this was able to answer your questions.Edit 1: Special thanks to Oluwaseun Oruntegbe for reminding me that tertiary education is the last phase of education in Nigeria, rather than just university educationEdit 2: Thanks to Oguntade Temitope for pointing out the Universal basic education comprises primary school to junior secondary school

Mr. Clark Kent is not Superman. I would know if he was, because I personally performed his company medical checkup on him today morning.I am a GP employed by a corporate hospital in the St. Martin’s Island borough in Metropolis. We recently signed a deal with The Daily Planet as their official healthcare provider. Our premises are under renovation, so Ellsworth Memorial Hospital rented out a few rooms in their old wing to us so we could fulfill our obligations.This was what happened:10 a.m. today, I was one-quarter through my Daily Planet patient list for the day, when the day shift nurse stuck her head in and announced my next patient. Halfway through writing up my notes on my previous patient, I gestured to her to send him in without looking up.Five minutes later, someone cleared his throat, and I looked up. Mr. Kent was standing there in front of my desk, shifting awkwardly from one foot to the other, looking almost apologetic for reminding me that he existed. I gestured to him to sit down while I finished up.Notes complete, I put away the folder and made eye contact with him for the first time. I read his name out from the file in front of me, introduced myself and told him I’d be conducting his examination. Good eye contact. Sad eyes. Looked tired. I shook his hand. Weak grip; he barely curled his fingers when shaking my hand.I asked him how he was feeling. He smiled and said he felt fine. I’d say he was about 6′2″, which is about the same height as Superman. He was thinner, though. Bit of a stoop. Horn-rimmed glasses. He was still wearing his overcoat, which I thought was strange. I asked him if he wanted to take it off. He pointed to the air-conditioner and said he would catch a cold.I took a look at his chart. 35 years old. Past history of poor eyesight and childhood asthma that still recurred in adulthood.I asked him if he’d suffered any health-related incidents since his last annual examination.He said no.Any asthma attacks? His record said he’d had one last year.No, he luckily hadn’t had any asthma attacks this year. His trigger used to be hay, and there wasn’t a lot of hay in Metropolis.Oh, where did he grow up?Smallville.Apologies, but I’d never heard of it before. Where was that?Kansas.Had his sight deteriorated?No.He had a family history of heart attacks on his paternal side. Did he ever… ?No, no, he was adopted.I told him I would physically examine him and he nodded consent. I started off with the HEENT (head, eyes, ears, nose, throat) examination. Head? Normocephalic, atraumatic. Eyes? I did a direct ophthalmoscopy.I asked him to look around. Extraocular muscles normal. I tested his pupils with a light reflex.His pupils appeared to contract a split second later than usual; a tiny delay that a less experienced doctor would have missed. I told him his pupillary light reflex was a little slow. I asked him if this had ever been reported before. He said he’d never been told that and asked me if I would mind checking again. I did. His pupils contracted on cue. Strange. I could have sworn.Anyways, his sclerae were anicteric, no injection, fundus was normal, no papilledema, so I moved on. Nose? Normal, no congestion. Ears? Tympanic membranes intact, noninflamed. Throat normal. Mouth normal.Teeth? Good dentition. Dear God, they were as white as a baby’s milk teeth. No yellowing whatsoever. I asked him if he used dental whitener. He said he didn’t. People lie. I let it slide.PICKLE. Pallor? No. Icterus? Already checked, no. Cyanosis? No. Clubbing? No. Lymph nodes? No lymphadenopathy. Edema? No.Cardiovascular systems. I took his radial pulse. 80 beats/min, normal in rhythm, volume and character. I rolled his artery under my finger. Condition of vessel wall: normal/pliable. I wrapped a blood pressure cuff around his arm and checked his blood pressure. 120/82. Normal.I glanced at him. He was looking at the wall behind me with wide eyes. Pupils dilated. He looked like he was concentrating hard on something. I turned to see what he was staring at. Just my certificates on the wall.“Don’t be impressed,” I told him, “I didn’t graduate at the top of my class or anything.” He smiled. I cracked a weak joke about how half of all doctors graduate in the bottom half of their class. He laughed after a split second. Not the brightest apple, I though. Still, it was hard not to like him.I asked him to head over to the bed, draw the curtains closed, and take just his shirt off but leave his vest on. I headed over a minute later. He had taken his overcoat off, but still had his shirt on. I asked him why he did, and he asked me if it was really necessary. I said yes, and told him to please tell me if there was a problem, if I was making him uncomfortable, because I could bring in a chaperone to watch our interaction. He quickly said that wasn’t necessary and took his shirt off.I noticed he held his shoulders retracted backward. I asked him why he did that. He said he wasn’t. I said he was, and demonstrated what he was doing myself, and asked him why he was doing that. He murmured something about a lot of stress and tension and released his shoulders. He was actually pretty broad-shouldered. Thick through the chest too. Also he’d stand at 6′3″ if he bothered to straighten up. I told him he stooped. He apologized. I suggested he stand up straight. He meekly said he would. I doubt he will.Was he sexually active? Did he have a girlfriend?No.Well, not that it was any of my business, but if he would just stand straighter and drop his shoulders, he’d look much nicer. Who knows, even that hotshot reporter whatshername Lois-something might take notice of him.He laughed and said he didn’t stand a chance with her. But yeah, she was pretty.I told him that was nonsense.Respiratory system? Normal. Cardiovascular system? Normal. In fact, he had athlete’s bradycardia. I asked him if he exercised. He said he cycled to work. Even showed me a picture of his new bike. The guy’s a dork. It’s hard not to like him.Neurological exam. Normal. In fact, his sharp sensations in all four extremities were remarkably good. I complimented him on it. He said he developed that way because he got picked on a lot in school. I didn’t disbelieve him for a moment.Physical finished. I wrote up my findings at my desk while he got dressed. I ticked off a series of basic annual tests on a Biochemistry Lab Investigations form and asked him to go down to the basement and give a blood sample. He said he would. I told him he appeared to be in perfect health; that the lab report would come back in two days, and I would see him then. We shook hands, he thanked me, and that was it.Guys, look. I’ve met the man, and my instinct tells me he is nothing like Superman. Sure, he’s the right height and width, but if you ever met the guy, you’d know why the idea that Clark Kent is Superman is ridiculous. When he left, I actually stepped out to make sure he didn’t get mugged in the parking lot. He waved to me from his bicycle. Almost lost his balance doing it.Okay, sure, maybe the wimp personality is an act. But physically, he’s nothing like the Man of Steel. His body temperature was normal. Afebrile. And that first delayed pupillary reflex was just my imagination.Unless… unless it was delayed the first time because his pupils have high light tolerance and wouldn’t normally contract in response to a normal pen-light, so he had to consciously contract them on cue. And I didn’t mention this before, but I thought his pupils turned a hint of red as they contracted. Not red in reflection. I mean red from within. It may be my overactive imagination, but what if?And what if that was why he held his shoulders back; to look thinner than he was? And his reflexes did seem the sharpest I’d ever seen. What if his teeth were that white because Kryptonian teeth don’t succumb to environmental stimuli?And the blood pressure. What if his was actually much lower on Earth because he came from a higher-gravity planet, and he had learned to raise it through sheer concentration; by mental focus on something that angered/upset him and stimulated his S-ANS? What if what I construed as intimidation by my academic degrees could have just been him staring into space as he fixated on something traumatic in his past? After all, there is nothing intimidating about my degrees.What if that weak handshake of his was deliberate; because he could crush my hand with a slight increase in grip?Okay. You people might have a point.Look, there’s one thing that will settle this. The lab tests. They will have to draw blood for that. And even Superman can’t voluntarily part the cells of his skin, fascia, muscle and vascular layers in a neat column to let a needle enter. He’s needle-proof whether he likes it or no. I’m just going to go down to the lab and find out if they were able to draw blood from him or not. Hold on.UPDATE: they didn’t! Because he never went there! Okay, I have to admit, I first thought you guys were jobless and paranoid, but now I’m interested too. It’s 6 p.m. now. I’m calling The Daily Planet.Okay. I told them I was his physician and asked for his employee contact info. They gave it to me. I’m calling him now.UPDATE: Anticlimax.I’m sorry to upset you all. And I’m a little ashamed for getting caught up in this whole tangent.I spoke to him. He confessed that he didn’t give the blood sample at Ellsworth Memorial’s lab because he is scared of needles (no surprise there) and didn’t want to make life difficult for a lab technician who had never met him before. So he went instead to Metropolis City/General Hospital to get his blood drawn there.He said he was more comfortable at Metropolis General because some of the staff there personally knew him. He said they had drawn the blood and were sending the sample over to Ellsworth Memorial. It’s a little strange, I know, but I’ve heard of patients like this before. (This one is my first, though.) For your sake, I will personally go over tomorrow to Metropolis General and see if his story checks out.UPDATE: Done. Spoiler alert: he was telling the truth.I went over to Metropolis General first thing today, around 8 a.m. I called ahead to let them know I was coming to speak to the physician or staff member who drew Mr. Clark Kent’s blood. The staff sounded worried. I guess they don’t get questions like that often. They must have thought something was wrong.When I got there, the nurse receptionist showed me the record on file. Mr. Kent had been seen by a technician named Barry Allen. The nurse receptionist told me Mr. Allen is a forensic scientist who works for S.T.A.R. Labs. He was supposed to be there by 7:30 a.m. but was running late. Apparently, according to the receptionist, this wasn’t new. Late is Barry’s thing.I waited at the head of the stairs. He pulled in around 8:30 a.m. looking frazzled and tremendously apologetic. Stuck his hand out to shake mine, tripped and fell over. Gave himself a nosebleed.Mr. Allen (“Call me Barry, sir.”) walked me to his lab. He walks slowly, seemed out of breath. I suggested he do some cardio on a regular basis. He laughed. I asked him about Clark’s visit. He explained that Mr. Kent used to get his annual checkup at Metropolis General until last year; so he felt comfortable with Barry drawing his blood. Barry himself isn’t on the permanent staff at Metropolis General. The hospital maintains a privileges-sharing program with S.T.A.R. Labs. They get access to S.T.A.R. labs lab equipment. S.T.A.R. Labs gets access to a large pool of potential volunteers for their clinical trials.Barry himself is part of some very exciting trials in drugs that will accelerate wound healing. This is him.I joked that his nosebleed had stopped even before we sat down, and that maybe he had accelerated healing himself. He looked startled until I clarified that I meant he was taking his own trial’s experimental drugs. We joked a bit then got down to business. He personally assured me he drew Clark’s blood. Just like he did last year and the year before that. While we were sitting there, I got a call from the Ellsworth Memorial lab. I had instructed them to call me when Mr. Kent’s blood sample arrived, and they did. The sample had arrived and they were processing it.So I guess all this double-checks out. Case closed.CONCLUSION: I just want to say, in closing, that I will from now on actively oppose any conspiracy theories suggesting Mr. Clark Kent is Superman. For three reasons.One. Mr. Clark Kent is a journalist. He’s a good-natured geek in the body of a big-boned country-boy trying to make ends meet in a big city. You people should be ashamed of yourself, picking on someone like that. I asked him two minutes ago, you know, for permission to write about this and make his medical record public. He instantly agreed. You know why? Because that’s Clark: instantly agreeable. Which brings me to reason number two.Two. I like him. There’s something about him that’s very likeable. When I took a look at his lab report five minutes ago, I noticed in his WBC differential count that his monocytes were low. These are an important marker of CMI (Cell Mediated Immunity). CMI drops as a result of chronic stress.Most of this chronic stress, no doubt, stems from the fact that this simple man has to endure convoluted superhero theories concocted by people like you. Please. He isn’t running around ripping off his shirt to reveal his Superman costume underneath. I know because when I coaxed his shirt off him, there was his (rather threadbare) vest underneath it. No costume. All this simply makes you look bad. And me, by association. Which brings me to reason number three.I got into some trouble because of all this. After talking to Mr. Allen, while I was coming out, I was intercepted by Mr. Queen. Oliver Queen; CEO of Queen Consolidated. He wanted to speak with me in private.He took me aside and explained his interest. He was on the hospital board and had shares in S.T.A.R. Labs. He said the hospital staff has told him that I had called earlier that day, displayed excessive interest in one patient and had come down personally to verify the hospital staff’s narrative. He very politely asked me if there was a problem. I said there wasn’t, as far as I could tell. He pointed out that my antics had alarmed the staff, and that if I had no doubts as to their competence, just as he had none about mine, he would highly appreciate it if I didn’t repeat this in the future.Nice man, Oliver Queen. Polite; but never smiles. Sad eyes. He gave me his card and advised me to call him in the future if I had any doubts concerning the competence of Metropolis General or S.T.A.R. Labs. I intend to take his advice.P.S. As a physician, I’ve seen more life and death than most people, and more human behavior in between, so I can make a reasonable guess as to what might come this way next. I shall now strike preemptively:-Please do not scale up and suggest that in addition to Mr. Kent being Superman, Mr. Allen is also some sort of superhero. He’s perpetually slow and behind schedule. What would his superpower be? The power to make everyone else slow and behind schedule? Or is Mr. Queen a superhero; like some upgraded Robin Hood who steals from the rich and gives to the poor? What would you call him? The Green Bow? Or are all three of them superheroes? What next? Mr. Kent, Mr. Allen and Mr. Queen are all secretly in league with each other and fight for justice?Do you see how impossible all this sounds? Quit speculating about Mr. Kent and leave him alone. Thank you very much.