# Enda Follow Up Visits Age Based

> Schedule Follow-Up Visits Based on Age: Annual for Adults/Children, Every 3-4 Months for Infants

- Skill: `dromlakhani/enda-follow-up-visits-age-based` (Agent Skill)
- Install (CLI): `npx skillmds@latest add dromlakhani/enda-follow-up-visits-age-based`
- Raw SKILL.md: https://api.skillmd.com/api/skills/dromlakhani/enda-follow-up-visits-age-based/raw
- Safety review: pending (external: skill-scanner PASS, skillspector PASS)
- Works with: Claude Code, Claude.ai, OpenAI Codex
- Category: Coding & Dev Tools
- Author: dromlakhani (https://skillmd.com/u/dromlakhani)
- Updated: 2026-09-21
- Page: https://skillmd.com/skills/dromlakhani/enda-follow-up-visits-age-based

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# Schedule Follow-Up Visits Based on Age: Annual for Adults/Children, Every 3-4 Months for Infants

## STEP 1 — Gather Information
Collect patient age, confirmed PAI diagnosis, and current clinical status (symptoms, growth parameters, recent illnesses).  
**Action:** Proceed to age‑based classification.

## STEP 2 — Rule In / Rule Out
Is the patient an infant (<12 months of age)?  
- Yes → infant pathway  
- No → adult/child pathway  
**Action:** If infant (<12 months), go to Step 3 for infant schedule; otherwise, go to Step 3 for adult/child schedule.

## STEP 3 — Classify or Stratify
For infants: recommend follow‑up every 3–4 months.  
For adults and children: recommend follow‑up at least annually.  
**Action:** Assign follow‑up interval: every 3–4 months for infants; annually for adults and children.

## STEP 4 — Decide
Schedule the next visit according to the determined interval and document the plan in the patient’s care plan.  
**Action:** Schedule the next visit accordingly and document in the patient’s care plan.

## Clinical Guardrails / Mimics / Pitfalls
- Do not apply the same interval to all age groups; infants require more frequent assessment.  
- Avoid delaying infant visits beyond 4 months, as growth and adrenal crisis risk change rapidly.  
- Do not rely solely on patient‑reported symptoms; objective assessment (weight, blood pressure, developmental milestones) is essential.  
- Ensure visits are conducted by an endocrinologist or provider with endocrine expertise.  
- Do not skip scheduled visits during intercurrent illness without adjusting the plan; illness may necessitate earlier evaluation.

## Concrete Clinical Example
A 6‑month‑old infant with newly diagnosed PAI is seen in clinic; per guideline, the next endocrine follow‑up is scheduled in 3 months. A 10‑year‑old child with stable PAI receives an annual visit schedule.

**Source:** Diagnosis and Treatment of Primary Adrenal Insufficiency: An Endocrine Society Clinical Practice Guideline, Endocrine Society, 2016, DOI:10.1210/jc.2015-1710  
> **TODO:** consider adding scripts/calc.py for the enda-follow-up-visits-age-based calculator