Considerations for the medical evaluation of international adoptees.

In 2000, nearly 200,000 international adoptees under age 18 lived with families in the United States. These children bring with them unique sets of medical, developmental and behavioral issues that ultimately require evaluation and management by a health care provider. In this article, we discuss the pre-adoption consultation with parents as well as the child's first examination upon entering the United States. We offer recommendations for baseline and follow-up analyses and immunizations and laboratory screening tests. Additionally, we provide a selected list of internet sites available for information about international adoption.