Handbook of Clinical Pediatrics: An Update for the Ambulatory Pediatrician

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More About This Textbook


This concise handbook provides an update on topics in general pediatrics for general pediatricians in practice. It focuses on ambulatory pediatrics and includes topics dealing with newborns, children, and adolescents. The general format covers common topics in general pediatrics with a brief definition, brief epidemiology, brief review of symptomatology, brief discussion of approach to the topic, and then provides an emphasis on management of the condition/disorder being reviewed. The book also provides valuable information in areas that may not have been included in the general pediatrician's education but are very important for his/her successful practice. These include adolescent medicine, behavioral-developmental pediatrics, sports medicine, and gynecology. It is written and edited for the audience busy general pediatricians with knowledge of these topics but in need of a guide for au courant management to assist them in their practices.

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Product Details

  • ISBN-13: 9789814280495
  • Publisher: World Scientific Publishing Company, Incorporated
  • Publication date: 5/14/2010
  • Pages: 758
  • Product dimensions: 6.10 (w) x 9.10 (h) x 1.40 (d)

Table of Contents





Introduction to Clinical Pediatrics

1 Growth and Development---Anticipatory Guidance Arthur N. Feinberg Feinberg, Arthur N. 1

Introduction 1

Monitoring Growth 1

A Few Tips 4

Development 8

A Few Tips 11

Developmental Theories 12

Maturational Theories 12

Psychosexual Theories 13

Behavioral and Learning Theories 13

Anticipatory Guidance 15

Resources 36

2 Immunizations Victoria Langston Langston, Victoria 39

3 Genetic Counseling Helga V. Toriello Toriello, Helga V. 49

Introduction 49

Reasons for Referral 50

What Happens in a Genetics Clinic? 57

Known Diagnosis 58

Unknown Diagnosis 60

Ambiguous Test Results 63

4 Dental Problems in the General Pediatric Office Joseph D'Ambrosio D'Ambrosio, Joseph 65

Introduction 65

Dental Caries 66

Oral Lesions and Viral Enanthems 67

Developmental Anomalies of the Oral Cavity 69

Dental Trauma 70

Gingivitis and Periodontal Disease 72

5 Ear, Nose, and Throat Problems in General Pediatrics Vinay N. Reddy Reddy, Vinay N. 77

Introduction 77

Otitis Media 77

Treatment 78

Otitis Externa 80

Allergic Rhinitis 80

Infectious Rhinitis (The Common Cold) 81

Sinusitis 82

Pharyngitis and Tonsilitis 83

6 Sleep Disorders in Children and Adolescents Bantu Samridhi Chhangani Chhangani, Bantu Samridhi 87

Introduction 87

Sleep Architecture 88

Ontogeny of Sleep 89

Sleep Wake Mechanism 89

Obstructive Sleep Apnea 89

Restless Legs Syndrome 93

Narcolepsy 100

Delayed Sleep Phase Disorder 104

Behavioral Insomnia of Childhood 109

7 Adolescent Health Dilip R. Patel Patel, Dilip R. 117

Introduction 117

Caring for Adolescents 120

Involvement of Parents 128

Confidentiality 129

Health Status of Adolescents 130

Medical Disorders of Adolescents 131

Urinary Tract Infection 132

Substance Abuse Disorders 133

Impact of Drug Use and Medical Disorders in Youth 136

Mental Health 137

Abuse 139

Sexual Behavior 139

Adolescent Pregnancy 140

Sexually Transmitted Diseases 143

The Adolescent Sexual Offender 149

Youth Violence 150

Mortality 151

8 The Internet and the Pediatrician in the 21st Century Vinay N. Reddy Reddy, Vinay N. 157

Introduction 157

Patient Education and the Internet 157

Computers, the Internet, and Evidence-Based Clinical Practice 158

Mental Health

9 Common Topics in Pediatric Psychiatry Joseph L. Calles, Jr. Calles, Joseph L., Jr. 161

Introduction 161

Depression 162

Anxiety 170

10 Psychotic Symptoms in Children and Adolescents Ahsan Nazeer Nazeer, Ahsan 179

Introduction 179

Common Medical Disorders

11 Clinical Issues in Endocrinology Manmohan K. Kamboj Kamboj, Manmohan K. 195

Introduction 195

Short Stature 195

Disorders of Pubertal Development 203

Abnormal Endocrine Newborn Screens (NBS) 211

Diabetes Mellitus (DM) 214

12 Cardiology Richard A. Humes Humes, Richard A. 225

Introduction 225

Heart Sounds and Murmurs 225

Cardiology Testing in Heart Murmur Evaluation 232

Syncope 233

Chest Pain 238

Pre-participation Sports Evaluation 238

Specific Recommendations 240

SBE (Subacute Bacterial Endocarditis) Prophylaxis 243

Kawasaki Disease 245

Management 246

Congestive Heart Failure 247

Refractory Heart Failure 251

General Pediatrie Care of Children with Complex Heart Disease 252

Nutritional Issues 252

Infectious Diseases in Patients with Complex Cardiac Disorders 253

13 Pulmonology John H. Marks Marks, John H. 257

Introduction 257

Cyanosis and Hypoxemia 257

Chronic Cough 262

Stridor 269

Wheezing 273

Snoring and Obstructive Sleep Apnea 288

14 Gastroenterology Orhan K. Atay Atay, Orhan K. 295

Introduction 295

Nutrition 295

Abdominal Pain 301

Nausea and Vomiting 306

Diarrhea 307

Constipation 309

Hepatic Conditions 311

Gastrointestinal Bleeding 317

15 Concepts of Neurology in Pediatrics David H. Van Dyke Van Dyke, David H. 321

Introduction 321

Seizure Disorders 321

Symptomatology 322

Diagnosis 326

Management 330

Special Issues: Adolescents and Epilepsy 348

Headache 350

Acute Management of Migraine 358

Tension Headaches 371

Consciousness Disorders 372

Syncope 376

Orthostatic Hypotension 382

Hyperventilation 383

Situational Syncope 383

Postmicturition Syndrome 384

Voluntary Syncope 384

16 Pediatric Hematology and Oncology Roshni Kulkarni Kulkarni, Roshni 389

Introduction 389

Anemia 389

Hereditary Spherocytosis 398

Hemoglobinopathy and Thalassemia 402

Disorders of Neutrophils 409

Platelet Disorders 415

Hemolytic Uremic Syndrome (HUS) 420

Hemostasis 421

Thrombosis 430

Pediatric Oncology 433

Solid Tumors 440

CNS (Brain) Tumors 444

17 Pediatric Dermatology J. Donald Hare Hare, J. Donald 453

Goals of the Chapter 453

Infections of the Skin 453

Viral Infections 455

Bacterial Infections 466

Infestations 469

The Hypersensitivity Syndromes 473

Papulosquamous Disorders 478

Acne 481

Dermatitis 482

Vascular Birth Marks and Lymphatic Disorders of Infancy 490

The Photosensitivity Disorders in Children 494

The Ichthyoses 497

18 Concepts of Infectious Diseases Stephen K. Obaro Obaro, Stephen K. 501

Fever Work-Up in Children 501

Occult Bacteremia 503

Fever of Unknown Origin 504

Kawasaki Syndrome (KS) 505

Choice of Antibiotics 507

Immunocompromised Child/Teenager 507

Suspecting Primary Immunodeficiencies 512

Evaluation of a Child With Suspected Immunodeficiency 512

Antiviral Agents 516

Antivirals Against Influenza 516

Adamantanes 517

Neuraminidase Inhibitors 518

Antiviral Agents Against Human Herpes Viruses 519

Neonatal HSV Infection 520

HSV Encephalitis 520

Herpes Gingivostomatitis and Labialis 521

Children With Chickenpox 522

Congenital CMV 522

Antifungal Agents in Children and Adolescents 523

Clinical Indications for Antifungal Agents 523

Concepts of Genitourinary Disorders

19 Treatment of Pediatric Hypertension Alfonso D. Torres Torres, Alfonso D. 531

Introduction 531

Epidemiology 533

Evaluation 534

Treatment of Hypertension 538

Hypertensive Emergencies 542

Conclusion 544

20 Nephrology Vimal Master Sankar Raj Raj, Vimal Master Sankar 547

Introduction 547

Microscopic Hematuria 547

Gross Hematuria 550

Hematuria with Proteinuria 551

Proteinuria 552

Nephrolithiasis 555

Chronic Kidney Disease (CKD) 560

Acute Renal Failure (Acute Kidney Injury---AKI) 564

Summary 566

Bibliography 566

Addendum 567

Hormones involved in Calcium and Phosphorous Metablism 567

Rickets 568

21 Concepts of Enuresis Tracy Pierce Pierce, Tracy 575

Definition 575

Epidemiology 576

Signs and Symptoms 578

Diagnostic Approach 581

Management 583

22 Selected Topics in Pediatric Urology Julian H. Wan Wan, Julian H. 591

Introduction 591

Anatomical Background 591

Antenatal Hydronephrosis 596

Hypospadias 604

Acute Scrotum and Other Scrotal Conditions 606

Undescended Testicle (Cryptorchidism) 620

Urinary Tract Infection and Vesicoureteral Reflux 624

Circumcision 629

Concepts of Pediatric Gynecology and Sexual Abuse

23 Office Gynecologic Problems in Prepupertal Girls Wendy Jackson Jackson, Wendy 643

Introduction 643

Genitourinary Examination 643

Positioning the Patient 644

Documentation of Examination Findings 644

Sample/Specimen Collection 647

Presenting Symptoms 647

24 Medical Evaluation of Child Sexual Abuse Vincent J. Palusci Palusci, Vincent J. 665

Introduction 665

Definitions 666

Epidemiology 666

Approach to the Diagnosis 668

Medical Diagnosis and Management 689

Additional Steps for Physicians 693

Concepts of the Musculoskeletal System

25 Concepts of Rheumatology Mary D. Moore Moore, Mary D. 697

Definitions 697

Epidemiology 697

Signs and Symptoms 698

Approach to Diagnosis 698

Management 701

Drugs 704

Analgesics 704

Disease-Modifying Antirheumatic Drugs (DMARDs) 704

Biologic Response Modifiers 707

Corticosteroids 708

Hyaluronic Acid Substitutes 709

Physical Therapy and Modalities 710

Splints, Braces, and Assistive Devices 710

Surgery 711

Nutritional Supplements 711

26 Concepts of Sports Medicine Dilip R. Patel Patel, Dilip R. 715

Definitions 715

Epidemiology 716

Signs and Symptoms 717

Approach to Diagnosis 719

Management 719

27 Physiological Deformities of the Lower Extremity in Children Dale E. Rowe Rowe, Dale E. 721

Introduction 721

Natural History 721

Physiological versus Pathological Deformities 723

Classification 724

Angular (Sagittal) Deformities 726

Tibial Bowing 733

Torsional Deformities 736

Treatment of Torsional Deformities 744

Coronal Deformities 749

Index 755

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