Pediatric Complaints and Diagnostic Dilemmas: A Case-Based Approach

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Pediatric Complaints and Diagnostic Dilemmas: A Case-Based Approach contains 119 cases in 20 chapters that cover a common chief complaint. Each chapter opens with a definition of the complaint, moves to differential diagnosis with a table on the most frequent causes, and reviews the important questions in the history. Four to eight cases in each chapter illustrate how the same chief complaint can have different causes. Case presentations cover the history of present illness, past medical history, the physical exam, diagnostic studies, and the development of the complaint over time.

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Editorial Reviews

Doody's Review Service
Reviewer: Charles Kantrow, MD (Ochsner Clinic Foundation)
Description: This book provides case descriptions of unusual diseases presenting with common complaints. The book is divided into sections by the chief complaint of the patient and then several unique cases in which these complaints are presented. A description of the differential diagnosis and the disease process is provided as well.
Purpose: It is written to provide senior residents and staff examples of difficult cases presenting with common complaints in an effort to expand the knowledge base and improve the approach of caregivers. This is a natural evolution of the practice of medicine from basic training into a "masters" approach to the care of patients. The ability to develop diagnostic skills is enhanced by cases seen and discussed. This book meets the author's objectives.
Audience: The book is intended for senior residents as well as young staff still learning to develop a more comprehensive approach to diagnosis and care of the patient.
Features: Twenty common chief complaints are presented. Each complaint is reviewed with a comment and chart about taking a history and potential causes of such complaints. The chapter then provides several unusual complete case histories with discussion of the differential diagnosis and the ultimate diagnosis. The book does an excellent job of providing basic background along with each case which can be worked through before the denouement is provided. The diagnostic table that starts each chapter is complete and divided based on age of presentation of the complaint. The photographic quality is average, but helpful, as are the x-rays. The additional listing of contents by diagnosis is helpful for reviewing specific disease presentations and discussions.
Assessment: This book is enjoyable as well as informative and well designed. I have always enjoyed clinical case discussions and this book does an excellent job with this approach. Perhaps it could serve as a model for other books with a similar orientation.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780781741880
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 1/1/2004
  • Pages: 660
  • Product dimensions: 7.00 (w) x 9.80 (h) x 0.94 (d)

Table of Contents

Contents by Diagnosis
Contributing Authors
1 Wheezing 1
2 Decreased Activity Level 33
3 Vomiting 57
4 Cough 91
5 Joint, Back, and Extremity Pain 117
6 Poor Weight Gain 153
7 Abdominal Pain 183
8 Altered Mental Status 217
9 Rash 243
10 Pallor 267
11 Fever 291
12 Constipation 319
13 Neck Swelling 341
14 Chest Pain 363
15 Jaundice 393
16 Abnormal Gait, Including Refusal to Walk 417
17 Diarrhea 443
18 Syncope 471
19 Seizures 491
20 Dark Urine 523
Subject Index 541
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Sort by: Showing 1 Customer Reviews
  • Anonymous

    Posted August 3, 2005

    Learning made fun

    I found this book perfect for supplementing my pediatric boards preparation. The case-based format provided a welcome respite from the endless textbook chapters. The concept is simple yet brilliant. We see children who present with common complaints. While most have a common disease (e.g., most wheezing is asthma or bronchiolitis), every once in awhile you pick up an unusual condition (I won't elaborate here since I don't want to spoil the cases for those who haven't yet read the book). Other books approach diseases by system. This book, in contrast, divides the cases by presenting complaint rather than by topic. Each chapter begins with a description and differential diagnosis of a common chief complaint (for example, wheezing) followed by a series of questions that may help you sort out the cause of the complaint. The remainder of the chapter consists of 5-8 cases (with plenty of tables and pictures) all presenting with the same complaint. When you start reading a case, you have no idea whether the diagnosis is metabolic or infectious or cardiac... This most accurately mimics real practice. The discussion that accompanies each case provides an extensive differential diagnosis specific to that case and then tells you the diagnosis, the features that pointed to that diagnosis, and clinical and laboratory details about the specific condition. I loved this book. The pictures and EKGs as well as the radiologic images (obviously) are black and white, not ideal but at 49.95 this book is a sweet deal.

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