Practical Strategies in Pediatric Diagnosis and Therapy / Edition 2

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The revised and updated 2nd Edition of this highly acclaimed text approaches diagnosis and treatment the way clinicians do—by symptom rather than disease entity. It combines clinical experience and evidence-based strategies to guide clinicians through differential diagnoses and then to a specific diagnosis, then to appropriate therapy for common pediatric aliments. It's the next best thing to attending oral teaching rounds! A user-friendly, well-tabulated, and illustrated format assists the reader in identifying the many disease states causing a common chief complaint.
  • Offers step-by-step guidance on history taking and physical and laboratory studies...through the most effective therapies.
  • Features an organization by symptom, signs, and chief complaints—the way problems present in real life.
  • Includes many helpful tables with lists of diagnoses, making this an invaluable reference on diseases.
  • Features algorithms to aid in diagnosis as well as tables comparing similar disease states to help the reader distinguish between similar disease entities.
  • Features new chapters on hypertension, acid base and electrolyte disturbances, renal failure, dysmorphology, and polyuria.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Jay P. Goldsmith, MD (Tulane University School of Medicine)
Description: This is the second edition of a general pediatric textbook that approaches diagnosis and treatment of childhood diseases by symptom rather than disease entities. The first edition was published in 1996.
Purpose: This is a multiauthored text edited by three very well respected academic pediatricians. The goal is to put into writing the comprehensive discussions of rounds-based approaches to clinical problem-solving that are the mainstay of pediatric residency educational programs. The book is arranged in chapters to cover specific chief complaints (i.e. cough, failure to thrive, jaundice, hypotonia, etc.) rather than disease entities. The purpose is to create a differential diagnosis and discussion to guide clinicians in achieving the specific diagnosis and appropriate treatment. This objective is well met, although the discussions of therapy are less emphasized than the strategies concerning differential diagnosis.
Audience: The book is written for general pediatricians, residents, or academic pediatricians. Its plethora of charts are most helpful in creating differential diagnoses and often reminds the clinician of rare causes of common symptoms which present in children.
Features: The book is organized by system, but presents material by signs and symptoms. Therefore, the clinician can search under cough or earache in the respiratory section — or under diarrhea, jaundice, or constipation in the section on gastrointestinal disorders. Standard pediatric complaints are well covered in the infant, toddler, and child age groups. Less emphasis is placed on neonates and adolescents.
Assessment: Most medical textbooks are organized by diagnosis. In practice, clinicians are presented with signs and symptoms and must make diagnoses by analyzing this information in conjunction with history, examination, laboratory tests and imaging. By taking the symptom approach, this book is more practical, but less comprehensive than the standard pediatric texts (Nelson Textbook of Pediatrics, 17th Edition, Behrman et al. (Elsevier, 2004), Rudolph's Pediatrics, 21st Edition, Rudolph et al. (McGraw-Hill, 2003)), but it will be extremely valuable to practicing pediatricians.
From the Publisher
"A solid pediatric text... Much more complete than a pocket guide and yet more practical than an authoritative text, the book is the best of both."—American Family Physician
Robert P. Drucker
This book provides a different approach to the study of diseases in children. Each chapter focuses on a common chief complaint, and the text guides the reader through a differential diagnosis. The purpose is to mimic the verbal patient-based teaching rounds in academic training centers. This ambitious goal complements rather than competes with the standard textbooks of pediatrics. In addition, there are timely chapters on clinical decision making and understanding the importance of cultural beliefs and behaviors. In general, the book meets its objective, although there is large variability between chapters. Written primarily for residents in pediatrics and family medicine, the book will also benefit medical students as they learn about childhood problems. There are 84 contributors, with a wide range of expertise in their fields. There are many tables and figures throughout the book providing lists of differential diagnoses, flow charts for management, or illustrations of diseases. Occasionally, the number of tables can be such that it is difficult to find the accompanying text several pages away. The references included at the end of each chapter are relevant, helpful, and appropriately limited in number. This is a difficult book to index, because a particular disease entity may be found in many differential diagnoses, but a full discussion only appears once. Residents and students will find the approach of this book a helpful addition to other reference materials. It provides a framework for working through patient problems, not final diagnoses. In addition, the use of evidence-based discussions build a foundation for existence in the rapidly emerging managed careenvironment.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780721691312
  • Publisher: Elsevier Health Sciences
  • Publication date: 7/9/2004
  • Edition description: REV
  • Edition number: 2
  • Pages: 1200
  • Product dimensions: 8.80 (w) x 11.10 (h) x 1.90 (d)

Table of Contents

Section One:
Respiratory Disorders

1. Sore Throat
Robert R. Tanz and Stanford T. Shulman
2. Cough
William M. Gershan
3. Respiratory Distress
Carolyn M. Kercsmar and Thomas Ferkol
4. Earache
Patricia S. Lye
5. Airway Obstruction in Children
Robert M. Kliegman
6. Apnea and Sudden Infant Death Syndrome
Mark L. Splaingard

Section Two:
Cardiac Disorders

7. Palpitations and Arrhythmias
George F. Van Hare
8. Heart Failure
Stuart Berger
9. Chest Pain
Garry Sigman
10. Cyanosis
Michelle A. Frommelt and Peter C. Frommelt
11. Heart Sounds and Murmurs
Andrew N. Pelech
12. Hypertension
Sharon Bartosh

Section Three:
Gastrointestinal Disorders

13. Failure to Thrive and Malnutrition
Virginia Keane and Susan Feigelman
14. Acute and Chronic Abdominal Pain
Robert M. Kliegman
15. Diarrhea
Subra Kugathasan
16. Vomiting and Regurgitation
Susan R. Orenstein and John M. Peters
17. Gastrointestinal Bleeding
Francisco A. Sylvester and Jeffrey S. Hyams
18. Hepatomegaly
Frederick J. Suchy
19. Splenomegaly
Kelly W. Maloney
20. Jaundice
Jane P. Balint
21. Constipation
Rita Steffen and Robert Wyllie
22. Abdominal Masses
Michael W. L. Gauderer and John C. Chandler

Section Four:
Genitourinary Disorders

23. Dysuria
Candice E. Johnson
24. Proteinuria
Robert J. Cunningham, III
25. Hematuria
Ben H. Brouhard
26. Renal Failure
Daniel W. McKenney
27. Acid Base and Electrolyte Disturbances
Vimal Chadha and Uri S. Alon
28. Acute and Chronic Scrotal Swelling
Jack S. Elder
29. Sexually Transmitted Diseases
Gale R. Burstein
30. Menstrual Problems and Vaginal Bleeding
Marjorie Greenfield
31. Ambiguous Genitalia
Jack S. Elder

Section Five:
Developmental/Psychiatric Disorders

32. Mental Retardation and Developmental Disability
Gregory S. Liptak
33. Dysmorphology
R. Stephen S. Amato
34. The Irritable Infant
Emory M. Petrack
35. Unusual Behaviors
William J. Swift and Hugh F. Johnston
36. Child Abuse
Robert M. Reece

Section Six
Neurosensory Disorders

37. Headaches in Childhood
Ajay Gupta and Bruce H. Cohen
38. Hypotonia and Weakness
Saleem Malik and Michael J. Painter
39. Paroxysmal Disorders
Andrew Bleasel and Elaine Wyllie
40. Delirium and Coma
Larry A. Greenbaum
41. Stroke in Childhood
Michael J. Rivkin
42. Syncope and Dizziness
David A. Lewis (deceased)
43. Eye Disorders
Mark S. Ruttum

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