This book has been written with general practitioners primarily in view, describing common paediatric conditions that present in the outpatient clinics and those that require admission to hospital. The book is neither a textbook of paediatrics nor a handbook but is aimed to provide guidelines for the more commonplace conditions. Some aspects therefore, have been dealt with in detail, where felt relevant, while others are omitted on grounds of probable rare encounter. It is hoped that this volume will provide the family practitioner with an insight in the paediatrician's approach to many of the common problems in chifdren and to help him decide on the best course of action to follow. The care of children constitutes a significant and important part of a family doctor's work and practitioners are keen to promote optional care in all circumstances. It is hoped that the endeavours of this book will go in some small way to help put across the practitioner's approach.
Table of Contents1 Infant feeding.- Breast feeding.- Bottle feeding.- Vitamins.- Regurgitation.- Vomiting.- Colic.- The hungry baby.- The baby who does not feed.- 2 Respiratory diseases.- Upper respiratory tract infection.- Tonsillitis.- Otitis media.- Stridor.- Croup.- Acute epiglottitis.- Chest infections.- Pneumonias.- Lobar pneumonia.- Airways obstruction.- Asthma.- 3 Gastrointestinal problems.- Gastroenteritis and related problems.- Malabsorption.- Chronic inflammatory bowel disease.- Congenital abnormalities.- Large bowel obstruction.- Appendicitis.- Differential diagnosis.- 4 Urinary tract.- Urinary tract infection.- Congenital abnormalities.- Glomerular disease.- Renal tubular disorders.- 5 Fits in childhood.- Neonatal fits.- Febrile fits.- Epilepsy.- Infantile spasms.- Differential diagnosis of peculiar turns.- 6 Heart disease in children.- Innocent murmurs.- Basic cardiac parameters.- Congestive cardiac failure.- Ventricular septal defect.- Patent ductus arteriosus.- Atrial septal defect.- Co-arctation of the aorta.- Transposition of the great vessels.- Tetralogy of Fallot.- Pulmonary stenosis.- Aortic stenosis.- Truncus arteriosus.- Tricuspid atresia.- Precautions against infection.- 7 Metabolic disorders.- Diabetes mellitus.- Clinical manifestations.- Stabilization.- Insulin.- Oral hypoglycaemic agents.- Diet.- Education.- Urine testing.- Blood glucose monitoring.- Useful services.- Thyroid disorders.- Thyrotoxicosis.- Carcinoma of the thyroid.- Hypothyroidism.- Congenital adrenal hyperplasia.- Growth problems.- Short stature.- Differential diagnosis of short stature.- Tall children.- 8 Common symptoms and problems of doubtful origin.- Abdominal pain.- Headaches.- Nocturnal enuresis.- Faecal soiling and encopresis.- 9 The problem child.- The crying baby.- Breath-holding attacks.- Temper tantrums.- The overactive child.- The child who does not sleep.- The child who does not eat.- School problems.- 10 Developmental assessment and the handicapped child.- Neonatal developmental assessment.- Newborn reflexes and reactions.- Special senses.- General objectives in the assessment of the handicapped.- Useful information.- 11 Surgical conditions.- Common surgical conditions.- Abnormalities of the female external genitalia.- The umbilicus.- Hare lip, cleft palate and tongue tie.- Swellings in the neck.- Ear, nose and throat surgery.- The eyes.- Neurosurgical conditions.- Orthopaedic problems.- 12 Emergencies in paediatrics.- Respiratory emergencies.- Cardiac emergencies.- Fits and coma.- Metabolic emergencies.- Gastro-intestinal emergencies.- Genito-urinary emergencies.- Miscellaneous emergencies.