By Donald Greydanus, Arthur Feinberg, Dilip Patel, Douglas Homnick
A necessary advisor to studying signs in babies, young children, and youngsters "As a doctor who has spent the previous forty years honing my talents as a diagnostician, I see this booklet as a great addition to my own library and suggest it enthusiastically to all those that wish to increase their own effectiveness in getting young ones the appropriate care on the correct time."--Jay E. Berkelhamer, MD, FAAP, President, American Academy of Pediatrics (from the foreword) This well-illustrated, full-color instruction manual bargains a logical, systematic method of differential analysis in kids, and is perfect for constructing the talents and self belief worthy for diagnosing pediatric sufferers. Incorporating must-know anatomy, pathophysiology, and diagnostic instruments, Pediatric Diagnostic exam will sharpen your skill to successfully deal with each step of the diagnostic exam approach. positive factors: Icons that lead you speedy and simply to key symptoms, difficulties, findings, and syndromes Easy-to-follow, constant template for all chapters, overlaying body structure and mechanics, practical anatomy, taking sufferer heritage, key indicators and indicators, suspicions, diagnostic instruments, and demanding medical signals important for diagnosing young ones of every age insurance of all areas and platforms a number of diagrams, tables, and scientific photographs--all in full-color Written by way of practising pediatricians skilled adequate to grasp the problems and pitfalls you'll come upon in day-by-day perform (20081118)
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Extra resources for The Pediatric Diagnostic Examination
Was this a planned pregnancy? Are they feeling positively or negatively about having a baby? Are they anxious or worried? Are they feeling some or all of these emotions? How are these parents equipped to raise a child—cognitively, financially, and temperamentally? How will this child fit into the parents’ priorities? Do both parents work outside the home? How much do their jobs keep them away from home? Do they have any other priorities that may conflict with parenting? How are the parents’ support systems?
3, p. ) activity, alertness, demeanor, hydration, and level and type of distress. Record the vital signs. Children and adolescents, like adults, can be examined in four basic positions (FIGURE 2–2). Examine the patient from his or her right side. Typically, from head to foot, it begins with the patient in the sitting position with the physician viewing first headon and then from the right side and the back. Evaluate the skin, head, eyes, ears, nose, throat, neck, breasts, and thorax in this position.
Are they normoactive, hypoactive, or hyperactive? What is their pitch and quality? MUSCULOSKELETAL Are the extremities well formed? It is critical to perform a Barlow and Ortolani maneuver at each well-child examination during the first year (see Chapter 11) to evaluate for developmental dysplasia of the hip. Are the pulses strong and equal? Is there any swelling or discoloration? GENITALIA Are they well formed and not ambiguous? If the patient is male, is he circumcised, and does the penis have its meatus placed properly?