By Donald Greydanus, Arthur Feinberg, Dilip Patel, Douglas Homnick
A vital consultant to reading signs in babies, little ones, and youngsters "As a doctor who has spent the previous forty years honing my abilities as a diagnostician, I see this booklet as a welcome boost to my own library and suggest it enthusiastically to all those that wish to increase their own effectiveness in getting young ones the ideal 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 young children, and is perfect for constructing the talents and self belief valuable 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. beneficial properties: Icons that lead you speedy and simply to key symptoms, difficulties, findings, and syndromes Easy-to-follow, constant template for all chapters, masking body structure and mechanics, sensible anatomy, taking sufferer background, key signs and indicators, suspicions, diagnostic instruments, and significant scientific signals important for diagnosing young children of every age insurance of all areas and structures 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 are going to stumble upon in day-by-day perform (20081118)
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Example text
Early on, it is egocentric, and they feel that they are the cause of every outcome. As they get older, around ages 3 to 6, they begin to see causes and effects based on outside events and observations, and then they draw conclusions from that. But because of their limited experience, the conclusions may be flawed. For example, a 3- or 4-year-old may see a ball of clay rolled into a snakeshaped object. He may conclude that the snake weighs more than the ball because it is longer. A 7-year-old with more experience may come to the conclusion that the clay weighs the same in both instances because the snake may be longer, but it is also thinner.
Is the overall color cyanotic or jaundiced? How is the texture, temperature, and moistness? Are there any rashes? Describe them as macular, papular, or maculopapular or vesicular. Does a rash blanch when the examiner applies pressure? What is the distribution of the rash? , bruising, petechiae, and purpura)? Hair and nails are part of this evaluation. Is there hair loss or discoloration? What is the distribution? Are the nails normally sized and shaped? Is there any thickening, discoloration, or clubbing?
For purposes of this discussion, we will assume a fully cooperative patient and perform a systematic regional exam. Also, we will discuss what parts of the examination to emphasize in which age group. Please consult subsequent chapters for further details and techniques for the examination, as well as for elicitation and interpretation of specific findings. The Examination GESTALT Do not forget to employ all your senses. Check for alertness, demeanor (playfulness, fussiness), morphology, nourishment, and hydration.