By Ronny Cheung, Aubrey Cunnington, Simon Drysdale, Joseph Raine, Joanna Walker
The hot variation of this best-selling identify from the preferred a hundred circumstances sequence explores universal paediatric situations that might be encountered via the scientific pupil and junior physician in the course of sensible education at the ward, within the emergency division, in outpatient clinics and in the neighborhood, and that are prone to characteristic in qualifying examinations. The booklet covers a complete variety of shows from cough to constipation, prepared through sub-specialty sector for ease of reference. complete solutions spotlight key take domestic issues from each one case and supply sensible recommendation on easy methods to care for the demanding situations that ensue while training paediatric medication in any respect degrees.
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Additional resources for 100 Cases in Paediatrics
His mother reports that last time he was nearly transferred to the paediatric intensive care unit (PICU). He has developed a cold and become acutely breathless and is using his salbutamol inhaler hourly without much relief. d. n. Examination Bradley is sitting up in bed with a nebulizer in progress containing 5 mg salbutamol. His oxygen saturation on 15 L of oxygen on arrival is documented as 89 per cent. He is quiet but able to answer questions with short sentences. His chest is hyperinflated (increased anteroposterior diameter) and he is using his accessory muscles of respiration.
From severe aortic stenosis, osteomyelitis, tumour The patient and his family should be reassured. Ibuprofen could be used on an as necessary basis for its analgesic and anti-inflammatory properties for the more prolonged bouts of pain. The child should be reviewed in about 2 months to monitor progress. KEY POINTS • • • • 28 Chest pain in children is often idiopathic, psychological or musculoskeletal in origin. Pulmonary causes are a further common cause of chest pain. Cardiac disease is a rare cause of chest pain in children.
The hyponatraemia is dilutional. First, the result should be confirmed – taking blood from children can be difficult and unexpected results should be repeated. At the same time, urine should be sent for osmolality and sodium. His serum osmolality is calculated as follows: 2 ϫ ([Na] ϩ [K]) ϩ [urea] ϩ [glucose] ϭ 266 mosmol/kg (normal 278–305) Normally a fall in serum osmolality would suppress antidiuretic hormone secretion to allow excretion of excess water as dilute urine. In SIADH, urine osmolality is inappropriately high (Ͼ320 mosmol/kg) and urine sodium is usually Ͼ40 mmol/L (unlike hypovolaemic states where it is Ͻ20 mmol/L).
100 Cases in Paediatrics by Ronny Cheung, Aubrey Cunnington, Simon Drysdale, Joseph Raine, Joanna Walker