By Anthony D. Slonim MD DrPH
This notebook succinctly describes 250 error more often than not made through physicians taking good care of teenagers in all scientific settings and offers functional, easy-to-remember advice for keeping off those blunders. effortless to learn in the course of a brief rotation, the publication identifies the entire key pitfalls in facts amassing, interpretation, and medical determination making. each one mistakes is defined in a quick, clinically suitable vignette, via a listing of items that are meant to consistently or by no means be performed in that context and tips to stay away from or ameliorate difficulties. insurance contains all components demonstrated at the American Board of Pediatrics certification and recertification tests.
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Additional resources for Avoiding Common Pediatric Errors (Avoiding Common Errors)
Initially, the major source of neonatal glucose is from hepatic glycogen, via glycogenolysis. Within the first few hours of life, the neonate then develops the additional ability to maintain glucose levels via gluconeogenesis. Decreased stores, increased demands, or inadequate metabolic responses may disrupt the infant's transition to independent glycemic control. 1 provides the common neonatal risk factors that may predispose the infant to hypoglycemia. Premature infants or small for gestational age (SGA) infants have decreased glycogen stores, putting them at risk for hypoglycemia.
The onset of pneumonia is typically 2 weeks to 3 months, with the majority of infants presenting by 2 months. Symptoms may appear earlier, particularly in infants born to mothers with premature rupture of membranes. Of infants who develop Chlamydia pneumonia, 50% had a history of conjunctivitis. Neonates who received prophylaxis with silver nitrate, erythromycin ointment, or tetracycline in the newborn period are still at risk for developing Chlamydia infections because these interventions are ineffective against Chlamydia; neonates receiving these interventions are protected against Neisseria conjunctivitis.
However, if an infant presents with bilious emesis and abdominal distension, they need no imaging and should undergo emergent operative management. Suggested Readings Fonkalsrud E. Rotational anomalies and volvulus. In: O'Neill JA, et al, eds. Principles of Pediatric Surgery. St. Louis: Mosby; 2003:477. Gosche J, Vick L, Boulanger SC, et al. Midgut abnormalities. Surg Clin North Am. 2006;86: 285–299. Liu N, Wu AH, Wong SS. Improved quantitative Apt test for detecting fetal hemoglobin in bloody stools of newborns.
Avoiding Common Pediatric Errors (Avoiding Common Errors) by Anthony D. Slonim MD DrPH