By Nandu Thalange; et al
2013 BMA scientific e-book Awards hugely counseled in Paediatrics!
The ideal transportable spouse for trainees and clinical scholars on medical placements in paediatrics.
- Part of the Kumar & Clark kin of revision titles
- Cases throughout
- Key issues containers included
- Includes self-assessment questions
- Appendices conceal resuscitation, useful techniques, prescribing, fluids and electrolytes, and customary syndromes
- Ideal for revision and exam preparation
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Additional info for Essentials of paediatrics
The lower the IQ the more likely an organic explanation exists for the child's difficulties. Increasingly, genetic causes of learning difficulties are being discovered. Inquire into alcohol use in pregnancy as fetal alcohol syndrome is a significant cause of mental retardation (see Chapter 18, page 266). A detailed family tree and questioning about the academic ability of relatives is useful; referral to a clinical geneticist may be of value, particularly if there are dysmorphic signs. Careful physical examination should seek any evidence of associated health problems and a careful search for dysmorphic features which might suggest a genetic problem.
For some conditions, such as Down's syndrome, condition-specific developmental milestones are available. Pocket Essentials of Paediatrics Phoebe was 9 months old and had 3-year-old twin brothers. Her mum was extremely busy in the daytime and Phoebe spent most of her day in a buggy or the car. She was sitting independently but was reluctant to lie in a prone position and had no interest in crawling. 25 4 Child development THE MOTOR MILESTONES Newborn to 3 months Gross motor Healthy term newborn babies have well-flexed arms, legs and spine and enjoy curling up, even on their tummies.
16 Systematic review This is useful in the profoundly impaired child where any system and any aspect of care can be involved. Ask about basic functions: feeding, sleeping, bowels, bladder, mobility and self-care. Medication Medication regimes are often complex. Ask what medications the family are actually giving. ’. Keep regimes as simple as possible. Use treatment charts or pill containers to help with this. Consider medication side-effects and drug interactions. g. recording blood glucose results in children with diabetes, drug dosage changes or seizure frequency in epilepsy, or peak flows and treatment escalation rules in asthma.
Essentials of paediatrics by Nandu Thalange; et al