By Daniel Bernstein
Counseled via the yank Academy of Pediatrics, this article is designed for third-year clinical scholars of their pediatric clerkships or learning for pediatric shelf checks. The publication is split into sections. part One makes a speciality of the final perform of pediatrics, together with common preventive visits. part deals extra conventional systems-oriented chapters that target a scientific method of constructing a differential prognosis. this article is a pleasant hybrid -- half pediatrics textbook, half assessment advisor for shelf assessments or board training. a brand new arsenal of ancillary fabrics, together with complete textual content on-line, pupil testbank, and photograph financial institution accompanies the book.-- NEW contains authoritative content material totally recommended by way of the distinguished American Academy of Pediatrics; AAP's thorough evaluate of the textual content guarantees compliance with the newest in rules and therapy guidelines-- NEW hyperlinks scholars and teachers to extra assets through thePoint, together with the whole textual content on-line, picture financial institution, pupil attempt financial institution (also on hand in a handy cellular structure) with two hundred USMLE-style medical vignette questions, and entry to the AAP's vivid Futures web site for improved assurance of kid's healthcare within the context of kin and group needs-- NEW incorporates a full-color inside layout to higher spotlight the visible components of educating and studying pediatrics-- equipped round these elements necessary to the pediatrics rotation, every one bankruptcy covers scientific and lab evaluate, pathophysiology, differential prognosis, sufferer administration, and Pediatric Pearls to aid scholars make quick scientific connections
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Extra info for Pediatrics for Medical Students, 3rd Edition
10 SECTION I ■ GENERAL PEDIATRIC PRACTICE Examination of the mouth and throat is next. The mouth of the newborn should not contain teeth. When natal teeth are present, they are usually removed after consultation with a dentist because they tend to be attached loosely to the gum. When these teeth are not removed, they are usually shed soon after birth; aspiration is a concern. Interesting but usually benign lesions can often be seen in the mouths of newborns. These include small inclusion cysts on the hard palate, generally in the midline, known as Epstein pearls.
Intestinal atresias occur with greater frequency in infants with chromosomal abnormalities; these should be suspected in infants with abdomen-related problems who appear to have Down syndrome. The anus may be imperforate, or there may be a defect in intestinal innervation, as seen in Hirschsprung disease. Thick meconium may cause a special type of intestinal obstruction, meconium ileus, which has a strong association with cystic ﬁbrosis. It is unusual to see a tense abdomen immediately after birth, for it takes some time for these conditions either to develop or to become manifest.
Edited by Behrman RE, Kliegman RM, Jensen HB. Philadelphia: Saunders, 2004, pp 2273–2275. Wilkinson AR, Charlton VE, Phibbs RH, et al: Examination of the newborn. In Rudolph’s Pediatrics, 21st ed. Edited by Rudolph CO, Rudolph AM, Hostetter MK, et al. New York: McGraw-Hill, 2002, pp 83–97. 5/6/11 2:26:36 PM 2 Health Supervision Visit Steven P. Shelov INTRODUCTION For the pediatrician, the skills, attitudes, and energy necessary for preventing disease and maintaining health come ﬁrst. This focus on health supervision (formerly called health maintenance visit) is the centerpiece of a practice unique to the pediatrician, who has strong feelings about this approach, similar to a surgeon’s belief in the ability to heal through procedural intervention.
Pediatrics for Medical Students, 3rd Edition by Daniel Bernstein