Diagnostic Tests In Pediatric Pulmonology

Over the past 20 years, diagnostic tests for pediatric pulmonologists have revolutionized care of children afflicted with respiratory disorders. These tests have been used to not only help in diagnosis, but also in the management and treatment of these children. Bronchoscopic, imaging and physiologic advances have improved clinical care of these children and have been used as outcome measures in research trials. Diagnostic Tests in Pediatric Pulmonology: Applications and Interpretation describes the various diagnostic modalities (especially the newer ones) that are available for the evaluation of pediatric respiratory disorders. It also provides an understanding of the advantages and limitations of each test so that the clinician may choose the most appropriate ones. An internationally renowned group of authors describe how best to interpret the key findings in a variety of tests as well as the possible pitfalls in incorrect interpretation. This volume focuses on the main diagnostic modalities used in the evaluation of pediatric patients with respiratory disorders and presents up-to-date information on the advantages and limitations of each test for a variety of conditions encountered in the practice of pediatric pulmonology. Clinical utility of these tests is also highlighted. This valuable resource is well suited to practicing clinicians, including pediatric pulmonologists, pediatricians and primary care practitioners, as well as trainees, respiratory therapists and clinical researchers.

Imaging in Pediatric Pulmonology is a definitive reference to imaging and differential diagnosis for pediatric pulmonology. Diseases and disorders seen in everyday clinical practice are featured, including infections, developmental disorders, airway abnormalities, diffuse lung diseases, focal lung diseases, and lung tumors. Organized to support the clinical thought process, the text begins with a series of clinical algorithms that provide a starting point for formulating a diagnosis. The physician will be able to identify the differentials by symptom complex and accordingly determine what test would be effective and how to proceed. The balance of the book is image-based and presents a comprehensive, multi-modality approach, with an emphasis on plain film and cross-sectional imaging. The imaging sections are correlated with pathology and clinical findings to help readers learn what the modality of choice can enable them to see. Edited by Robert H. Cleveland, MD, Professor of Radiology at Harvard Medical School and Chief of the Division of Diagnostic Radiology at Children’s Hospital Boston, the book includes a talented group of associate editors and contributing authors who are noted experts in pathology, pulmonology, and radiology, making Imaging in Pediatric Pulmonology an ideal reference for all physicians involved in the diagnosis and treatment of pediatric pulmonary issues.

This fully updated second edition is a definitive guide to imaging and differential diagnosis for pediatric pulmonary diseases and disorders. This edition is fully updated to include coverage of the latest imaging and diagnostic techniques, modalities, and best practices. Beginning with clinical algorithms, chapters provide a framework for clinical diagnosis. This image-based text presents a comprehensive, multi-modality approach, with an emphasis on plain film and cross-sectional imaging. The imaging sections, including a new chapter on pediatric thoracic MRI, are correlated with pathology and clinical findings to help readers learn what the modality of choice can enable them to see. This information and guidance is applied directly to diseases and disorders seen in everyday practice, including pleural effusion, focal lung disorders, pulmonary hypertension, cystic fibrosis, and asthma, as well as a new chapter on pediatric pulmonary embolism. In addition, a new chapter on the genetics of pediatric lung disorders has been added. This essential guide gives pediatric pulmonologists and radiologists the information to identify the differentials by symptom complex, accordingly determine what test would be effective, how to proceed, and to essentially provide the best care for their patients.

Pediatric pulmonology is a specialized field concerned with the treatment of children with respiratory conditions. Respiratory infections contribute to the high rates of mortality in children under the age of five in many parts of the world. The common respiratory issues in children include asthma, bronchitis, pneumonia and wheezing, while some less common conditions are cystic fibrosis, apnea, assisted breathing, etc. Flexible fiberoptic bronchoscopy and pulmonary function testing are certain diagnostic methods in pediatric pulmonology. The use of molecular diagnostics for respiratory illnesses and minimally invasive procedures, have advanced the diagnostic and treatment outcomes in pediatric pulmonology. This book is compiled in such a manner, that it will provide an in-depth knowledge about the theory and practice of pediatric pulmonology. From theories to research to practical applications, case studies related to all contemporary topics of relevance to this field have been included herein. This book will provide comprehensive knowledge to readers.

Featuring the work of recognized worldwide experts, this user-friendly text presents the most current scientific information, diagnostic approaches, and management strategies for the care of children with acute and chronic respiratory diseases. A consistent chapter format enables you to rapidly and effortlessly locate the most current protocols on manifestations, etiologies, triggers, approaches to treatment, complications, and preventative strategies. And, a bonus website—new to this edition—features all of the book’s illustrations and extensive reference lists for each chapter in electronic format for your personal use. Includes guidance on differential diagnosis to help you determine which disease or condition your patient may have. Uses extensive color-coded algorithms to facilitate quick diagnosis, management, and treatment decisions. Organizes material to parallel your clinical decision making process. Provides expert guidance on what diagnostic tests to order for each patient—and how to interpret the results. Presents important “take home concepts within each chapter to help you recall clinical pearls. Includes the most need-to-know basic science, focusing on providing clear implications for patient care. Includes a separate website with all of the images from the text and extensive reference lists—downloadable for your personal use. Provides the latest scientific information and diagnostic and management strategies for the care of children with respiratory illnesses. Features a new, functional four-color design to help you identify important information quickly and differentiate between essential and extraneous material. Presents cutting-edge coverage with new information on the biology of, and the influences on, the respiratory system during childhood, as well as the diagnosis and management of both common (ie, wheezing infant, cystic fibrosis, tuberculosis) and less common (ie, SARS, chest tumors, collagen vascular diseases, Familial Mediterranean Fever) conditions.

Completely revised and updated, the second edition of this authoritative guide provides the latest information on the diagnosis, treatment, and ongoing management of pulmonary issues in children. The book covers genetic, congenital, and allergic conditions, as well as acquired and infectious respiratory ailments. Pulmonary issues related to other systemic disorders are also covered, along with respiratory care and pediatric sleep medicine. More than 300 finely detailed images complement the text. New Second Edition Features Expanded content on sleep medicine, including sleep development and maturation, insomnia, parasomnias, sleep-related movement disorders, and obstructive sleep apnea Cystic fibrosis newborn screening and CFTR-related metabolic syndrome Expanded coverage of pneumonia, including when caused by COVID-19 Expanded coverage of primary ciliary dyskinesia Vaping and other forms of nicotine exposure Content Highlights Foundation--anatomy; physiology; physical examination; pulmonary testing; imaging; and bronchoscopy Allergic Conditions--bronchopulmonary aspergillosis; hypersensitivity pneumonitis; eosinophilic pneumonia; and asthma Anatomical Disorders--congenital abnormalities of the upper airway; congenital lung anomalies; and chest wall and spinal deformities Upper Airway Infections--croup, epiglottitis, and bacterial tracheitis Lower Airway Infections--bronchiectasis; bronchiolitis; viral pneumonia (including when caused by COVID-19); nonviral pneumonia; complications of pneumonia; recurrent pneumonia; tuberculosis; and nontuberculous mycobacteria Noninfectious Pulmonary Disorders--atelectasis; respiratory disorders associated with systemic inflammatory diseases; interstitial lung disease; bronchopulmonary dysplasia; pleural effusion (noninfectious); pneumothorax and pneumomediastinum; and pulmonary hemorrhage Pediatric Sleep Medicine--sleep development and maturation; obstructive sleep apnea; home sleep testing; sleep-related movement disorders; insomnia; parasomnias; narcolepsy and other disorders of excessive somnolence; sudden infant death syndrome and brief resolved unexplained events; and congenital central hypoventilation syndrome Other Pulmonary Issues--acute aspiration and aspiration-related lung disease; lung transplant; asthma and other respiratory disorders associated with obesity; and functional respiratory disorders Genetic Disorders--cystic fibrosis; cystic fibrosis newborn screening and CFTR-related metabolic syndrome; and primary ciliary dyskinesia and other genetic lung diseases Lung Disease Associated With Systemic Disorders--respiratory considerations in children with cardiac disease; lung disease associated with endocrine disorders; pulmonary complications of gastrointestinal diseases; pulmonary complications of sickle cell disease; pulmonary manifestations of oncological disease and treatment; pulmonary complications of immunologic disorders; and pulmonary complications of neuromuscular disorders Treating and Managing Pulmonary Disease--airway clearance techniques; aerosol delivery of medication; bronchodilators; antibiotics for pulmonary conditions; nutritional aspects of pulmonary conditions; oxygen therapy; and nicotine and tobacco

Collaboratively authored by international experts and innovators, this book serves as a comprehensive introduction to flexible bronchoscopy in children, a guide to normal and abnormal bronchoscopy findings, and as the first pediatric bronchoscopy text to describe the array of innovative technologies now being utilized in advanced diagnostic and interventional bronchoscopy programs. Flexible bronchoscopy is a core clinical service provided by academic pediatric pulmonary medicine programs and a critical skill that trainees are expected to develop. The role of flexible bronchoscopy in the care of children with disorders of the respiratory tract has evolved rapidly over the past decade due to technological advances in diagnostic and therapeutic instruments. While many of these tools were designed for adult patients, pediatric pulmonologists have adapted them to meet the unique needs of children. The book is organized into three sections: the history and fundamentals of flexible bronchoscopy; the role of flexible bronchoscopy in evaluation of pediatric respiratory tract disorders; and advanced diagnostic and interventional bronchoscopy. Throughout, images and videos enhance the text and provide invaluable perspective. This is an ideal guide for practicing pediatric pulmonologists and trainees, and will also prove useful to pediatric anesthesiologists, intensivists, otolaryngologists and respiratory therapists.

This book presents a systematic approach to the potential pulmonary complications of various systemic non-pulmonary pediatric disorders. Chapters focus on the pulmonary complications associated with: the major organ systems, types of disorders, metabolic conditions, and various modalities. Although specific diseases will be discussed, the main focus will be on describing the associated organ mechanisms and how they can negatively affect the respiratory system. Each chapter will also discuss methods of prevention, the diagnostic test(s) that may be necessary to diagnose or monitor these complications, and, if applicable, the recommended therapeutic modalities. Pulmonary Complications of Non-Pulmonary Pediatric Disorders provides pulmonologists, pediatricians, and other clinicians with a detailed, reliable explanation of seemingly unrelated signs and symptoms so they can form a more thorough differential diagnosis and prescribe the appropriate diagnostic tests and treatment.