Differential Diagnosis In Pediatrics

The continuing development of sub specialties in pediatrics may be justifiably considered to be progress. Due to this fact, complex syn dromes can be analyzed today in their pathogenesis, are better under stood in their symptomatology, and can be therapeutically controlled. Therapy has reached an unexpectedly high level of effectiveness through this specialization, never dreamed of even a few years ago. No pediatrician can afford to do without it. However, this gain in knowledge inevitably places new burdens on the individual physician because of the confusing diversity of the diseases under consideration. The colleague in private practice who is called upon to treat an acutely ill child is all too likely to have the patient admitted to the hospital without necessity or without the de sired diagnostic insight. The hospital-based physician, confronted with the same situation, tends to rely more on a haphazard utilization of the laboratory facilities or the specialists. Should an illness not present itself strictly according to the textbook, the wide range of biochemical investigations and "tolerance tests" to which the patient is subjected offers the physician, made insecure by the diversity of the diagnostic possibilities, an opportunity for thinking and reading on the problem. Medical literature, however, has reached such enormous proportions that many physicians give up trying to keep abreast of it. Be it for lack of time or some other reason, they may consult pediatric literature only superficially or not at all-to the harm of the sick child.

Using symptom-based and problem-based approaches, this indispensable text teaches medical students how to apply critical thinking and clinical reasoning to develop diagnostic competence. It is also suitable for any doctor who wishes to refresh his/her clinical approaches to pediatric patients. With 50 carefully selected pediatric problems that are likely to be encountered in medical practice, each chapter is written in a user-friendly style and takes you through the fundamental thought process needed to arrive at the most likely diagnosis. This thought process includes: Understanding the correct definition of the clinical problem Recognizing the symptoms of the clinical problem Analyzing the pathophysiology behind the problem Creating a prioritized list of differential diagnosis Having a robust clinical approach/algorithm that enables one to arrive at the correct diagnosis Evaluating for red flag signs and symptoms Honing the thought process through the use of over 50 clinical case scenarios with structured self-reflection questions and answers Foreword by Dr Naveen Thacker, President of Asia Pacific Pediatric Association Peer reviewed by members of Asia Pacific Pediatric Association With 50 carefully selected pediatric problems that are likely to be encountered in medical practice, each chapter is written in a user-friendly style and takes you through the fundamental thought process needed to arrive at the most likely diagnosis. This thought process includes: Understanding the correct definition of the clinical problem Recognizing the symptoms of the clinical problem Analyzing the pathophysiology behind the problem Creating a prioritized list of differential diagnosis Having a robust clinical approach/algorithm that enables one to arrive at the correct diagnosis Evaluating for red flag signs and symptoms Honing the thought process through the use of over 50 clinical case scenarios with structured self-reflection questions and answers Foreword by Dr Naveen Thacker, President of Asia Pacific Pediatric Association Peer reviewed by members of Asia Pacific Pediatric Association

Using symptom-based and problem-based approaches, this indispensable text teaches medical students how to apply critical thinking and clinical reasoning to develop diagnostic competence. It is also suitable for any doctor who wishes to refresh his/her clinical approaches to pediatric patients. With 50 carefully selected pediatric problems that are likely to be encountered in medical practice, each chapter is written in a user-friendly style and takes you through the fundamental thought process needed to arrive at the most likely diagnosis. This thought process includes: Understanding the correct definition of the clinical problem Recognizing the symptoms of the clinical problem Analyzing the pathophysiology behind the problem Creating a prioritized list of differential diagnosis Having a robust clinical approach/algorithm that enables one to arrive at the correct diagnosis Evaluating for red flag signs and symptoms Honing the thought process through the use of over 50 clinical case scenarios with structured self-reflection questions and answers Foreword by Dr Naveen Thacker, President of Asia Pacific Pediatric Association Peer reviewed by members of Asia Pacific Pediatric Association

The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.

Patients don’t present with a disease; they present with symptoms. Using a practical, symptom-based organization, Nelson Pediatric Symptom-Based Diagnosis: Common Diseases and their Mimics, 2nd Edition, offers authoritative guidance on differential diagnosis and treatment of diseases and disorders in children and adolescents, and covers the symptoms you’re likely to see in practice, their mimics, and uncommon disorders. Drs. Robert M. Kliegman, Heather Toth, Brett J. Bordini, and Donald Basel walk you through what to consider and how to proceed when faced with common symptoms such as cough, fever, headache, autistic-like behaviors, chronic pain, chest pain, gait disturbances, and much more. Begins with a presenting symptom and leads you through differential diagnosis and a concise review of treatment recommendations. Contains more than a dozen new topics including Disease Mimics: An Approach to Undiagnosed Diseases, Autistic-like Behaviors, Shock, Hypertension, Neurocognitive and Developmental Regression, Chronic Pain, Hypertonicity, Movement Disorders, Hypermobility, and more. Features a new focus on symptoms of rarer diseases that are mimics of more common diseases. Offers a user-friendly approach to Altered Mental Status such as coma and other CNS disorders, with numerous clinically useful tables and figures to guide clinical decision making in various care settings. Uses a highly templated format for easy reference and quick answers to clinical questions, with the same consistent presentation in each chapter: History, Physical Examination, Diagnosis (including laboratory tests), Imaging, Diagnosis, and Treatment. Includes numerous full-color illustrations, algorithms, tables, and "red flags" to aid differential diagnosis. Serves as an ideal companion to Nelson Textbook of Pediatrics, 21st Edition. Content in this book is referenced and linked electronically to the larger text, providing easy access to full background and evidence-based treatment and management content when you own both references.

Paediatric speech and language therapists are challenged by diminished resources and increasingly complex caseloads. The new edition addresses their concerns. Norms for speech development are given, differentiating between the emergence of the ability to produce speech sounds (articulation) and typical developmental error patterns (phonology). The incidence of speech disorders is described for one UK service providing crucial information for service management. The efficacy of service provision is evaluated to show that differential diagnosis and treatment is effective for children with disordered speech. Exploration of that data provides implications for prioritising case loads. The relationship between speech and language disorders is examined in the context of clinical decisions about what to target in therapy. New chapters provide detailed intervention programmes for subgroups of speech disorder: delayed development, use of atypical error patterns, inconsistent errors and development verbal dyspraxia. The final section of the book deals with special populations: children with cognitive impairment, hearing and auditory processing difficulties. The needs of clinicians working with bilingual populations are discussed and ways of intervention described. The final chapter examines the relationship between spoken and written disorders of phonology.