Pediatrics Morning Report

Pediatrics Morning Report: Beyond the Pearls is a case-based reference that covers the key material included on the USMLE Step 2 and Step 3, as well as the pediatric clerkship. Focusing on the practical information you need to know, it teaches how to analyze a clinical vignette in the style of a morning report conference, sharpening your clinical decision-making skills and helping you formulate an evidence-based approach to realistic patient scenarios. Each case has been carefully chosen and covers scenarios and questions frequently encountered on the Pediatrics boards, shelf exams, and clinical practice, integrating both basic science and clinical pearls. "Beyond the Pearls" tips and secrets (all evidence-based with references) provide deep coverage of core material. "Morning Report"/"Grand Rounds" format begins with the chief complaints to the labs, relevant images, and includes a "pearl" at the end of the case. Questions are placed throughout the case to mimic practical decision making both in the hospital and on the board exam. Written and edited by experienced teachers and clinicians; each case has been reviewed by board certified attending/practicing physicians.

The author's main goal in this book is to introduce the beginning student or pediatric resident to a systematic method of medical decision making. This book is divided into three basic sections: history-taking; physical examination; and medical reasoning. It is important to note that the purpose of this book is NOT to teach everything there is to know about every possible medical diagnosis, but rather to establish a framework for reasoning out a problem. The author assumes that as the learners read about and experience many more encounters over their training period they will be able to apply the facts to this basic framework. Thus, it is important to note that the history-taking and physical examination, first and second sections specifically do NOT mention any diagnoses. Their main purpose is to present the full array of data that needs to be gathered. Note the insertion of several clinical tricks of the trade to help gain accurate data. The third section, medical reasoning will take the reader through the thought process of arriving at a diagnosis. It addresses sifting and winnowing through large amounts of data: interpretation of history, what questions to ask, what questions may or may not be pertinent to the situation at hand, making initial hypotheses and testing them with information from a physical examination. We discuss what to examine based on the history, interpreting the remaining data, re-evaluating hypotheses, re-thinking them and narrowing them further, ideally (but not always) into a unifying hypothesis. If necessary, the author discusses the use of laboratory and imaging as further means to test hypotheses. The author then discusses making treatment plans with the idea forefront in the mind that the hypothesis still may indeed be wrong and have to be revised. The narrowing-down process is critical and necessary for the rational practice of medicine and the techniques are often referred to as "heuristics" (short-cuts). They are most helpful, but are certainly not infallible. The author therefore discusses pitfalls in clinical diagnosis in order to keep the reader keenly aware of the fact that hypotheses are in need of constant review and revision if necessary. This book presents two illustrative and simple cases as journeys through the medical reasoning process. As the learner progresses, he/she will learn to navigate through more difficult cases, However, the more simple cases provide the tools to use for the more complex ones. It is the author's hope that early on in medical training the learners will appreciate the importance of good histories and physical examinations and how to interpret them. They will find that much of the information gathered in this manner will serve them well and lead to more judicious and appropriate usage of technology to arrive at diagnoses.

A CASE-BASED GUIDE TO PEDIATRIC DIAGNOSIS, CONVENIENTLY ORGANIZED BY PRESENTING SYMPTOMS Symptom-Based Diagnosis in Pediatrics features 19 chapters, each devoted to a common pediatric complaint. Within each chapter, five to eight case presentations teach the diagnostic approach to the symptom. The case presentations follow a consistent outline of History, Physical Examination, and Course of Illness, and are followed by discussion of the Differential Diagnosis, Diagnosis Incidence and Epidemiology, Clinical Manifestations, Diagnostic Approach, and Treatment. Cases are illustrated with vibrant full-color photographs and include numerous tables comparing potential diagnoses. Organized by symptoms--the way patients actually present More than 100 cases teach the diagnostic approach to a symptom Cases illustrate how the same complaint can have a variety of causes Full-color clinical photos and illustrations sharpen your visual diagnosis skills Valuable tables detail the most frequent causes of common symptoms CASE-BASED COVERAGE OF THE SYMPTOMS YOU'RE MOST LIKELY TO ENCOUNTER IN PEDIATRIC PRACTICE Wheezing * Decreased Activity Level * Vomiting * Coughing * Back, Joint, and Extremity Pain * Poor Weight Gain * Abdominal Pain * Altered Mental Status * Rash * Pallor * Fever * Constipation * Neck Swelling * Chest Pain * Jaundice * Abnormal Gait * Diarrhea * Syncope * Seizures Editors Samir S. Shah, MD, MSCE is Director, Division of Hospital Medicine, James M. Ewell Endowed Chair, and Attending Physician in Hospital Medicine & Infectious Diseases at Cincinnati Children’s Hospital Medical Center; and Professor in the Department of Pediatrics at the University of Cincinnati College of Medicine. Stephen Ludwig, MD is Chairman of the Graduate Medical Education Committee and Continuing Medical Education Committee and an attending physician in general pediatrics at The Children's Hospital of Philadelphia; and Emeritus Professor of Pediatrics at the Perelman School of Medicine at the University of Pennsylvania.

Pathology Case Reports: Beyond the Pearls is a case-based reference that covers the key material essential for USMLE and exam preparation. Focusing on the practical information you need to know, it teaches how to analyze a clinical vignette, sharpening your clinical decision-making skills and helping you formulate an evidence-based approach to realistic patient scenarios. Covers core, high-yield content in a practical, concise, easy-to-read manner. Features case scenarios, clinical pearls, tables, imaging, microscopic and gross illustrations, as well as Beyond the Pearls tips and secrets (all evidence-based with references) that provide deep coverage of core material. Teaches how to learn with a patient-focused, clinical approach, including a thorough discussion of the underlying pathology for every case. Includes questions throughout the case that put you in the physician’s place and demonstrate the decision making that is needed both in the hospital and on exams. Cases have been carefully chosen and cover scenarios and questions frequently encountered on the USMLE, shelf exams, and clinical practice, integrating both basic science and clinical pearls. Written and edited by experienced teachers and clinicians; each case has been reviewed by board certified attending/practicing physicians. Case Reports: Beyond the Pearls titles are ideal for all medical students, especially those in case-based, problem-based, or integrated courses, and during clinical rotations.

In this issue of Library Technology Reports Virginia Tech librarians Miller, Meir, and Moorfield-Lang offer a collection of first-hand accounts of academic library projects using tablets.

Surgery Morning Report: Beyond the Pearls is a case-based reference that covers the key material included on the USMLE Step 2 and Step 3, as well as the surgery clerkship. Focusing on the practical information you need to know, it teaches how to analyze a clinical vignette in the style of a morning report conference, sharpening your clinical decision-making skills and helping you formulate an evidence-based approach to realistic patient scenarios. Each case has been carefully chosen and covers scenarios and questions frequently encountered on the Surgery boards, shelf exams, and clinical practice, integrating both basic science and clinical pearls. "Beyond the Pearls" tips and secrets (all evidence-based with references) provide deep coverage of core material. "Morning Report"/"Grand Rounds" format begins with the chief complaints to the labs, relevant images, and includes a "pearl" at the end of the case. Questions are placed throughout the case to mimic practical decision making both in the hospital and on the board exam. Written and edited by experienced teachers and clinicians; each case has been reviewed by board certified attending/practicing physicians.