By Eugene Toy, Robert Yetman, Mark Hormann, Sheela Lahoti, Margaret McNeese, Mark Jason Sanders, Abby M. Geltemeyer

ISBN-10: 0071766987

ISBN-13: 9780071766982

Sixty high-yield pediatrics circumstances assist you sharpen your diagnostic and problem-solving skills

You want publicity to high-yield instances to excel at the pediatrics clerkship and the shelf-exam. Case documents: Pediatrics provides sixty real-life circumstances that illustrate crucial suggestions. each one case contains entire dialogue, medical pearls, references, definitions of key phrases, and USMLE-style assessment questions with designated causes of the right kind solutions. With the program, you are going to examine within the context of genuine sufferers, instead of only memorize facts.

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Other patients may be followed by imaging, such as computerized tomography (CT) scan of a retroperitoneal (RP) node size in a patient receiving chemotherapy for neuroblastoma, or a marker such as the platelet count in a patient recovering from Kawasaki syndrome. For syphilis, it may be the nonspecific treponemal antibody test rapid plasma reagin (RPR) titer every month. The student must know what to do if the measured marker does not respond according to the expected. Is the next step to treat further, or to repeat the metastatic workup, or to follow up with another more specific test?

ANALYSIS Objectives 1. Know the historical clues necessary to recognize organic and nonorganic FTT. 2. Understand the appropriate use of the laboratory in an otherwise healthy child with FTT. 3. Appreciate the treatment and follow-up of a child with nonorganic FTT. Considerations This patient’s growth pattern (inadequate weight gain, potentially modest length retardation, and head circumference sparing) suggests FTT, most likely nonorganic given that the examination is normal. A nonorganic FTT diagnosis is made after organic etiologies are excluded, and, after adequate nutrition and an adequate environment is assured, growth resumes normally after catch-up growth is demonstrated.

In: Kleigman RM, Stanton BF, St. Geme JW, Schor NF, Behrman RE, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, PA: WB Saunders; 2011: 1208-1216. Noel RJ. Approach to the infant and child with feeding difficulty. In: Rudolph CD, Rudolph AM, Lister G, First LR, Gershon AA, eds. Rudolph’s Pediatrics. 22nd ed. New York, NY: McGraw-Hill; 2011:117-123. Raszka WV. Neonatal toxoplasmosis. In: McMillan JA, Feigin RD, DeAngelis CD, Jones MD, eds. Oski’s Pediatrics: Principles and Practice. 4th ed.

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Case Files Pediatrics, Fourth Edition by Eugene Toy, Robert Yetman, Mark Hormann, Sheela Lahoti, Margaret McNeese, Mark Jason Sanders, Abby M. Geltemeyer


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