Ronny Cheung, Aubrey Cunnington, Simon Drysdale, Joseph's 100 Cases in Paediatrics PDF

By Ronny Cheung, Aubrey Cunnington, Simon Drysdale, Joseph Raine, Joanna Walker

ISBN-10: 0340968753

ISBN-13: 9780340968758

The hot version of this best-selling identify from the preferred a hundred instances sequence explores universal paediatric situations that may be encountered by way of the clinical scholar and junior health professional in the course of sensible education at the ward, within the emergency division, in outpatient clinics and in the neighborhood, and that are prone to function in qualifying examinations. The booklet covers a finished diversity of shows from cough to constipation, geared up by way of sub-specialty sector for ease of reference. finished solutions spotlight key take domestic issues from every one case and supply sensible suggestion on easy methods to care for the demanding situations that happen while training paediatric drugs in any respect degrees.

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Extra info for 100 Cases in Paediatrics

Example text

She felt faint and clammy. Friends tried to help her to walk out of the classroom, but after about a minute she collapsed to the floor and had a brief episode of jerking movements affecting all four limbs. There was no incontinence or tongue biting. She regained consciousness within a minute but continued to feel weak for a few hours afterwards. Sian had a febrile convulsion at 18 months of age and she has fainted on about five occasions, mostly in emotional situations or when it has been hot. She describes herself as an anxious girl, and has a sensation of her heart racing every few weeks.

Intravenous antibiotics should be given promptly as sepsis is a possible treatable cause. If there is any suspicion of a duct-dependent cardiac lesion, a prostaglandin infusion should be commenced, as this is life-saving. Early involvement of senior paediatricians, an anaesthetic team and paediatric intensive care services will help appropriate management. KEY POINTS • Congenital cardiac disease can present as shock in a neonate after several days. • The absence of a murmur does not rule out congenital heart disease.

The apex beat is in the fifth intercostal space in the mid-clavicular line. Both heart sounds are present but the pulmonary component of the second sound is quiet. There is a click immediately after the first heart sound and an ejection systolic murmur which is heard loudest in the pulmonary area. This radiates into both lung fields and is heard in the back between the scapulae. Examination of the respiratory and abdominal systems is normal with no hepatomegaly. 1. 1 Lola’s electrocardiogram. Questions • Why did the GP bring her back to listen again?

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100 Cases in Paediatrics by Ronny Cheung, Aubrey Cunnington, Simon Drysdale, Joseph Raine, Joanna Walker

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