Trigger Digits
FIGURE 12-1 Surgical technique of trigger thumb release. A: Clinical photograph of a pediatric trigger thumb. B: Prior to surgical release, marks are made on either side of the palpable…
Central Polydactyly
FIGURE 5-1 Photograph of father with untreated central synpolydactyly. CLINICAL QUESTIONS Under which category is central polydactyly classified? What are the genetics of this malformation? Are there associated syndromes or…
Infections: Viral Rickettsial
Table 40–2. Diagnostic tests for viral infections. Table 40–3. Some red rashes in children. RESPIRATORY INFECTIONS Many viral infections can cause either upper or lower respiratory tract signs and symptoms,…
Infections: Parasitic Mycotic
Table 43–2. Some parasitic infections rarely seen in developed regions. Selection of Patients for Evaluation The incidence of parasitic infections varies greatly with geographic area. Children who have traveled or…
Gastroenteritis
ESSENTIALS OF DIAGNOSIS & TYPICAL FEATURES Nausea, vomiting, headache, meningismus. Fever, diarrhea, abdominal pain. Culture or organism from stool, blood, or other specimens. General Considerations Salmonellae are gram-negative rods that…
Liver Pancreas
Table 22–2. Characteristic histologic features of intrahepatic and extrahepatic neonatal cholestasis. INTRAHEPATIC CHOLESTASIS ESSENTIALS OF DIAGNOSIS & TYPICAL FEATURES Elevated total and conjugated bilirubin. Hepatomegaly and dark urine. Patency of…
Infections: Bacterial Spirochetal
ESSENTIALS OF DIAGNOSIS & TYPICAL FEATURES Streptococcal pharyngitis: Clinical diagnosis based entirely on symptoms; signs and physical examination unreliable. Throat culture or rapid antigen detection test positive for…
Gastrointestinal Tract
ESSENTIALS OF DIAGNOSIS & TYPICAL FEATURES Uncomplicated gastroesophageal reflux (GER) refers to recurrent postprandial spitting and vomiting in healthy infants that resolves spontaneously. Gastroesophageal reflux disease (GERD) is present when…
Hematologic Disorders
ESSENTIALS OF DIAGNOSIS & TYPICAL FEATURES Progressive pancytopenia. Macrocytosis. Multiple congenital anomalies. Increased chromosome breakage in peripheral blood lymphocytes. General Considerations Fanconi anemia, which is the number 1 inherited bone…
