Arthritis

Apr 4, 2019 by in PEDIATRICS Comments Off on Arthritis

Introduction Although children with musculoskeletal complaints may present with what appears to be an isolated, localized problem, complaints involving the musculoskeletal system (e.g., arthralgia, myalgia, joint swelling, poorly localized extremity…

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Altered Mental Status

Apr 4, 2019 by in PEDIATRICS Comments Off on Altered Mental Status

Coma is the lack of any awareness of self and environment despite painful or other external stimulation ( Table 31.1 ). Delirium is an alternation in consciousness that falls along…

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Dysmorphology

Apr 4, 2019 by in PEDIATRICS Comments Off on Dysmorphology

Dysmorphology evolved as a subset of clinical genetics that focused on standardizing the descriptive terminology used to define deviations from normal structural development in the context of syndromic disorders. These…

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Disorders of Sex Development

Apr 4, 2019 by in PEDIATRICS Comments Off on Disorders of Sex Development

The term disorders of sex development (DSD) replaces the former terms intersex and hermaphroditism ( Table 23.1 ). The most common presenting symptom of DSD is atypical (ambiguous) genitalia at…

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Headaches

Apr 4, 2019 by in PEDIATRICS Comments Off on Headaches

Introduction Headaches are classified as primary or secondary. Primary headaches are benign, are not caused by underlying disease or structural problems, and include migraines, tension-type headaches, and the trigeminal autonomic…

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Paroxysmal Disorders

Apr 4, 2019 by in PEDIATRICS Comments Off on Paroxysmal Disorders

Introduction Paroxysmal neurologic symptoms are often referred to by the generic term “spells”; these paroxysmal events can be neurologic, cardiovascular, or gastrointestinal in origin. Most paroxysmal neurologic symptoms can be…

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Unusual Behaviors

Apr 4, 2019 by in PEDIATRICS Comments Off on Unusual Behaviors

The history is the most important tool for identifying a psychiatric disorder. The initial focus in conducting the history is to establish rapport and to ensure the child’s safety with…

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Intellectual and Developmental Disability

Apr 4, 2019 by in PEDIATRICS Comments Off on Intellectual and Developmental Disability

Definitions Intellectual disability (ID) has replaced the older term mental retardation (MR), reflecting a more enlightened and progressive attitude toward individuals with disabilities. ID is characterized by significant limitations in…

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Irritable Infant

Apr 4, 2019 by in PEDIATRICS Comments Off on Irritable Infant

An irritable infant is a challenge to the caregiver and medical provider and is a common presenting complaint in early infancy. An irritable infant is defined here as a patient…

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Acute and Chronic Scrotal Swelling

Apr 4, 2019 by in PEDIATRICS Comments Off on Acute and Chronic Scrotal Swelling

The most serious causes of acute scrotal swelling are testicular torsion and incarcerated inguinal hernia, both of which necessitate immediate surgical correction. Consequently, a prompt, careful approach to a painful…

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