Hepatomegaly

Apr 4, 2019 by in PEDIATRICS Comments Off on Hepatomegaly

Hepatomegaly occurs commonly in children as a feature of primary liver disease or as a result of systemic disorders involving the liver and other organs ( Table 14.1 ). Because…

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Diarrhea

Apr 4, 2019 by in PEDIATRICS Comments Off on Diarrhea

Diarrhea is defined as a stool volume of greater than 10 g/kg/day in infants and toddlers and greater than 200 g/day in older children. Functionally, diarrhea should be considered if a patient…

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Failure to Thrive

Apr 4, 2019 by in PEDIATRICS Comments Off on Failure to Thrive

Calories from food provide energy for the body’s maintenance functions of repair, regulation, metabolic functions, replacement of losses, and daily activity. Children have additional caloric requirements because they must also…

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Murmurs

Apr 4, 2019 by in PEDIATRICS Comments Off on Murmurs

Most heart murmurs are normal or innocent, and must be distinguished from pathologic murmurs of congenital or acquired cardiac diseases. Whereas less than 1% of the population has structural congenital…

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Chest Pain

Apr 4, 2019 by in PEDIATRICS Comments Off on Chest Pain

Chest pain can be the presenting complaint for a child feeling chest tightness, burning, pressure, stabbing sensations, palpitations, or heartburn. This can make quickly discerning an etiology difficult, particularly in…

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Syncope and Dizziness

Apr 4, 2019 by in PEDIATRICS Comments Off on Syncope and Dizziness

Dizziness is a common but very nonspecific chief complaint about which some elaboration by the patient is generally required for the physician to understand exactly what the patient is experiencing….

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Earache

Apr 4, 2019 by in PEDIATRICS Comments Off on Earache

Introduction Earache (otalgia) is pain that arises from a pathologic process in the external, middle, or inner ear or that is referred to the ear from another structure. Acute otitis…

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Respiratory Distress

Apr 4, 2019 by in PEDIATRICS Comments Off on Respiratory Distress

Introduction The main function of the respiratory system is to supply oxygen to meet the body’s demands and remove excess carbon dioxide. Many processes are involved in ensuring that this…

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Cough

Apr 4, 2019 by in PEDIATRICS Comments Off on Cough

Introduction Cough is an important defense mechanism of the lungs and is a common symptom, particularly during winter months. In most patients, it is self-limited. However, cough can be ominous,…

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