There is a greater risk of dying on the first day of life than on any other day (except the last). 7.1 The effects of birth on the fetus 7.1.1…

24 Skin Chapter map Skin disorders are common in children. The infant’s skin with its thin epidermis and immature glands is particularly liable to infection and blistering. Birthmarks, rashes and…

Definitions Low birthweight (LBW): <2500 g (7% of UK births) Very low birthweight (VLBW): <1500 g (1% of UK births) Extremely low birthweight: <1000 g Preterm: <37 weeks gestation (6%…

23 Bones and joints Chapter map Concerns about bones and joints are common. This chapter reviews common variations in structure and posture, and the different causes of bone and joint…

Early and skilled resuscitation saves lives. It is essential that all who work in health care are trained to recognize emergencies and to act appropriately. Training needs to be kept…

12 Nutrition Chapter map Infant and child nutrition is the foundation stone of healthy development. Worldwide, the most important problem is malnutrition. In industrialized societies, the main problems are eating…

25 Haematology Chapter map Anaemia is quite common in childhood, and you should know the main differentials and be able to sensibly assess a patient. Coagulation disorders are less common,…

Paediatric history-taking is vital because it usually holds the key to the diagnosis. Diagnosis involves a recurring cycle where you formulate and test hypotheses. As you collect more information about…

The principle is simple. The examiners first determine what is required of the candidate. A standardized question is given to the candidate (e.g. please examine this 4-year-old boy’s cardiovascular system),…

13 Abnormal growth and sex development Chapter map Concerns about growth feature commonly in paediatric outpatient clinics, and sometimes result in admission. You need to be comfortable in assessing normal…