Endocrine Disorders

Dec 15, 2016 by in PEDIATRICS Comments Off on Endocrine Disorders

FEEDBACK CONTROL OF HORMONE SECRETION Hormone secretion is regulated, for the most part, by feedback in response to changes in the internal environment. When the metabolic imbalance is corrected, stimulation…

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Respiratory Tract Mediastinum

Dec 15, 2016 by in PEDIATRICS Comments Off on Respiratory Tract Mediastinum

Bogue CW: Genetic and molecular basis of airway and lung development. In Haddad GG et al (eds): Basic Mechanisms of Pediatric Respiratory Disease. BC Decker; 2002. Burri P: Structural aspects…

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Cardiovascular Diseases

Dec 15, 2016 by in PEDIATRICS Comments Off on Cardiovascular Diseases

PHYSICAL EXAMINATION General The examination begins with a visual assessment of mental status, signs of distress, perfusion, and skin color. Documentation of heart rate, respiratory rate, blood pressure (in all…

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Ear, Nose, Throat

Dec 15, 2016 by in PEDIATRICS Comments Off on Ear, Nose, Throat

Otitis Externa ESSENTIALS OF DIAGNOSIS Edema and erythema of the external auditory canal (EAC) with debris or thick, purulent discharge. Severe ear pain, worsened by manipulation of the pinna. Periauricular…

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Inborn Errors of Metabolism

Dec 15, 2016 by in PEDIATRICS Comments Off on Inborn Errors of Metabolism

Table 36–2. Obtaining and handling samples to diagnose inborn errors. Laboratory studies are almost always needed for the diagnosis of inborn errors. Serum electrolytes and pH should be used to…

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Genetics Dysmorphology

Dec 15, 2016 by in PEDIATRICS Comments Off on Genetics Dysmorphology

Figure 37–1. Normal male and female human karyotype. (Courtesy of the Colorado Genetics Laboratory.) Cell Division Cells undergo cycles of growth and division that are controlled according to their needs…

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Skin

Dec 15, 2016 by in PEDIATRICS Comments Off on Skin

TREATMENT OF SKIN DISORDERS Topical Therapy Treatment should be simple and aimed at preserving normal skin physiology. Topical therapy is often preferred because medication can be delivered in optimal concentrations…

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Immunodeficiency

Dec 15, 2016 by in PEDIATRICS Comments Off on Immunodeficiency

Figure 33–1. General approach to primary immunodeficiencies. Key clinical patterns can indicate the presence of a PID and the category of immune impairment. Frequency, severity, and age of onset of…

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Immunization

Dec 15, 2016 by in PEDIATRICS Comments Off on Immunization

Because the field of immunizations is rapidly changing, it is important for healthcare providers to seek the most cup-to-date information available. The immunization recommendations outlined in this chapter are current…

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The Newborn Infant

Dec 15, 2016 by in PEDIATRICS Comments Off on The Newborn Infant

Disappearance of the anterior vascular capsule of the lens is also helpful in determining gestational age. Until 27–28 weeks’ gestation, the lens capsule is covered by vessels; by 34 weeks,…

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