Blueprints Pediatrics - download pdf or read online

Blueprints Pediatrics - download pdf or read online

By Bradley S. Marino MD MPP MSCE, Katie S. Fine MD

Blueprints Pediatrics offers scholars with a concise, "need-to-know" assessment for the pediatrics rotation and the forums. each one bankruptcy is short, written in narrative structure, and contains pedagogical gains similar to bolded keyword phrases, tables, figures, and key issues. This version contains 2 new sections -- For the forums, which provides 10 USMLE-style questions (answers & rationales on the finish of the e-book) and For the Wards, a piece of two case reviews in step with chapters -- forty to 50 instances, overall. This version comprises 26 full-color dermatology and infectious ailment images and multicolored circulate diagrams of congenital center defects. an internet site on thePoint comprises the book and 50-100 bonus questions in a query bank.

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Laboratory Evaluation Seemingly unaffected infants who are at increased risk (suspected chorioamnionitis, maternal fever/leukocytosis, inadequate intrapartum prophylaxis, prolonged rupture of membranes) and afebrile infants with subtle/transient signs of possible early sepsis should have a complete blood count and blood culture drawn. Various algorithms exist regarding the use of the white blood cell count, differential, and serial C-reactive protein levels to guide “watchful waiting” versus 48 hours of antibiotic therapy until culture results are known.

Thus, the infant can generate sufficient inhalation with lower intrathoracic pressures. Conversely, surfactant deficiency results in poor compliance, leading to progressive atelectasis, intrapulmonary shunting, hypoxemia, and cyanosis. Since fetal lung maturity is generally attained by 34 weeks’ gestation, RDS is considered a disease of prematurity, and the incidence increases with decreasing gestational age. However, RDS does occur uncommonly in term and near-term infants, either through incorrect dating of the pregnancy or delayed cell maturation/ surfactant production.

This is generally all that is needed. Rarely, intubation and ­mechanical ventilation may be necessary for a short time. NEONATAL PNEUMONIA Pneumonia is the most common neonatal infection. Pathogens may include many of those detailed in Table 2-3; however, the most common agents are bacterial (group B Streptococcus; Escherichia coli; Klebsiella species). Initial signs are generally those of respiratory distress; indeed, the clinical and radiographic presentation of pneumonia may be indistinguishable from MAS, RDS, and TTN.

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