By Graham Clayden MD FRCPCH FHEA, Tom Lissauer MB BChir FRCPCH
Winner of the 2012 British clinical organization e-book awards' first prize within the paediatrics category!
This is the fourth edition of a hugely popular 'must have textbook for paediatrics for scientific students'. the former version has been translated into 8 languages and likewise gained British scientific organization and Royal Society of medication prizes for the easiest paediatrics textbook.
- New part on baby protection
- New part on international paediatrics
- Over fifty new images
- Thoroughly revised and up to date throughout
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Extra info for Illustrated Textbook of Paediatrics : With STUDENT CONSULT Online Access
Pulls off some clothing (h) Parallel play. Interactive play evolving. 7 Social, emotional and behavioural development (median ages). 8 Diagram highlighting the ages when there is the most rapid emergence of skills in each developmental field. 5 years. Understanding the time when acceleration in each skill field becomes more obvious and knowing the child’s age helps guide the direction of initial developmental questioning. Thus for a child aged: <18 months – it is likely to be most useful to begin questions around gross motor abilities, acquisition of vision and hearing skills, followed by questions about hand skills.
It is occasionally seen in inflammatory bowel disease or cirrhosis. Tachypnoea Initial observations Careful observation is usually the key to success in examining children. Look before touching the child. Inspection will provide information on: • • • • severity of illness growth and nutrition behaviour and social responsiveness level of hygiene and care. Severity of illness Is the child sick or well? If sick, how sick? For the acutely ill infant or child, perform the ‘60-second rapid assessment’: • Airway and Breathing – respiration rate and effort, presence of stridor or wheeze, cyanosis • Circulation – heart rate, pulse volume, peripheral temperature, capillary refill time • Disability – level of consciousness.
Other signs: • • • Dilated veins in liver disease, abdominal striae Operative scars (draw a diagram) Peristalsis – from pyloric stenosis, intestinal obstruction. g. coeliac disease or malnutrition? Palpation • Use warm hands, explain, relax the child and keep the parent close at hand. First ask if it hurts. • Palpate in a systematic fashion – liver, spleen, kidneys, bladder, through four abdominal quadrants. • Ask about tenderness. Watch the child’s face for grimacing as you palpate. A young child may become more cooperative if you palpate first with their hand or by putting your hand on top of theirs.