By Lloyd J. Brown, Lee T. Miller
Like different titles within the Board evaluation sequence, BRS Pediatrics is designed to provide scholars a powerful origin for next studying in either basic care and subspecialty pediatrics. BRS Pediatrics gains: A complete evaluate of the fundamental rules of pediatrics unique info for the pediatric subinternships and pediatric subspecialty rotations Case-based evaluate assessments (simulating USMLE Step 2 questions) on the finish of every bankruptcy causes for the proper solutions and the wrong responses with cross-references to the perfect textual content for scholar follow-up End-of-book complete 100-question exam you can find that BRS Pediatrics could be an fundamental source for the pediatric rotation, the top of rotation examination, and the USMLE Step 2.
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Trial of desmopressin (DDAVP) (D). Trial of imipramine (E). Psychological counseling 5. 5]. This child's history is concerning for a potential neurologic abnormality because of the reported tripping. The abnormal anal wink reflex on examination suggests spinal cord compression or spinal nerve entrapment and the need for neuroimaging studies. Bladder stretching exercises may be appropriate for the child who wets when his functional bladder capacity is exceeded, but the history here does not suggest that small bladder capacity is the problem.
History. Parents describe a child who suddenly arouses screaming and thrashing with signs of autonomic arousal such as tachypnea, tachycardia, and diaphoresis. The child does not respond to visual or verbal cues, and parents report the child stares glassy-eyed without seeing. The child does not remember the incident the next day. ◊ Management. Reassuring parents and telling them that the episodes usually terminate spontaneously and will resolve over time is helpful. E. Eating Problems • Overfeeding during infancy is common.
C). Beginning an empiric trial of stimulant medication to see whether his symptoms improve with pharmacologic intervention. (D). Working with the school to modify the boy's assignments and the classroom setting. (E). Referring to a counselor for self-esteem enhancement, social skills training, and behavior modification. 8. D]. It is important to establish the correct diagnosis before beginning therapeutic interventions. This child does not meet the criteria for the diagnosis of attention deficit/hyperactivity disorder (ADHD) because his symptoms appeared after 7 years of age and are present in only one setting (school).