By Kenneth B. Roberts
Now in its up to date 5th variation, this Spiral guide is a convenient fast reference advisor to the administration of significant medical difficulties in pediatrics. In one hundred ten conicse and simple to learn chapters, the handbook presents the basic info the clinician wishes in the course of workplace visits or at the wards. assurance encompases the whole variety of emergent, acute and protracted problems, in addition to difficulties regarding progress, improvement and behavior. for every problems, the e-book succinctly summarises the essentialpathophysiology,clinical presentation, diagnostic work-up and ideas of therapy. conscientiously chosen and annotated references are supplied for every subject
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Extra info for Manual of Clinical Problems in Pediatrics
Med. ) 14. FEVER AND ANTIPYRESIS Manual of Clinical Problems in Pediatrics 14. FEVER AND ANTIPYRESIS Kenneth B. Roberts and Olakunle B. Akintemi Reviews Thermometry Fever Antipyresis: General Antipyretics Fever of Unknown Origin Other Perhaps the most common and the most distressing sign of childhood illness to both parents and pediatricians is fever. Although the cause is usually viral, self-limited, and benign, fever is considered synonymous with disease and, thus, often elicits considerable concern.
Primary prevention is the best strategy; 53 references. 14. Quan, L. Near-drowning. Pediatr. Rev. 20:255–259, 1999. At the scene, in the emergency department, and in the intensive care unit—plus outcome and prevention. 15. American Academy of Pediatrics Committee on Injury and Poison Prevention. Drowning in infants, children, and adolescents. Pediatrics 92:292–294, 1993. Supplement this with the report from the Committee on Sports Medicine, which reviewed infant swimming programs and concluded it unlikely that infants can be made “water safe” ( Pediatrics 105:868–870, 2000).
Bradycardia, hypertension, and irregular respirations (Cushing triad) suggest increased ICP with brainstem compression and impending herniation. The scalp is examined for lacerations, swellings, and depression, and in infants the anterior fontanelle is palpated. Signs of basilar skull fractures should be noted. Pupillary response, extraocular muscles, muscle tone, posture, deep tendon reflexes, and motor movement are evaluated. The Glasgow coma scale, which consists of evaluation of eye opening, best motor response, and best verbal response, is a more detailed neurologic evaluation used to assess level of consciousness in head injuries.