By William W. Hay Jr., Myron J. Levin, Robin R. Deterding, Mark J. Abzug
The so much sensible, up to date, well-referenced consultant to the analysis and remedy of the scientific difficulties of youngsters – from delivery to adolescence
· Organized by way of basic subject matters and by means of organ systems
· Provides concise, evidence-based details at the wide variety of pediatric health conditions regularly encountered in day-by-day scientific practice
· Includes precise descriptions of ailments in addition to diagnostic and healing procedures
· Delivers succinct, authoritative overviews of vital pediatric overall healthiness matters, akin to adolescence foodstuff and consuming problems, substance abuse, psychiatric issues, baby abuse, oral medication and dentistry, and emergencies and injuries
· Thoroughly revised to mirror the most recent examine findings and perform updates, so much significantly chapters dedicated to immunizations, endocrinology, neurologic and muscular problems, severe care, and HIV
· Complemented by means of a wealth of tables and figures that offer easy accessibility to big details, resembling acute and important care tactics, anti-infective brokers, drug dosages, immunization schedules, differential prognosis, and developmental disorders
· Complete with priceless consultant to common laboratory values
LANGE
Emphasizes the medical elements of pediatric care whereas additionally overlaying very important underlying principles
Presented within the time-saving LANGE present type: challenge, necessities of prognosis, scientific Findings, Differential analysis, therapy, and Prognosis
Essential for pediatricians, family members practitioners, citizens, health care professional assistants, nurses and nurse practitioners, and different future health care prone who paintings with babies, little ones, and adolescents
Written by way of skilled pediatricians – this version comprises 19 NEW AUTHORS
Read Online or Download Current Diagnosis and Treatment Pediatrics PDF
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Extra info for Current Diagnosis and Treatment Pediatrics
Sample text
The normal newborn is deficient in antioxidants such as vitamin E, catalase, and superoxide dismutase. Bilirubin is a potent antioxidant and peroxyl scavenger and may protect the newborn from oxygen toxicity in the first days of life. Approximately 8–10% of newborns develop excessive hyperbilirubinemia (TSB > 17 mg/dL), and 1–2% have TSB above 20 mg/dL. Extremely high and potentially dangerous TSB levels are rare. Approximately 1 in 700 infants have TSB higher than 25 mg/dL, and 1 in 10,000 have TSB above 30 mg/dL.
Some IUGR infants have hyperinsulinemia that persists for a week or more. C. Other Causes of Hypoglycemia Hypoglycemia occurs in disorders with islet cell hyperplasia. These include the Beckwith-Wiedemann syndrome, erythroblastosis fetalis, genetic forms of hyperinsulinism, inborn errors of metabolism such as glycogen storage disease and galactosemia, and endocrine disorders such as panhypopituitarism and counterregulatory hormone deficiency. Hypoglycemia also occurs, probably secondary to stress, in infants with birth asphyxia, hypoxia, and bacterial and viral sepsis.
The most severe form of Rh isoimmunization, erythroblastosis fetalis, is characterized by life-threatening anemia, generalized edema, and fetal or neonatal heart failure. Without antenatal intervention, fetal or neonatal death may result. The cornerstone of antenatal management is transfusion of the fetus with Rh-negative cells, either directly into the umbilical vein or into the fetal abdominal cavity. Phototherapy is usually started in these infants upon delivery, with exchange transfusion given if needed.