By Ronny Cheung, Aubrey Cunnington, Simon Drysdale, Joseph Raine, Joanna Walker
The hot variation of this best-selling name from the preferred a hundred instances sequence explores universal paediatric eventualities that might be encountered via the scientific pupil and junior health care provider in the course of useful education at the ward, within the emergency division, in outpatient clinics and in the neighborhood, and that are prone to function in qualifying examinations. The ebook covers a entire diversity of displays from cough to constipation, equipped through sub-specialty zone for ease of reference. entire solutions spotlight key take domestic issues from every one case and supply functional recommendation on tips to take care of the demanding situations that happen while practicing paediatric medication in any respect degrees.
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Extra resources for 100 Cases in Paediatrics
He is afebrile. He is not dehydrated. His pulse is 84 beats/min and his capillary refill time is Ͻ2 s. Examination of the respiratory and abdominal systems is normal. 4 kPa 22–29 mmol/L Questions • What is the diagnosis? • What should happen next? • List the topics that need to be discussed with his family? 45 100 Cases in Paediatrics ANSWER 14 The diagnosis is type 1 diabetes mellitus (T1DM), by far the commonest form of diabetes in childhood characterized by pancreatic β-cell dysfunction with insulin deficiency.
30) as well as having ketonuria. Education and support from a multidisciplinary specialist team are crucial.
Lower lobe pneumonia should always be on the list of differential diagnoses for abdominal pain in children. Young children rarely localize pain but observation should establish whether they have pleuritic pain – they may have shallow breathing or may simply sit very still, hardly moving the affected side. The most likely causative organism is Streptococcus pneumoniae. However, a diagnosis is rarely made from sputum analysis because children tend to swallow their sputum. Blood cultures may be positive.