Current Clinical Strategies: Pediatric History and Physical by Elizabeth K., M.D. Albright

By Elizabeth K., M.D. Albright

This guide teaches the high quality paintings of background and actual exam of kids. it truly is geared up by way of illness and symptom, that includes a comp lete evaluation of heritage, actual exam, and differential diagnos is for every affliction. it really is worthy for clinical scholars, citizens, and physicians in perform.

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Inability to pass meconium (cystic fibrosis), failure to thrive, irritability. Newborn hypoglycemia, lethargy after the first formula feedings (carbohydrate metabolic disorders). Medications: Acetaminophen, isoniazid, phenytoin. Family History: Liver disease, familial jaundice, lung disease, alpha1-antitrypsin deficiency. History of perinatal infant death (metabolic disorders). Social History: IV drug abuse, alcohol, exposure to hepatitis. Jaundice and Hepatitis 49 Historical Findings in Jaundice Neonate Older Child Family history: Familial jaundice, emphysema, infant deaths Prenatal history: Infection in pregnancy, maternal risk for hepatitis, medications Perinatal history: Hypoglycemia, vomiting, leth­ argy with feedings, failure to pass meconium, icterus, acholic stools.

Rectal Examination: Impacted stool, masses, tenderness; gross or occult blood. Perianal Examination: Fissures, fistulas, hemorrhoids, skin tags, soiling (fecal 42 Recurrent Abdominal Pain or urinary incontinence). Male Genital Examination: Hernias, undescended testes, hypospadias. Female Genital Examination: Urethra, distal vagina, trauma; imperforate hymen. Pelvic examination in pubertal girls. Cervical discharge, adnexal tenderness, masses, cervical motion tenderness. Extremities: Edema, digital clubbing.

Acute Abdominal Pain and the Acute Abdomen 41 Gastrointestinal Disorders Acute Abdominal Pain and the Acute Abdomen Chief Complaint: Abdominal pain. History of Present Illness: Duration of pain, location of pain; characteristics of pain (diffuse, burning, crampy, sharp, dull); constant or intermittent; fre­ quency. Effect of eating, defecation, urination, movement. Characteristics of last bowel movement. Relation to last menstrual period. Relationship to meals. What does the patient do when the pain occurs?

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