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Title Page
Table of Contents
Copyright
Dedication
Contributors
Preface
Videos
Volume 1
Part I The Field of Pediatrics
Chapter 1 Overview of Pediatrics
Vital Statistics About Children's Health Globally
The Changing Pediatric World
The New Morbidities
Chronic Illness and Children With Special Health Care Needs
Systems of Care
Bibliography
Chapter 2 Child Health Disparities
Determinants of Health and Health Disparities
Disparities in Child Health and Healthcare:
Approaches to Eradicating Disparities: Interventions
Keywords
Racism as Social Determinant
Explaining Racial Disparities: A Taxonomy of Racism
Opportunities to Address Racism
Bibliography
Bibliography
Chapter 3 Global Child Health
Global Burden and Trends in Child Health
Social Determinants of Child Health
Evidence-Based Interventions and Innovations to Address Child Health Inequities
Challenges in Global Health
Bibliography
Chapter 4 Quality and Value in Healthcare for Children
The Need for Improvement in Quality and Value
What Is Quality?
Framework for Quality
Developing Guidelines to Establish the Standard for Quality
Improving Quality
Measuring Quality
Analyzing Quality Data
Comparing and Reporting Quality
Implications of the U.S. Healthcare Reform for Quality
Information Technology and Quality Improvement
Expanding Individual Quality Improvement Initiatives to Scale
Bibliography
Chapter 5 Safety in Healthcare for Children
Error vs Harm
Safety Frameworks
Identifying and Analyzing Harm, Errors, and Latent Threats
Safety Culture
Reliability Science and High-Reliability Organizations
Serious Harm Events and Healthcare-Associated Conditions
Safety Opportunities and Gaps
Emerging Areas of Safety Research and Improvement
Bibliography
Chapter 6 Ethics in Pediatric Care
Assent and Parental Permission
Treatment of Critically Ill Children
Neonatal Ethics
Declaring Death and Organ Donation
Religious or Cultural Objections to Treatment
Pediatric Ethics Committees and Ethics Consultation
Newborn Screening
Genetics, Genomics, and Precision Medicine
Adolescent Healthcare
Research
Balancing Maternal and Fetal Interests
Justice and Pediatric Ethics
Emerging Issues
Bibliography
Chapter 7 Pediatric Palliative Care
Care Settings
Communication, Advance Care Planning, and Anticipatory Guidance
Bibliography
Chapter 8 Domestic and International Adoption
Domestic Adoption
Intercountry Adoption
Role of Pediatricians
Bibliography
Chapter 9 Foster and Kinship Care
Epidemiology
Legislation in the United States
Early Childhood Trauma Leads to Poor Health Outcomes
Health Issues
Healthcare for Children and Adolescents in Foster Care
Bibliography
Chapter 10 Medical Evaluation of the Foreign-Born Child
Commonly Encountered Infections
Immunizations
Bibliography
Chapter 11 Cultural Issues in Pediatric Care
What Is Culture?
Culturally Informed Care
Bibliography
Chapter 12 Maximizing Children's Health
Periodicity Schedule and Guidelines
Tasks of Well-Child Care
Infancy and Early Childhood
Middle Childhood and Adolescence
Office Intervention for Behavioral and Mental Health Issues
Evidence
Caring for the Child and Youth in the Context of the Family and Community
Bibliography
Chapter 13 Injury Control
Scope of the Problem
Principles of Injury Control
Risk Factors for Childhood Injuries
Mechanisms of Injury
Psychosocial Consequences of Injuries
Bibliography
Chapter 14 Impact of Violence on Children
Impacts of Violence
Keywords
Bullying and Cyberbullying
School Violence
Treatment and Prevention of Bullying and School Violence
Bibliography
Resources
Keywords
Screening
Recommendations (see Table 14.1)
Bibliography
Resources
Keywords
Susceptibility of Children in Times of War
Psychological Impact of War
Efforts to Protect Children From the Effects of War
Role of Pediatricians and Allied Health Professionals
Bibliography
Bibliography
Chapter 15 Child Trafficking for Sex and Labor
Clinical Presentation
Approach to the Potentially Trafficked Child
Examination and Diagnostic Testing
Referrals and Resources
Bibliography
Chapter 16 Abused and Neglected Children
Definitions
Incidence and Prevalence
Etiology
Clinical Manifestations
General Principles for Assessing Possible Abuse and Neglect
General Principles for Addressing Child Maltreatment
Outcomes of Child Maltreatment
Prevention of Child Abuse and Neglect
Advocacy
Keywords
Definition
Presentation of Sexual Abuse
Role of General Pediatrician in Assessment and Management of Possible Sexual Abuse
Physical Examination of the Child With Suspected Sexual Abuse
Additional Management
Sexual Abuse Prevention
Bibliography
Keywords
Clinical Manifestations
Diagnosis
Treatment
Bibliography
Bibliography
Chapter 17 Strategies for Health Behavior Change
Unified Theory of Behavior Change
Transtheoretical Model of Health Behavior Change
Common Factors Approach
Motivational Interviewing
Shared Decision-Making
Bibliography
Part II Growth, Development, and Behavior
Chapter 18 Developmental and Behavioral Theories
Biopsychosocial Model and Ecobiodevelopmental Framework: Models of Development
Bibliography
Chapter 19 Positive Parenting and Support
The Importance of Parenting
The Role of the Family
Parenting Styles
Child Temperament
Child Behavioral Problems
Defining Positive Parenting
Parenting as an Intervention
The Role of the Pediatrician
Bibliography
Chapter 20 Assessment of Fetal Growth and Development
Somatic Development
Neurologic Development
Behavioral Development
Psychologic Changes in Parents
Threats to Fetal Development
Bibliography
Chapter 21 The Newborn
Parental Role in Mother–Infant Attachment
The Infant's Role in Mother–Infant Attachment
Implications for the Pediatrician
Bibliography
Chapter 22 The First Year
Age 0-2 Months
Age 2-6 Months
Age 6-12 Months
Bibliography
Chapter 23 The Second Year
Age 12-18 Months
Age 18-24 Months
Bibliography
Chapter 24 The Preschool Years
Structural Development of the Brain
Physical Development
Language, Cognition, and Play
Bibliography
Chapter 25 Middle Childhood
Physical Development
Cognitive Development
Social, Emotional, and Moral Development
Bibliography
Chapter 26 Adolescence
Chapter 27 Assessment of Growth
Techniques to Measure Growth
Growth Curves
Other Growth Considerations
Bibliography
Chapter 28 Developmental and Behavioral Surveillance and Screening
Developmental and Behavioral Surveillance
Developmental and Behavioral Screening
Beyond Surveillance and Screening
Bibliography
Chapter 29 Childcare
Provision, Regulation, and Use of Childcare in America
Childcare's Role in Child Health and Development
Role of Pediatric Providers in Childcare
Bibliography
Chapter 30 Loss, Separation, and Bereavement
Separation and Loss
Divorce
Move/Family Relocation
Separation Because of Hospitalization
Military Families
Parental/Sibling Death
Grief and Bereavement
Developmental Perspective
Role of the Pediatrician in Grief
Treatment
Spiritual Issues
Bibliography
Chapter 31 Sleep Medicine
Basics of Sleep and Chronobiology
Developmental Changes in Sleep
Common Sleep Disorders
Health Supervision
Evaluation of Pediatric Sleep Problems
Bibliography
Part III Behavioral and Psychiatric Disorders
Chapter 32 Psychosocial Assessment and Interviewing
Aims of Assessment
Presenting Problems
General Principles of the Psychosocial Interview
Indications for Referral
Psychiatric Diagnostic Evaluation
Special Considerations in the Diagnostic Evaluation of Infants and Young Children
Bibliography
Chapter 33 Psychopharmacology
Stimulants and Other ADHD Medications
Antidepressants
Antipsychotics
Mood Stabilizers
Medication Use in Physical Illness
Bibliography
Chapter 34 Psychotherapy and Psychiatric Hospitalization
Psychotherapy
Psychiatric Hospitalization
Bibliography
Chapter 35 Somatic Symptom and Related Disorders
Epidemiology
Risk Factors
Assessment
Management
Bibliography
Chapter 36 Rumination and Pica
Epidemiology
Etiology and Differential Diagnosis
Treatment
Bibliography
Epidemiology
Etiology and Differential Diagnosis
Treatment
Bibliography
Chapter 37 Motor Disorders and Habits
Description
Clinical Course
Epidemiology
Differential Diagnosis
Comorbidities
Etiology
Sequelae
Screening
Assessment
Treatment
Description
Clinical Course
Epidemiology
Comorbidity
Differential Diagnosis
Etiology
Treatment
Habits
Bibliography
Chapter 38 Anxiety Disorders
Anxiety Associated With Medical Conditions
Safety and Efficacy Concerns About SSRIs
Bibliography
Chapter 39 Mood Disorders
Description
Epidemiology
Clinical Course
Differential Diagnosis
Comorbidity
Sequelae
Etiology and Risk Factors
Prevention
Screening/Case Finding
Early Intervention
Treatment
Level of Care
Bibliography
Description
Epidemiology
Clinical Course
Differential Diagnosis
Comorbidity
Sequelae
Etiology and Risk Factors
Prevention
Case Finding
Treatment
Level of Care
Bibliography
Chapter 40 Suicide and Attempted Suicide
Epidemiology
Risk Factors
Assessment and Intervention
Prevention
Bibliography
Chapter 41 Eating Disorders
Definitions
Epidemiology
Pathology and Pathogenesis
Clinical Manifestations
Differential Diagnosis
Laboratory Findings
Complications
Treatment
Prognosis
Prevention
Bibliography
Chapter 42 Disruptive, Impulse-Control, and Conduct Disorders
Description
Epidemiology
Clinical Course
Differential Diagnosis
Comorbidity
Sequelae
Etiology and Risk Factors
Prevention
Screening/Case Finding
Early Intervention
Treatment
Level of Care
Bibliography
Chapter 43 Tantrums and Breath-Holding Spells
Bibliography
Chapter 44 Lying, Stealing, and Truancy
Lying
Stealing
Truancy
Bibliography
Chapter 45 Aggression
Bibliography
Chapter 46 Self-Injurious Behavior
Bibliography
Chapter 47 Childhood Psychoses
Description
Epidemiology
Clinical Course
Differential Diagnosis
Comorbidity
Sequelae
Etiology and Risk Factors
Neuroanatomic Abnormalities
Prevention
Screening/Case Finding
Assessment
Treatment
Bibliography
Bibliography
Diagnosis and Treatment
Bibliography
Clinical Manifestations
Diagnosis and Differential Diagnosis
Treatment
Bibliography
Part IV Learning and Developmental Disorders
Chapter 48 Neurodevelopmental and Executive Function and Dysfunction
Terminology and Epidemiology
Etiology and Pathogenesis
Core Neurodevelopmental Functions
Clinical Manifestations
Assessment and Diagnosis
Treatment
Bibliography
Chapter 49 Attention-Deficit/Hyperactivity Disorder
Etiology
Epidemiology
Pathogenesis
Clinical Manifestations
Diagnosis and Differential Diagnosis
Treatment
Prognosis
Prevention
Bibliography
Chapter 50 Dyslexia
Etiology
Epidemiology
Pathogenesis
Clinical Manifestations
Diagnosis
Management
Prognosis
Bibliography
Chapter 51 Math and Writing Disabilities
Keywords
Math Learning Disability Defined
Epidemiology
Causes of Math Learning Disability
Treatment and Interventions
Bibliography
Keywords
Epidemiology
Skill Deficits Associated With Impaired Writing
Treatment
Bibliography
Chapter 52 Language Development and Communication Disorders
Normal Language Development
Language and Communication Disorders
Motor Speech Disorders
Hearing Impairment
Hydrocephalus
Rare Causes of Language Impairment
Noncauses of Language Delay
Treatment
Prognosis
Comorbid Disorders
Keywords
Epidemiology
Genetics
Etiology
Comorbidities
Developmental Progression
Treatment
Bibliography
Bibliography
Chapter 53 Developmental Delay and Intellectual Disability
Definition
Etiology
Epidemiology
Pathology and Pathogenesis
Clinical Manifestations
Diagnostic Evaluation
Differential Diagnosis
Diagnostic Psychologic Testing
Complications
Prevention
Treatment
Supportive Care and Management
Prognosis
Bibliography
Chapter 54 Autism Spectrum Disorder
Definition
Diagnostic Criteria and Symptoms
Epidemiology
Etiology
Differential Diagnosis
Comorbid Conditions
Screening
Assessment
Treatment and Management
Outcome
Bibliography
Part V Nutrition
Chapter 55 Nutritional Requirements
Dietary Reference Intakes
Energy
Fat
Protein
Carbohydrates
Fiber
Micronutrients
Water
Measuring Nutritional Adequacy
Bibliography
Chapter 56 Feeding Healthy Infants, Children, and Adolescents
Feeding During the First Year of Life
Cow's Milk Protein–Based Formulas
Soy Formulas
Protein Hydrolysate Formulas
Amino Acid Formulas
Milk and Other Fluids in Infants and Toddlers
Complementary Feeding
Feeding Toddlers and Preschool-Age Children
Feeding School-Age Children and Adolescents
Nutrition Issues of Importance Across Pediatric Ages
Bibliography
Chapter 57 Nutrition, Food Security, and Health
Malnutrition as the Intersection of Food Insecurity and Health Insecurity
Food Security
Undernutrition
Severe Acute Malnutrition
Bibliography
Chapter 58 Refeeding Syndrome
Bibliography
Chapter 59 Malnutrition
Clinical Manifestations
Etiology and Diagnosis
Treatment
Prognosis
Bibliography
Chapter 60 Overweight and Obesity
Epidemiology
Body Mass Index
Etiology
Comorbidities
Identification
Evaluation
Intervention
Prevention
Keywords
Clinical Manifestations
Diagnosis
Management
Etiology: Studies and Hypotheses
Differential Diagnosis
Bibliography
Bibliography
Chapter 61 Vitamin A Deficiencies and Excess
Overview of Vitamin A
Metabolism of Vitamin A
Functions of Vitamin A and Mechanisms of Action
Vitamin A Deficiency
Hypervitaminosis A
Bibliography
Chapter 62 Vitamin B Complex Deficiencies and Excess
Keywords
Thiamine Deficiency
Thiamine Toxicity
Bibliography
Keywords
Riboflavin Deficiency
Riboflavin Toxicity
Bibliography
Keywords
Niacin Deficiency
Niacin Toxicity
Bibliography
Keywords
Vitamin B6 Deficiency
Vitamin B6 Toxicity
Bibliography
Keywords
Bibliography
Keywords
Folate Deficiency
Folate Toxicity
Bibliography
Keywords
Vitamin B12 Deficiency
Bibliography
Chapter 63 Vitamin C (Ascorbic Acid) Deficiency and Excess
Dietary Needs and Sources of Vitamin C
Vitamin C Deficiency
Vitamin C Toxicity
Bibliography
Chapter 64 Vitamin D Deficiency (Rickets) and Excess
Rickets
Vitamin D Disorders
Calcium Deficiency
Phosphorus Deficiency
Rickets of Prematurity
Distal Renal Tubular Acidosis
Hypervitaminosis D
Bibliography
Chapter 65 Vitamin E Deficiency
Pathogenesis
Clinical Manifestations
Laboratory Findings
Diagnosis and Differential Diagnosis
Treatment
Prognosis
Prevention
Bibliography
Chapter 66 Vitamin K Deficiency
Pathogenesis
Clinical Manifestations
Diagnosis and Differential Diagnosis
Treatment
Prevention
Bibliography
Chapter 67 Micronutrient Mineral Deficiencies
Bibliography
Part VI Fluid and Electrolyte Disorders
Chapter 68 Electrolyte and Acid-Base Disorders
Keywords
Total Body Water
Fluid Compartments
Electrolyte Composition
Osmolality
Point-of-Care Testing
Bibliography
Keywords
Regulation of Osmolality
Regulation of Volume
Bibliography
Keywords
Sodium Metabolism
Hypernatremia
Hyponatremia
Bibliography
Keywords
Potassium Metabolism
Hyperkalemia
Hypokalemia
Bibliography
Keywords
Magnesium Metabolism
Hypomagnesemia
Hypermagnesemia
Bibliography
Keywords
Phosphorus Metabolism
Hypophosphatemia
Hyperphosphatemia
Bibliography
Keywords
Acid-Base Physiology
Normal Acid-Base Balance
Clinical Assessment of Acid-Base Disorders
Metabolic Acidosis
Metabolic Alkalosis
Respiratory Acidosis
Respiratory Alkalosis
Bibliography
Chapter 69 Maintenance and Replacement Therapy
Maintenance Therapy
Maintenance Water
Intravenous Solutions
Glucose
Selection of Maintenance Fluids
Variations in Maintenance Water and Electrolytes
Replacement Fluids
Bibliography
Chapter 70 Deficit Therapy
Clinical Manifestations
Laboratory Findings
Calculation of the Fluid Deficit
Approach to Severe Dehydration
Monitoring and Adjusting Therapy
Hyponatremic Dehydration
Hypernatremic Dehydration
Bibliography
Chapter 71 Fluid and Electrolyte Treatment of Specific Disorders
Acute Diarrhea
Pyloric Stenosis
Perioperative Fluids
Part VII Pediatric Drug Therapy
Chapter 72 Pediatric Pharmacogenetics, Pharmacogenomics, and Pharmacoproteomics
Definition of Terms
Developmental or Pediatric Pharmacogenetics and Pharmacogenomics
Drug Biotransformation: Applications to Pediatric Therapy
Pharmacogenetics of Drug Transporters
Polymorphisms in Drug Receptors
Current and Future Applications in Pediatrics
Bibliography
Chapter 73 Principles of Drug Therapy
General Pharmacokinetic and Pharmacodynamic Principles
Impact of Ontogeny on Drug Disposition
Impact of Ontogeny on Pharmacodynamics
Additional Considerations in Pediatric Therapeutics
Drug Formulation and Administration
Adherence and Compliance
Drug-Drug Interactions
Adverse Drug Reactions
Personalized Medicine
Bibliography
Chapter 74 Anesthesia and Perioperative Care
Preanesthetic Evaluation
Preoperative Preparation
General Anesthesia
Induction of General Anesthesia
Maintenance of Anesthesia
Postanesthesia Care Unit
Postoperative Pain Management
Keywords
Bibliography
Bibliography
Chapter 75 Procedural Sedation
Bibliography
Chapter 76 Pediatric Pain Management
Definition and Categories of Pain
Assessment and Measurement of Pain in Children
Conceptual Framework for Treatment of Pediatric Pain
Unconventional Medications in Pediatric Pain
Nonpharmacologic Treatment of Pain
Invasive Interventions for Treating Pain
Intrathecal Analgesia
Nerve Ablation and Destruction
Considerations for Special Pediatric Populations
Chronic and Recurrent Pain Syndromes
Managing Complex Chronic Pain Problems
Bibliography
Chapter 77 Poisoning
Prevention
Approach to the Poisoned Patient
Principles of Management
Select Compounds in Pediatric Poisoning
Bibliography
Chapter 78 Complementary Therapies and Integrative Medicine
Dietary Supplements
Dietary Supplement Safety
Dietary Supplement Efficacy
Massage and Chiropractic
Mind-Body Therapies
Acupuncture
Cannabis
Bibliography
Part VIII Emergency Medicine and Critical Care
Chapter 79 Emergency Medical Services for Children
Primary Care Physician and Office Preparedness
Pediatric Prehospital Care
The Emergency Department
Keywords
Communications and Dispatch Center
Medical Control Physician
Transport Team
Ground vs Air Ambulance
Transport Physiology
Safety
Family-Centered Care
Referring Hospital Responsibilities
Educational Outreach
Bibliography
Keywords
Outcome Measures in Emergency Medical Services for Children
Risk Adjustment
Bibliography
Keywords
Continuum-of-Care Model
Humanitarian Disasters
Bibliography
Bibliography
Chapter 80 Triage of the Acutely Ill Child
Assessment of Vital Signs
History
Physical Examination
Management
Disposition
Bibliography
Chapter 81 Pediatric Emergencies and Resuscitation
Approach to the Emergency Evaluation of a Child
Recognition and Treatment of Respiratory Distress and Failure
Recognition and Management of Shock
Recognition of Bradyarrhythmias and Tachyarrhythmias
Recognition and Management of Cardiac Arrest
Vascular Access
Nonvascular Emergency Procedures
Postresuscitation Care
Bibliography
Chapter 82 Acute Care of Multiple Trauma
Epidemiology
Regionalization and Trauma Teams
Primary Survey
Secondary Survey
Psychological and Social Support
Bibliography
Chapter 83 Spinal Cord Injuries in Children
Clinical Manifestations
Clearing the Cervical Spine in Children
Treatment
Prevention
Bibliography
Chapter 84 Care of Abrasions and Minor Lacerations
Lacerations and Cuts
Abrasions
Bibliography
Chapter 85 Neurologic Emergencies and Stabilization
Neurocritical Care Principles
Traumatic Brain Injury
Bibliography
Chapter 86 Brain Death
Epidemiology
Clinical Manifestations and Diagnosis
Observation Periods
Ancillary Studies
Documentation
Supportive Care
Objections to the Idea of Brain Death
Bibliography
Chapter 87 Syncope
Mechanisms
Evaluation
Treatment
Keywords
Clinical Presentation
Diagnosis
Management
Bibliography
Bibliography
Chapter 88 Shock
Epidemiology
Types of Shock
Pathophysiology
Clinical Manifestations
Diagnosis
Laboratory Findings
Treatment
Prognosis
Bibliography
Chapter 89 Respiratory Distress and Failure
Respiratory Distress
Respiratory Failure
Monitoring a Child in Respiratory Distress and Respiratory Failure
Management
Keywords
Basic Concepts of Ventilator Management
Noninvasive Mechanical Ventilation
Invasive Mechanical Ventilation
Additional Ventilatory Modalities
Conventional Ventilator Settings
Patient-Ventilator Asynchrony
Monitoring Respiratory Mechanics
Ventilator-Induced Lung Injury
Bibliography
Bibliography
Chapter 90 Altitude-Associated Illness in Children (Acute Mountain Sickness)
Etiology
General Effects of Hypobaric Hypoxia
Acute Mountain Sickness
High-Altitude Cerebral Edema
High-Altitude Pulmonary Edema
Special Considerations
Bibliography
Chapter 91 Drowning and Submersion Injury
Etiology
Epidemiology
Pathophysiology
Management
Prognosis
Prevention
Bibliography
Chapter 92 Burn Injuries
Epidemiology
Prevention
Acute Care, Resuscitation, and Assessment
Treatment
Electrical Burns
Bibliography
Chapter 93 Cold Injuries
Pathophysiology
Etiology
Clinical Manifestations
Cold-Induced Fat Necrosis (Panniculitis)
Bibliography
Part IX Human Genetics
Chapter 94 Integration of Genetics Into Pediatric Practice
Diagnostic Testing
Predictive Testing
Predispositional Testing
Pharmacogenetic Testing
Talking to Families
Genetic Counseling
Physiologic Therapies
Replacement Therapies
Bibliography
Chapter 95 The Genetic Approach in Pediatric Medicine
The Burden of Genetic Disorders in Childhood
The Changing Paradigm of Genetics in Medicine
Ethics Issues
Bibliography
Chapter 96 The Human Genome
Fundamentals of Molecular Genetics
Genetic Variation
Genotype-Phenotype Correlations in Genetic Disease
Human Genome Project
Bibliography
Chapter 97 Patterns of Genetic Transmission
Family History and Pedigree Notation
Mendelian Inheritance
Y-Linked Inheritance
Inheritance Associated With Pseudoautosomal Regions
Digenic Inheritance
Pseudogenetic Inheritance and Familial Clustering
Nontraditional Inheritance
Multifactorial and Polygenic Inheritance
Bibliography
Chapter 98 Cytogenetics
Bibliography
Aneuploidy and Polyploidy
Down Syndrome
Bibliography
Translocations
Inversions
Deletions and Duplications
Insertions
Isochromosomes
Marker and Ring Chromosomes
Bibliography
Turner Syndrome
Klinefelter Syndrome
47,XYY
Bibliography
Bibliography
Pallister-Killian Syndrome
Hypomelanosis of Ito
Uniparental Disomy
Imprinting
Bibliography
Chapter 99 Genetics of Common Disorders
Linkage Mapping
Genetic Association
Bibliography
Chapter 100 Epigenome-Wide Association Studies and Disease
Epigenetic Mechanisms of Disease: Viable Yellow Mouse Model
Epigenetics and Regulation of Gene Expression
Pediatric Diseases Involving Epigenetic Processes
Epigenome-Wide Association Studies: DNA Methylation
Cell Fate Variability as Model for Epigenetics and Disease
Epigenetic Disease and Therapeutic Interventions
Bibliography
Chapter 101 Genetic Approaches to Rare and Undiagnosed Diseases
Scope of Genetic Disease
Clinical Evaluation
Single Nucleotide Polymorphism Arrays
Exome Sequencing
Gene Function Studies
Pediatric Issues
The Diagnostic Spectrum
Bibliography
Part X Metabolic Disorders
Chapter 102 An Approach to Inborn Errors of Metabolism
Newborn Screening
Clinical Manifestations of Genetic Metabolic Diseases
Treatment
Bibliography
Chapter 103 Defects in Metabolism of Amino Acids
Keywords
Severe Phenylalanine Hydroxylase Deficiency (Classic Phenylketonuria)
Hyperphenylalaninemia Caused by Deficiency of the Cofactor Tetrahydrobiopterin
Tetrahydrobiopterin Defects Without Hyperphenylalaninemia
Bibliography
Keywords
Tyrosinemia Type I (Fumarylacetoacetate Hydrolase Deficiency, Hepatorenal Tyrosinemia)
Tyrosinemia Type II (Tyrosine Aminotransferase Deficiency, Richner-Hanhart Syndrome, Oculocutaneous Tyrosinemia)
Tyrosinemia Type III (Primary Deficiency of 4-Hydroxyphenylpyruvate Dioxygenase)
Hawkinsinuria
Transient Tyrosinemia of the Newborn
Alkaptonuria
Tyrosine Hydroxylase Deficiency
Albinism
Bibliography
Keywords
Homocystinuria (Homocystinemia)
Hypermethioninemia
Primary Cystathioninemia (Cystathioninuria)
Bibliography
Keywords
Sulfite Oxidase Deficiency and Molybdenum Cofactor Deficiency
Bibliography
Keywords
Hartnup Disorder
Bibliography
Keywords
Maple Syrup Urine Disease
Branched-Chain α-Ketoacid Dehydrogenase Kinase Deficiency
Branched-Chain Amino Acid Transporter Deficiency
Isovaleric Acidemia
Multiple Carboxylase Deficiencies (Defects of Biotin Cycle)
3-Methylcrotonyl-CoA Carboxylase Deficiency
3-Methylglutaconic Acidurias
β-Ketothiolase (3-Oxothiolase) Deficiency (Mitochondrial Acetoacetyl-CoA Thiolase [T2] Deficiency)
Cytosolic Acetoacetyl-CoA Thiolase Deficiency
Mitochondrial 3-Hydroxy-3-Methylglutaryl-CoA Synthase Deficiency
3-Hydroxy-3-Methylglutaryl-CoA Lyase Deficiency (3-Hydroxy-3-Methylglutaric Aciduria)
Succinyl-CoA:3-Oxoacid-CoA Transferase Deficiency
Mevalonate Kinase Deficiency
Propionic Acidemia (Propionyl-CoA Carboxylase Deficiency)
Isolated Methylmalonic Acidemias
Combined Methylmalonic Aciduria and Homocystinuria (cblC, cblD, cblF, cblJ, and cblX Defects)
Isolated Homocystinuria
Combined Malonic and Methylmalonic Aciduria (ACSF3-Related Disorder)
Bibliography
Hypoglycinemia
Hyperglycinemia
Nonketotic Hyperglycinemia (Glycine Encephalopathy)
Sarcosinemia
Primary Trimethylaminuria
Hyperoxaluria and Oxalosis
Bibliography
Keywords
3-Phosphoglycerate Dehydrogenase Deficiency
Phosphoserine Aminotransferase Deficiency
3-Phosphoserine Phosphatase Deficiency
Bibliography
Keywords
Hyperprolinemia Type I
Hyperprolinemia Type II
Prolidase Deficiency
Disorders of De Novo Proline Synthesis
Bibliography
Keywords
Glutathione Synthetase Deficiency
γ-Glutamyl Transpeptidase Deficiency (Glutathionemia)
Genetic Disorders of Metabolism of γ-Aminobutyric Acid
Bibliography
Keywords
Tyrosine Hydroxylase Deficiency (Infantile Parkinsonism, Autosomal Recessive Dopa-Responsive Dystonia, Autosomal Recessive Segawa Syndrome
Aromatic l-Amino Acid Decarboxylase Deficiency
Tetrahydrobiopterin Deficiency
Dopamine β-Hydroxylase Deficiency
Monoamine Oxidase a Deficiency
Disorders of γ-Aminobutyric Acid (GABA) Metabolism
Defects in Neurotransmitter Transporter Proteins
Histidine Decarboxylase Deficiency
Hyperprolinemia
3-Phosphoglycerate Dehydrogenase Deficiency
Phosphoserine Aminotransferase Deficiency
Nonketotic Hyperglycinemia
Bibliography
Keywords
Genetic Causes of Hyperammonemia
Clinical Manifestations of Hyperammonemia
Diagnosis
Treatment of Acute Hyperammonemia
Carbamoyl Phosphate Synthetase 1 and N-Acetylglutamate Synthase Deficiencies
Ornithine Transcarbamylase Deficiency
Citrullinemia
Argininosuccinate Lyase Deficiency (Argininosuccinic Aciduria)
Arginase 1 Deficiency (Hyperargininemia)
Transient Hyperammonemia of the Newborn
Disorders of Ornithine Metabolism
Congenital Glutamine Deficiency
Bibliography
Keywords
Bibliography
Keywords
Pyridoxine (Vitamin B6)–Dependent Epilepsy
Glutaric Aciduria Type 1 (Glutaryl-CoA Dehydrogenase Deficiency)
Lysinuric Protein Intolerance (Familial Protein Intolerance)
Bibliography
Keywords
Etiology and Pathology
Clinical Manifestations
Atypical Canavan Disease
Diagnosis
Treatment and Prevention
Bibliography
Chapter 104 Defects in Metabolism of Lipids
Keywords
Defects in the β-Oxidation Cycle
Defects in the Carnitine Cycle
Defects in the Electron Transfer Pathway
Defects in the Ketone Synthesis Pathway
Defects in Ketone Body Utilization
Bibliography
Keywords
Peroxisomal Disorders
Adrenoleukodystrophy
Bibliography
Keywords
Epidemiology of Blood Lipids and Cardiovascular Disease
Blood Lipids and Atherogenesis
Plasma Lipoprotein Metabolism and Transport
Hyperlipoproteinemias
Bibliography
Keywords
GM1 Gangliosidosis
The GM2 Gangliosidoses
Gaucher Disease
Niemann-Pick Disease
Fabry Disease
Fucosidosis
Schindler Disease
Metachromatic Leukodystrophy
Multiple-Sulfatase Deficiency
Krabbe Disease
Farber Disease
Wolman Disease and Cholesterol Ester Storage Disease
Bibliography
Keywords
I-Cell Disease
Pseudo-Hurler Polydystrophy
Bibliography
Chapter 105 Defects in Metabolism of Carbohydrates
Keywords
Liver Glycogenoses
Muscle Glycogenoses
Bibliography
Keywords
Galactose-1-Phosphate Uridyl Transferase Deficiency Galactosemia
Galactokinase Deficiency
Uridine Diphosphate Galactose-4-Epimerase Deficiency
Bibliography
Keywords
Deficiency of Fructokinase (Essential or Benign Fructosuria)
Deficiency of Fructose-1,6-Bisphosphate Aldolase (Aldolase B, Hereditary Fructose Intolerance)
Bibliography
Keywords
Disorders of Gluconeogenesis
Disorders of Pyruvate Metabolism
Bibliography
Keywords
Essential Pentosuria
Transaldolase Deficiency
Ribose-5-Phosphate Isomerase Deficiency
Bibliography
Sialidosis and Galactosialidosis
Aspartylglucosaminuria
α-Mannosidosis
Bibliography
Keywords
Congenital Disorders of Protein N-Glycosylation
Congenital Disorders of Protein O-Glycosylation
Defects in Lipid Glycosylation and in Glycosylphosphatidylinositol Anchor Biosynthesis
Defects in Multiple Glycosylation Pathways and in Other Pathways, Including Dolicholphosphate Biosynthesis Defects
Congenital Disorders of Deglycosylation
Therapeutic Summary
Bibliography
Chapter 106 Mitochondrial Disease Diagnosis
Overview of Mitochondrial Disease
When to Suspect Mitochondrial Disease
Mitochondrial Disease Inheritance
Diagnostic Testing for Mitochondrial Disease
Treatment Principles for Mitochondrial Disease
Bibliography
Chapter 107 Mucopolysaccharidoses
Disease Entities
Diagnosis and Differential Diagnosis
Treatment
Bibliography
Chapter 108 Disorders of Purine and Pyrimidine Metabolism
Gout
Abnormalities in Purine Salvage
Disorders Linked to Purine Nucleotide Synthesis
Disorders Resulting From Abnormalities in Purine Catabolism
Disorders of Pyrimidine Metabolism
Bibliography
Chapter 109 Hutchinson-Gilford Progeria Syndrome (Progeria)
Clinical Manifestations
Laboratory Findings
Molecular Pathogenesis
Diagnosis and Differential Diagnosis
Treatment and Prognosis
Patient Resources
Bibliography
Chapter 110 The Porphyrias
The Heme Biosynthetic Pathway
Classification and Diagnosis of Porphyrias
δ-Aminolevulinic Acid Dehydratase Deficient Porphyria
Acute Intermittent Porphyria
Congenital Erythropoietic Porphyria
Porphyria Cutanea Tarda
Hepatoerythropoietic Porphyria
Hereditary Coproporphyria
Variegate Porphyria
Erythropoietic Protoporphyria and X-Linked Protoporphyria
Dual Porphyria
Porphyria Resulting From Tumors
Bibliography
Chapter 111 Hypoglycemia
Definition
Significance and Sequelae
Substrate, Enzyme, and Hormonal Integration of Glucose Homeostasis
Clinical Manifestations
Classification of Hypoglycemia in Infants and Children
Diagnosis and Differential Diagnosis
Treatment
Prognosis
Bibliography
Part XI The Fetus and the Neonatal Infant
Chapter 112 Overview of Morbidity and Mortality
Infant Mortality
Major Causes of Infant Death
Infant Mortality Reduction
Bibliography
Chapter 113 The Newborn Infant
General Appearance
Skin
Skull
Face
Neck
Chest
Lungs
Heart
Abdomen
Genitals
Anus
Extremities
Neurologic Examination
Bibliography
Maintenance of Body Heat
Antiseptic Skin and Cord Care
Newborn Prophylaxis and Screening
Bibliography
Bibliography
Rooming-in and Breastfeeding
Bibliography
Chapter 114 High-Risk Pregnancies
Genetic Factors
Maternal Factors
Bibliography
Chapter 115 The Fetus
Bibliography
Bibliography
Infectious Diseases
Noninfectious Diseases (see Table 114.2)
Bibliography
Bibliography
Bibliography
Bibliography
Bibliography
Chapter 116 Fetal Intervention and Surgery
Fetal Therapy Ethics
Obstructive Uropathy
Nonobstructive Renal Disease
Congenital Diaphragmatic Hernia
Congenital Pulmonary Airway Malformation
Myelomeningocele
Other Indications
Fetal Centers
Bibliography
Chapter 117 The High-Risk Infant
Keywords
Monozygotic vs Dizygotic Twins
Incidence
Etiology
Atypical Twinning
Complications
Twin Syndromes (TRAP, TTTS)
Diagnosis
Prognosis
Treatment
Bibliography
Keywords
Incidence
Etiology
Assessment of Gestational Age
Nursery Care
Immaturity of Drug Metabolism
Morbidity and Mortality
Bibliography
Keywords
Moderate Preterm Infant
Late Preterm Infant
Bibliography
Keywords
Small for Gestational Age and IUGR
Large-for-Gestational-Age Infants
Postterm Infants
Bibliography
Keywords
Discharge From the Hospital
Postdischarge Follow-Up
Bibliography
Chapter 118 Transport of the Critically Ill Newborn
Regionalized Care of Newborns
Levels of Neonatal Care
Transport of the Critically Ill Neonate
Bibliography
Chapter 119 Clinical Manifestations of Diseases in the Newborn Period
Abnormal Movements
Altered Mental Status
Apnea
Congenital Anomalies
Cyanosis
Gastrointestinal Disturbances
Hypotension
Jaundice
Pain
Bibliography
Bibliography
Bibliography
Bibliography
Bibliography
Chapter 120 Nervous System Disorders
Etiology
Epidemiology
Pathogenesis
Clinical Manifestations
Diagnosis
Prognosis
Prevention
Treatment
Bibliography
Etiology
Pathophysiology and Pathology
Clinical Manifestations
Diagnosis
Treatment
Prognosis
Bibliography
Bibliography
Brachial Palsy
Phrenic Nerve Paralysis
Facial Nerve Palsy
Bibliography
Chapter 121 Neonatal Resuscitation and Delivery Room Emergencies
Neonatal Resuscitation
Resuscitation of the Preterm Infant
Special Circumstances in the Delivery Room
Injury During Delivery
Ongoing Care After Resuscitation
Bibliography
Chapter 122 Respiratory Tract Disorders
Keywords
The First Breath
Breathing Patterns in Newborns
Keywords
Apnea of Prematurity
Treatment
Prognosis
Apnea of Prematurity and Sudden Infant Death Syndrome
Bibliography
Keywords
Incidence
Etiology and Pathophysiology
Clinical Manifestations
Diagnosis
Prevention
Treatment
Complications
Bibliography
Keywords
Incidence
Etiology and Pathophysiology
Clinical Manifestations
Diagnosis
Prevention
Treatment
Prognosis
Bibliography
Keywords
Incidence and Pathophysiology
Clinical Manifestations
Treatment
Bibliography
Keywords
Bibliography
Keywords
Keywords
Clinical Manifestations
Prevention
Treatment
Prognosis
Bibliography
Keywords
Pathophysiology
Clinical Manifestations
Diagnosis
Treatment
Prognosis
Bibliography
Keywords
Congenital Diaphragmatic Hernia (Bochdalek)
Bibliography
Bibliography
Keywords
Etiology and Pathophysiology
Clinical Manifestations
Diagnosis
Treatment
Bibliography
Keywords
Bibliography
Chapter 123 Digestive System Disorders
Keywords
Meconium Plugs
Meconium Ileus
Meconium Peritonitis
Bibliography
Keywords
Pathology and Pathogenesis
Clinical Manifestations
Diagnosis
Treatment
Prognosis
Prevention
Bibliography
Keywords
Etiology
Clinical Manifestations
Differential Diagnosis
Physiologic Jaundice (Icterus Neonatorum)
Pathologic Hyperbilirubinemia
Jaundice Associated With Breastfeeding
Neonatal Cholestasis
Congenital Atresia of the Bile Ducts
Bibliography
Keywords
Clinical Manifestations
Incidence and Prognosis
Prevention
Treatment of Hyperbilirubinemia
Bibliography
Chapter 124 Blood Disorders
Keywords
Normal Hematocrit and Hemoglobin Concentrations in Newborn Infants
Classification of Anemia and Diagnostic Evaluation
Treatment Options for Neonatal Anemia
Bibliography
Keywords
Hemolytic Disease Caused by Rh Incompatibility
Hemolytic Disease Caused by Blood Group A and B Incompatibility
Other Forms of Hemolytic Disease
Bibliography
Keywords
Bibliography
Keywords
Vitamin K Deficiency Bleeding
Disseminated Intravascular Coagulopathy
Neonatal Thrombocytopenia
Bibliography
Keywords
Bibliography
Chapter 125 The Umbilicus
Umbilical Cord
Hemorrhage
Granuloma
Infections
Umbilical Hernia
Congenital Omphalocele
Tumors
Bibliography
Chapter 126 Abstinence Syndromes
Keywords
Treatment
Bibliography
Keywords
Bibliography
Keywords
Epidemiology
Diagnostic Criteria
Clinical Features
Interventions and Treatment
Outcomes
The Pediatrician's Role
Bibliography
Chapter 127 The Endocrine System
Keywords
Pathophysiology
Clinical Manifestations
Treatment
Prognosis
Bibliography
Bibliography
Chapter 128 Dysmorphology
Classification of Birth Defects
Molecular Mechanisms of Malformations
Approach to the Dysmorphic Child
Bibliography
Chapter 129 Epidemiology of Infections
Incidence and Epidemiology
Pathogenesis
Clinical Manifestations
Laboratory Findings
General Approach to Management
Prevention
Bibliography
Chapter 130 Healthcare-Acquired Infections
Incidence
Epidemiology
Pathogenesis
Types of Infection
Prevention
Bibliography
Chapter 131 Congenital and Perinatal Infections
General Approach
Pathogenesis
Clinical Manifestations
Diagnosis
Specific Infectious Agents
General Approach
Pathogenesis
Clinical Manifestations
Specific Infectious Agents
Diagnosis
Bibliography
Part XII Adolescent Medicine
Chapter 132 Adolescent Physical and Social Development
Physical Development
Neurologic, Cognitive, and Moral Development
Psychosocial Development
Implications for Providers, Parents, and Policymakers
Bibliography
Chapter 133 Gender and Sexual Identity
Terms and Definitions
Factors That Influence Sexual Identity Development
Nonconformity in Gender Expression Among Children and Adolescents
Transgender and Gender-Nonconforming Identities Among Children and Adolescents
Bibliography
Chapter 134 Gay, Lesbian, and Bisexual Adolescents
Prevalence of Homosexuality and Bisexuality in Youth
Development of Sexual Orientation in Childhood and Adolescence
Stigma, Risk, and Resilience
Health
Recommendations for Care
Bibliography
Chapter 135 Transgender Care
Cultural and Clinical Competence
Gender Literacy
Assessment
Treatment
Families
Bibliography
Chapter 136 The Epidemiology of Adolescent Health Problems
Access to Healthcare
Bibliography
Chapter 137 Delivery of Healthcare to Adolescents
Bibliography
Interviewing the Adolescent
Psychosocial Assessment
Physical Examination
Bibliography
Bibliography
Chapter 138 Transitioning to Adult Care
Bibliography
Chapter 139 Violent Behavior
Epidemiology
Etiology
Clinical Manifestations
Diagnosis
Treatment
Prevention
Bibliography
Chapter 140 Substance Abuse
Etiology
Epidemiology
Clinical Manifestations
Screening for Substance Abuse Disorders
Diagnosis
Complications
Treatment
Prognosis
Prevention
Pharmacology and Pathophysiology
Clinical Manifestations
Diagnosis
Treatment
Bibliography
Keywords
Cigarettes
Pharmacology
Clinical Manifestations
Electronic Cigarettes (E-Cigarettes)
Hookah
Treatment
Bibliography
Keywords
Clinical Manifestations
Synthetic Marijuana
Bibliography
Keywords
Clinical Manifestations
Complications
Diagnosis
Treatment
Bibliography
Keywords
Lysergic Acid Diethylamide
Methylenedioxymethamphetamine
Phencyclidine
Bibliography
Clinical Manifestations
Treatment
Bibliography
Clinical Manifestations
Treatment
Bibliography
Clinical Manifestations
Treatment
Bibliography
Clinical Manifestations
Withdrawal
Overdose Syndrome
Treatment
Bibliography
Clinical Manifestations
Treatment
Bibliography
Bibliography
Chapter 141 The Breast
Female Disorders
Male Disorders
Bibliography
Chapter 142 Menstrual Problems
Normal Menstruation
Menstrual Irregularities
Keywords
History and Physical Examination
Laboratory Studies
Treatment
Bibliography
Keywords
Irregular Menstrual Bleeding
Heavy and Prolonged Menstrual Bleeding
Laboratory Findings
Treatment
Bibliography
Keywords
Bibliography
Keywords
Bibliography
Bibliography
Chapter 143 Contraception
Contraceptive Effectiveness
Keywords
Sexual Activity
Use of Contraception Among Teens
Bibliography
Keywords
Bibliography
Keywords
Intrauterine Devices
Implants
Bibliography
Keywords
Depo-Provera
Progestin-Only Pills
Bibliography
Keywords
Combined Oral Contraceptives
Transdermal Patch
Vaginal Ring
Contraindications
Bibliography
Keywords
Copper IUD
Ulipristal Acetate
Levonorgestrel
Bibliography
Keywords
Condoms
Bibliography
Keywords
Diaphragm, Cervical Cap, and Sponge
Keywords
Spermicides
Withdrawal
Fertility Awareness–Based Methods
Lactational Amenorrhea Method
Bibliography
Chapter 144 Adolescent Pregnancy
Epidemiology
Etiology
Clinical Manifestations
Diagnosis
Pregnancy Counseling and Initial Management
Adolescent Fathers
Medical Complications of Mothers and Babies
Psychosocial Outcomes/Risks for Mother and Child
Prevention of Teen Pregnancies
Bibliography
Chapter 145 Adolescent Sexual Assault
Epidemiology
Types of Rape
Clinical Manifestations
Interview and Physical Examination
Laboratory Data
Treatment
Prevention
Bibliography
Chapter 146 Sexually Transmitted Infections
Etiology
Epidemiology
Pathogenesis
Screening
Common Infections and Clinical Manifestations
Diagnosis
Treatment
Prevention
Bibliography
Chapter 147 Chronic Overlapping Pain Conditions
Prevalence
Symptom/Disorder Overlap
Psychiatric Comorbidities
Predisposing Factors
Natural History
Proposed Pathophysiology
Treatment
Keywords
Epidemiology
Pathogenesis
Clinical Manifestations
Diagnosis
Management
Prognosis
Bibliography
Bibliography
Part XIII Immunology
Section 1 Evaluation of the Immune System
Chapter 148 Evaluation of Suspected Immunodeficiency
Section 2 The T-, B-, and NK-Cell Systems
Chapter 149 Lymphocyte Development and Function
Chapter 150 Primary Defects of Antibody Production
Chapter 151 Primary Defects of Cellular Immunity
Chapter 152 Immunodeficiencies Affecting Multiple Cell Types
Section 3 The Phagocytic System
Chapter 153 Neutrophils
Chapter 154 Monocytes, Macrophages, and Dendritic Cells
Chapter 155 Eosinophils
Chapter 156 Disorders of Phagocyte Function
Chapter 157 Leukopenia
Chapter 158 Leukocytosis
Section 4 The Complement System
Chapter 159 Complement Components and Pathways
Chapter 160 Disorders of the Complement System
Section 5 Hematopoietic Stem Cell Transplantation
Chapter 161 Principles and Clinical Indications of Hematopoietic Stem Cell Transplantation
Chapter 162 Hematopoietic Stem Cell Transplantation From Alternative Sources and Donors
Chapter 163 Graft-Versus-Host Disease, Rejection, and Venoocclusive Disease
Chapter 164 Infectious Complications of Hematopoietic Stem Cell Transplantation
Chapter 165 Late Effects of Hematopoietic Stem Cell Transplantation
Part XIV Allergic Disorders
Chapter 166 Allergy and the Immunologic Basis of Atopic Disease
Key Elements of Allergic Diseases
Mechanisms of Allergic Tissue Inflammation
Genetic Basis of Atopy
Bibliography
Chapter 167 Diagnosis of Allergic Disease
Allergy History
Physical Examination
Diagnostic Testing
Bibliography
Chapter 168 Allergic Rhinitis
Etiology and Classification
Pathogenesis
Clinical Manifestations
Differential Diagnosis
Complications
Laboratory Findings
Treatment
Prognosis
Bibliography
Chapter 169 Childhood Asthma
Etiology
Epidemiology
Pathogenesis
Clinical Manifestations and Diagnosis
Differential Diagnosis
Laboratory Findings
Treatment
Prognosis
Prevention
Bibliography
Chapter 170 Atopic Dermatitis (Atopic Eczema)
Etiology
Pathology
Pathogenesis
Clinical Manifestations
Laboratory Findings
Diagnosis and Differential Diagnosis
Treatment
Avoiding Triggers
Complications
Prognosis
Prevention
Bibliography
Chapter 171 Insect Allergy
Etiology
Pathogenesis
Clinical Manifestations
Diagnosis
Treatment
Prevention
Bibliography
Chapter 172 Ocular Allergies
Clinical Manifestations
Diagnosis
Treatment
Bibliography
Chapter 173 Urticaria (Hives) and Angioedema
Etiology and Pathogenesis
Physical Urticaria
Chronic Idiopathic Urticaria and Angioedema
Treatment
Hereditary Angioedema
Bibliography
Chapter 174 Anaphylaxis
Etiology
Epidemiology
Pathogenesis
Clinical Manifestations
Laboratory Findings
Diagnosis
Treatment
Prevention
Bibliography
Chapter 175 Serum Sickness
Etiology
Pathogenesis
Clinical Manifestations
Differential Diagnosis
Diagnosis
Treatment
Prevention
Bibliography
Chapter 176 Food Allergy and Adverse Reactions to Foods
Genetics
Pathogenesis
Clinical Manifestations
Diagnosis
Treatment
Prevention
Bibliography
Chapter 177 Adverse Reactions to Drugs
Epidemiology
Pathogenesis and Clinical Manifestations
Diagnosis
Treatment
Bibliography
Part XV Rheumatic Diseases of Childhood (Connective Tissue Disease, Collagen Vascular Diseases)
Chapter 178 Evaluation of Suspected Rheumatic Disease
Symptoms Suggestive of Rheumatic Disease
Signs Suggestive of Rheumatic Disease
Laboratory Testing
Imaging Studies
Bibliography
Chapter 179 Treatment of Rheumatic Diseases
Pediatric Rheumatology Teams and Primary Care Physicians
Therapeutics
Bibliography
Chapter 180 Juvenile Idiopathic Arthritis
Epidemiology
Etiology
Pathogenesis
Clinical Manifestations
Diagnosis
Differential Diagnosis
Laboratory Findings
Treatment
Prognosis
Bibliography
Chapter 181 Ankylosing Spondylitis and Other Spondyloarthritides
Epidemiology
Etiology and Pathogenesis
Clinical Manifestations and Diagnosis
Laboratory Findings
Differential Diagnosis
Treatment
Prognosis
Bibliography
Chapter 182 Reactive and Postinfectious Arthritis
Pathogenesis
Clinical Manifestations and Differential Diagnosis
Diagnosis
Treatment
Complications and Prognosis
Bibliography
Chapter 183 Systemic Lupus Erythematosus
Etiology
Epidemiology
Pathology
Pathogenesis
Clinical Manifestations
Diagnosis
Differential Diagnosis
Laboratory Findings
Treatment
Complications
Prognosis
Keywords
Bibliography
Bibliography
Chapter 184 Juvenile Dermatomyositis
Etiology
Epidemiology
Pathogenesis
Clinical Manifestations
Diagnosis
Differential Diagnosis
Laboratory Findings
Treatment
Complications
Prognosis
Bibliography
Chapter 185 Scleroderma and Raynaud Phenomenon
Etiology and Pathogenesis
Classification
Epidemiology
Clinical Manifestations
Diagnosis
Differential Diagnosis
Laboratory Findings
Treatment
Prognosis
Bibliography
Chapter 186 Behçet Disease
Epidemiology
Etiology and Pathogenesis
Clinical Manifestations and Diagnosis
Treatment and Prognosis
Bibliography
Chapter 187 Sjögren Syndrome
Epidemiology
Etiology and Pathogenesis
Clinical Manifestations
Diagnosis
Differential Diagnosis
Treatment
Complications and Prognosis
Bibliography
Chapter 188 Hereditary Periodic Fever Syndromes and Other Systemic Autoinflammatory Diseases
Classification of Autoinflammatory Disorders
Autoinflammatory Diseases With Periodic or Prominent Fevers
Other Mendelian Autoinflammatory Diseases
Genetically Complex Autoinflammatory Diseases
Bibliography
Chapter 189 Amyloidosis
Etiology
Epidemiology
Pathogenesis
Clinical Manifestations
Diagnosis
Laboratory Findings
Treatment
Prognosis
Prevention
Bibliography
Chapter 190 Sarcoidosis
Etiology
Epidemiology
Pathology and Pathogenesis
Clinical Manifestations
Laboratory Findings
Diagnosis
Differential Diagnosis
Treatment
Prognosis
Bibliography
Chapter 191 Kawasaki Disease
Etiology
Epidemiology
Pathology
Clinical Manifestations
Laboratory and Radiology Findings
Diagnosis
Differential Diagnosis
Treatment
Complications
Prognosis
Bibliography
Chapter 192 Vasculitis Syndromes
Epidemiology
Pathology
Pathogenesis
Clinical Manifestations
Diagnosis
Laboratory Findings
Treatment
Complications
Prognosis
Bibliography
Epidemiology
Pathology
Pathogenesis
Clinical Manifestations
Diagnosis
Differential Diagnosis
Laboratory Findings
Treatment
Complications
Prognosis
Bibliography
Epidemiology
Pathology
Pathogenesis
Clinical Manifestations
Diagnosis
Differential Diagnosis
Laboratory Findings
Treatment
Complications
Prognosis
Bibliography
Epidemiology
Pathology
Pathogenesis
Clinical Manifestations
Diagnosis
Differential Diagnosis
Laboratory Findings
Treatment
Complications
Prognosis
Bibliography
Bibliography
Bibliography
Chapter 193 Musculoskeletal Pain Syndromes
Clinical Manifestations
Diagnosis and Differential Diagnosis
Treatment
Complications and Prognosis
Bibliography
Bibliography
Bibliography
Bibliography
Bibliography
Bibliography
Chapter 194 Miscellaneous Conditions Associated With Arthritis
Relapsing Polychondritis
Mucha-Habermann Disease/Pityriasis Lichenoides Et Varioliformis Acuta
Sweet Syndrome
Hypertrophic Osteoarthropathy
Plant Thorn Synovitis
Pigmented Villonodular Synovitis
Bibliography
Part XVI Infectious Diseases
Section 1 General Considerations
Chapter 195 Diagnostic Microbiology
Chapter 196 The Microbiome and Pediatric Health
Section 2 Preventive Measures
Chapter 197 Immunization Practices
Chapter 198 Infection Prevention and Control
Chapter 199 Childcare and Communicable Diseases
Chapter 200 Health Advice for Children Traveling Internationally
Chapter 201 Fever
Chapter 202 Fever Without a Focus in the Neonate and Young Infant
Chapter 203 Fever in the Older Child
Chapter 204 Fever of Unknown Origin
Chapter 205 Infections in Immunocompromised Persons
Chapter 206 Infection Associated With Medical Devices
Section 3 Antibiotic Therapy
Chapter 207 Principles of Antibacterial Therapy
Section 4 Gram-Positive Bacterial Infections
Chapter 208 Staphylococcus
Chapter 209 Streptococcus pneumoniae (Pneumococcus)
Chapter 210 Group A Streptococcus
Chapter 211 Group B Streptococcus
Chapter 212 Non–Group A or B Streptococci
Chapter 213 Enterococcus
Chapter 214 Diphtheria (Corynebacterium diphtheriae)
Chapter 215 Listeria monocytogenes
Chapter 216 Actinomyces
Chapter 217 Nocardia
Section 5 Gram-Negative Bacterial Infections
Chapter 218 Neisseria meningitidis (Meningococcus)
Chapter 219 Neisseria gonorrhoeae (Gonococcus)
Chapter 220 Kingella kingae
Chapter 221 Haemophilus influenzae
Chapter 222 Chancroid (Haemophilus ducreyi)
Chapter 223 Moraxella catarrhalis
Chapter 224 Pertussis (Bordetella pertussis and Bordetella parapertussis)
Chapter 225 Salmonella
Chapter 226 Shigella
Chapter 227 Escherichia coli
Chapter 228 Cholera
Chapter 229 Campylobacter
Chapter 230 Yersinia
Chapter 231 Aeromonas and Plesiomonas
Chapter 232 Pseudomonas, Burkholderia, and Stenotrophomonas
Chapter 233 Tularemia (Francisella tularensis)
Chapter 234 Brucella
Chapter 235 Legionella
Chapter 236 Bartonella
Section 6 Anaerobic Bacterial Infections
Chapter 237 Botulism (Clostridium botulinum)
Chapter 238 Tetanus (Clostridium tetani)
Chapter 239 Clostridium difficile Infection
Chapter 240 Other Anaerobic Infections
Section 7 Mycobacterial Infections
Chapter 241 Principles of Antimycobacterial Therapy
Chapter 242 Tuberculosis (Mycobacterium tuberculosis)
Chapter 243 Hansen Disease (Mycobacterium leprae)
Chapter 244 Nontuberculous Mycobacteria
Section 8 Spirochetal Infections
Chapter 245 Syphilis (Treponema pallidum)
Chapter 246 Nonvenereal Treponemal Infections
Chapter 247 Leptospira
Chapter 248 Relapsing Fever (Borrelia)
Chapter 249 Lyme Disease (Borrelia burgdorferi)
Section 9 Mycoplasmal Infections
Chapter 250 Mycoplasma pneumoniae
Chapter 251 Genital Mycoplasmas (Mycoplasma hominis, Mycoplasma genitalium, and Ureaplasma urealyticum)
Section 10 Chlamydial Infections
Chapter 252 Chlamydia pneumoniae
Chapter 253 Chlamydia trachomatis
Chapter 254 Psittacosis (Chlamydia psittaci)
Section 11 Rickettsial Infections
Chapter 255 Spotted Fever Group Rickettsioses
Chapter 256 Scrub Typhus (Orientia tsutsugamushi)
Chapter 257 Typhus Group Rickettsioses
Chapter 258 Ehrlichiosis and Anaplasmosis
Chapter 259 Q Fever (Coxiella burnetii)
Section 12 Fungal Infections
Chapter 260 Principles of Antifungal Therapy
Chapter 261 Candida
Chapter 262 Cryptococcus neoformans and Cryptococcus gattii
Chapter 263 Malassezia
Chapter 264 Aspergillus
Chapter 265 Histoplasmosis (Histoplasma capsulatum)
Chapter 266 Blastomycosis (Blastomyces dermatitidis and Blastomyces gilchristii)
Chapter 267 Coccidioidomycosis (Coccidioides Species)
Chapter 268 Paracoccidioides brasiliensis
Chapter 269 Sporotrichosis (Sporothrix schenckii)
Chapter 270 Mucormycosis
Chapter 271 Pneumocystis jirovecii
Section 13 Viral Infections
Chapter 272 Principles of Antiviral Therapy
Chapter 273 Measles
Chapter 274 Rubella
Chapter 275 Mumps
Chapter 276 Polioviruses
Chapter 277 Nonpolio Enteroviruses
Chapter 278 Parvoviruses
Chapter 279 Herpes Simplex Virus
Chapter 280 Varicella-Zoster Virus*
Chapter 281 Epstein-Barr Virus
Chapter 282 Cytomegalovirus
Chapter 283 Roseola (Human Herpesviruses 6 and 7)
Chapter 284 Human Herpesvirus 8
Chapter 285 Influenza Viruses*
Chapter 286 Parainfluenza Viruses*
Chapter 287 Respiratory Syncytial Virus
Chapter 288 Human Metapneumovirus
Chapter 289 Adenoviruses
Chapter 290 Rhinoviruses
Chapter 291 Coronaviruses
Chapter 292 Rotaviruses, Caliciviruses, and Astroviruses
Chapter 293 Human Papillomaviruses
Chapter 294 Arboviral Infections
Chapter 295 Dengue Fever, Dengue Hemorrhagic Fever, and Severe Dengue
Chapter 296 Yellow Fever
Chapter 297 Ebola and Other Viral Hemorrhagic Fevers
Chapter 298 Lymphocytic Choriomeningitis Virus
Chapter 299 Hantavirus Pulmonary Syndrome
Chapter 300 Rabies
Chapter 301 Polyomaviruses
Chapter 302 Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome
Chapter 303 Human T-Lymphotropic Viruses (1 and 2)
Chapter 304 Transmissible Spongiform Encephalopathies
Section 14 Antiparasitic Therapy
Chapter 305 Principles of Antiparasitic Therapy
Section 15 Protozoan Diseases
Chapter 306 Primary Amebic Meningoencephalitis
Chapter 307 Amebiasis
Chapter 308 Giardiasis and Balantidiasis
Chapter 309 Cryptosporidium, Cystoisospora, Cyclospora, and Microsporidia
Chapter 310 Trichomoniasis (Trichomonas vaginalis)
Chapter 311 Leishmaniasis (Leishmania)
Chapter 312 African Trypanosomiasis (Sleeping Sickness; Trypanosoma brucei Complex)
Chapter 313 American Trypanosomiasis (Chagas Disease; Trypanosoma cruzi)
Chapter 314 Malaria (Plasmodium)
Chapter 315 Babesiosis (Babesia)
Chapter 316 Toxoplasmosis (Toxoplasma gondii)
Section 16 Helminthic Diseases
Chapter 317 Ascariasis (Ascaris lumbricoides)
Chapter 318 Hookworms (Necator americanus and Ancylostoma spp.)
Chapter 319 Trichuriasis (Trichuris trichiura)
Chapter 320 Enterobiasis (Enterobius vermicularis)
Chapter 321 Strongyloidiasis (Strongyloides stercoralis)
Chapter 322 Lymphatic Filariasis (Brugia malayi, Brugia timori, and Wuchereria bancrofti)
Chapter 323 Other Tissue Nematodes
Chapter 324 Toxocariasis (Visceral and Ocular Larva Migrans)
Chapter 325 Trichinellosis (Trichinella spiralis)
Chapter 326 Schistosomiasis (Schistosoma)
Chapter 327 Flukes (Liver, Lung, and Intestinal)
Chapter 328 Adult Tapeworm Infections
Chapter 329 Cysticercosis
Chapter 330 Echinococcosis (Echinococcus granulosus and Echinococcus multilocularis)
Volume 2
Part XVII The Digestive System
Section 1 Clinical Manifestations of Gastrointestinal Disease
Chapter 331 Normal Digestive Tract Phenomena
Chapter 332 Major Symptoms and Signs of Digestive Tract Disorders
Section 2 The Oral Cavity
Chapter 333 Development and Developmental Anomalies of the Teeth
Chapter 334 Disorders of the Oral Cavity Associated With Other Conditions
Chapter 335 Malocclusion
Chapter 336 Cleft Lip and Palate
Chapter 337 Syndromes With Oral Manifestations
Chapter 338 Dental Caries
Chapter 339 Periodontal Diseases
Chapter 340 Dental Trauma
Chapter 341 Common Lesions of the Oral Soft Tissues
Chapter 342 Diseases of the Salivary Glands and Jaws
Chapter 343 Diagnostic Radiology in Dental Assessment
Section 3 The Esophagus
Chapter 344 Embryology, Anatomy, and Function of the Esophagus
Chapter 345 Congenital Anomalies
Chapter 346 Obstructing and Motility Disorders of the Esophagus
Chapter 347 Dysmotility
Chapter 348 Hiatal Hernia
Chapter 349 Gastroesophageal Reflux Disease
Chapter 350 Eosinophilic Esophagitis, Pill Esophagitis, and Infective Esophagitis
Chapter 351 Esophageal Perforation
Chapter 352 Esophageal Varices
Chapter 353 Ingestions
Section 4 Stomach and Intestines
Chapter 354 Normal Development, Structure, and Function of the Stomach and Intestines
Chapter 355 Pyloric Stenosis and Other Congenital Anomalies of the Stomach
Chapter 356 Intestinal Atresia, Stenosis, and Malrotation
Chapter 357 Intestinal Duplications, Meckel Diverticulum, and Other Remnants of the Omphalomesenteric Duct
Chapter 358 Motility Disorders and Hirschsprung Disease
Chapter 359 Ileus, Adhesions, Intussusception, and Closed-Loop Obstructions
Chapter 360 Foreign Bodies and Bezoars
Chapter 361 Peptic Ulcer Disease in Children
Chapter 362 Inflammatory Bowel Disease
Chapter 363 Eosinophilic Gastroenteritis
Chapter 364 Disorders of Malabsorption
Chapter 365 Intestinal Transplantation in Children With Intestinal Failure
Chapter 366 Acute Gastroenteritis in Children
Chapter 367 Chronic Diarrhea
Chapter 368 Functional Gastrointestinal Disorders
Chapter 369 Cyclic Vomiting Syndrome
Chapter 370 Acute Appendicitis
Chapter 371 Surgical Conditions of the Anus and Rectum
Chapter 372 Tumors of the Digestive Tract
Chapter 373 Inguinal Hernias
Section 5 Exocrine Pancreas
Chapter 374 Embryology, Anatomy, and Physiology of the Pancreas
Chapter 375 Pancreatic Function Tests
Chapter 376 Disorders of the Exocrine Pancreas
Chapter 377 Treatment of Pancreatic Insufficiency
Chapter 378 Pancreatitis
Chapter 379 Pancreatic Fluid Collections
Chapter 380 Pancreatic Tumors
Section 6 The Liver and Biliary System
Chapter 381 Morphogenesis of the Liver and Biliary System
Chapter 382 Manifestations of Liver Disease
Chapter 383 Cholestasis
Chapter 384 Metabolic Diseases of the Liver
Chapter 385 Viral Hepatitis
Chapter 386 Liver Abscess
Chapter 387 Liver Disease Associated With Systemic Disorders
Chapter 388 Mitochondrial Hepatopathies
Chapter 389 Autoimmune Hepatitis
Chapter 390 Drug- and Toxin-Induced Liver Injury
Chapter 391 Acute Hepatic Failure
Chapter 392 Cystic Diseases of the Biliary Tract and Liver
Chapter 393 Diseases of the Gallbladder
Chapter 394 Portal Hypertension and Varices
Chapter 395 Liver Transplantation
Section 7 Peritoneum
Chapter 396 Peritoneal Malformations
Chapter 397 Ascites
Chapter 398 Peritonitis
Chapter 399 Epigastric Hernia
Part XVIII The Respiratory System
Section 1 Development and Function
Chapter 400 Diagnostic Approach to Respiratory Disease
Chapter 401 Chronic or Recurrent Respiratory Symptoms
Chapter 402 Sudden Infant Death Syndrome
Chapter 403 Brief Resolved Unexplained Events and Other Acute Events in Infants
Section 2 Disorders of the Respiratory Tract
Chapter 404 Congenital Disorders of the Nose
Chapter 405 Acquired Disorders of the Nose
Chapter 406 Nasal Polyps
Chapter 407 The Common Cold
Chapter 408 Sinusitis
Chapter 409 Acute Pharyngitis
Chapter 410 Retropharyngeal Abscess, Lateral Pharyngeal (Parapharyngeal) Abscess, and Peritonsillar Cellulitis/Abscess
Chapter 411 Tonsils and Adenoids
Chapter 412 Acute Inflammatory Upper Airway Obstruction (Croup, Epiglottitis, Laryngitis, and Bacterial Tracheitis)
Chapter 413 Congenital Anomalies of the Larynx, Trachea, and Bronchi
Chapter 414 Foreign Bodies in the Airway
Chapter 415 Laryngotracheal Stenosis and Subglottic Stenosis
Chapter 416 Bronchomalacia and Tracheomalacia
Chapter 417 Neoplasms of the Larynx, Trachea, and Bronchi
Chapter 418 Wheezing, Bronchiolitis, and Bronchitis
Chapter 419 Plastic Bronchitis
Chapter 420 Emphysema and Overinflation
Chapter 421 α1-Antitrypsin Deficiency and Emphysema
Chapter 422 Other Distal Airway Diseases
Chapter 423 Congenital Disorders of the Lung
Chapter 424 Pulmonary Edema
Chapter 425 Aspiration Syndromes
Chapter 426 Chronic Recurrent Aspiration
Chapter 427 Immune and Inflammatory Lung Disease
Chapter 428 Community-Acquired Pneumonia
Chapter 429 Pleurisy, Pleural Effusions, and Empyema
Chapter 430 Bronchiectasis
Chapter 431 Pulmonary Abscess
Chapter 432 Cystic Fibrosis
Chapter 433 Primary Ciliary Dyskinesia (Immotile Cilia Syndrome, Kartagener Syndrome)
Chapter 434 Diffuse Lung Diseases in Childhood
Chapter 435 Pulmonary Hemosiderosis
Chapter 436 Pulmonary Embolism, Infarction, and Hemorrhage
Chapter 437 Atelectasis
Chapter 438 Pulmonary Tumors
Chapter 439 Pneumothorax
Chapter 440 Pneumomediastinum
Chapter 441 Hydrothorax
Chapter 442 Hemothorax
Chapter 443 Chylothorax
Chapter 444 Bronchopulmonary Dysplasia
Chapter 445 Skeletal Diseases Influencing Pulmonary Function
Chapter 446 Chronic Respiratory Insufficiency
Part XIX The Cardiovascular System
Section 1 Developmental Biology of the Cardiovascular System
Chapter 447 Cardiac Development
Chapter 448 The Fetal to Neonatal Circulatory Transition
Section 2 Evaluation of the Cardiovascular System and the Child with A Heart Murmur
Chapter 449 History and Physical Examination in Cardiac Evaluation
Chapter 450 Laboratory Cardiac Evaluation
Section 3 Congenital Heart Disease
Chapter 451 Epidemiology and Genetic Basis of Congenital Heart Disease
Chapter 452 Evaluation and Screening of the Infant or Child With Congenital Heart Disease
Chapter 453 Acyanotic Congenital Heart Disease
Chapter 454 Acyanotic Congenital Heart Disease
Chapter 455 Acyanotic Congenital Heart Disease
Chapter 456 Cyanotic Congenital Heart Disease
Chapter 457 Cyanotic Congenital Heart Disease
Chapter 458 Cyanotic Congenital Heart Disease
Chapter 459 Other Congenital Heart and Vascular Malformations
Chapter 460 Pulmonary Hypertension
Chapter 461 General Principles of Treatment of Congenital Heart Disease
Section 4 Cardiac Arrhythmias
Chapter 462 Disturbances of Rate and Rhythm of the Heart
Chapter 463 Sudden Death
Section 5 Acquired Heart Disease
Chapter 464 Infective Endocarditis
Chapter 465 Rheumatic Heart Disease
Section 6 Diseases of the Myocardium and Pericardium
Chapter 466 Diseases of the Myocardium
Chapter 467 Diseases of the Pericardium
Chapter 468 Tumors of the Heart
Section 7 Cardiac Therapeutics
Chapter 469 Heart Failure
Chapter 470 Pediatric Heart and Heart-Lung Transplantation
Section 8 Diseases of the Peripheral Vascular System
Chapter 471 Diseases of the Blood Vessels (Aneurysms and Fistulas)
Chapter 472 Systemic Hypertension
Part XX Diseases of the Blood
Section 1 The Hematopoietic System
Chapter 473 Development of the Hematopoietic System
Chapter 474 The Anemias
Section 2 Anemias of Inadequate Production
Chapter 475 Congenital Hypoplastic Anemia (Diamond-Blackfan Anemia)
Chapter 476 Pearson Syndrome
Chapter 477 Acquired Pure Red Blood Cell Anemia
Chapter 478 Anemia of Chronic Disease and Renal Disease
Chapter 479 Congenital Dyserythropoietic Anemias
Chapter 480 Physiologic Anemia of Infancy
Chapter 481 Megaloblastic Anemias
Chapter 482 Iron-Deficiency Anemia
Chapter 483 Other Microcytic Anemias
Section 3 Hemolytic Anemias
Chapter 484 Definitions and Classification of Hemolytic Anemias
Chapter 485 Hereditary Spherocytosis
Chapter 486 Hereditary Elliptocytosis, Hereditary Pyropoikilocytosis, and Related Disorders
Chapter 487 Hereditary Stomatocytosis
Chapter 488 Paroxysmal Nocturnal Hemoglobinuria and Acanthocytosis
Chapter 489 Hemoglobinopathies
Chapter 490 Enzymatic Defects
Chapter 491 Hemolytic Anemias Resulting from Extracellular Factors—Immune Hemolytic Anemias
Chapter 492 Hemolytic Anemias Secondary to Other Extracellular Factors
Section 4 Polycythemia (Erythrocytosis)
Chapter 493 Polycythemia
Chapter 494 Nonclonal Polycythemia
Section 5 The Pancytopenias
Chapter 495 Inherited Bone Marrow Failure Syndromes With Pancytopenia
Chapter 496 The Acquired Pancytopenias
Section 6 Blood Component Transfusions
Chapter 497 Red Blood Cell Transfusions and Erythropoietin Therapy
Chapter 498 Platelet Transfusions
Chapter 499 Neutrophil (Granulocyte) Transfusions
Chapter 500 Plasma Transfusions
Chapter 501 Risks of Blood Transfusions
Section 7 Hemorrhagic and Thrombotic Diseases
Chapter 502 Hemostasis
Chapter 503 Hereditary Clotting Factor Deficiencies (Bleeding Disorders)
Chapter 504 Von Willebrand Disease
Chapter 505 Hereditary Predisposition to Thrombosis
Chapter 506 Thrombotic Disorders in Children
Chapter 507 Postneonatal Vitamin K Deficiency
Chapter 508 Liver Disease
Chapter 509 Acquired Inhibitors of Coagulation
Chapter 510 Disseminated Intravascular Coagulation
Chapter 511 Platelet and Blood Vessel Disorders
Section 8 The Spleen
Chapter 512 Anatomy and Function of the Spleen
Chapter 513 Splenomegaly
Chapter 514 Hyposplenism, Splenic Trauma, and Splenectomy
Section 9 The Lymphatic System
Chapter 515 Anatomy and Function of the Lymphatic System
Chapter 516 Abnormalities of Lymphatic Vessels
Chapter 517 Lymphadenopathy
Part XXI Cancer and Benign Tumors
Chapter 518 Epidemiology of Childhood and Adolescent Cancer
Influencing the Incidence of Cancer
Bibliography
Chapter 519 Molecular and Cellular Biology of Cancer
Genes Involved in Oncogenesis
Syndromes Predisposing to Cancer
Other Factors Associated With Oncogenesis
Bibliography
Chapter 520 Principles of Cancer Diagnosis
Signs and Symptoms
Physical Examination
Age-Related Manifestations
Early Detection
Ensuring the Diagnosis
Staging
Bibliography
Chapter 521 Principles of Cancer Treatment
Diagnosis and Staging
A Multimodal, Multidisciplinary Approach
Discussing the Treatment Plan With the Patient and Family
Treatments
Acute Toxic Effects and Supportive Care
Late Adverse Effects
Palliative Care
Bibliography
Chapter 522 The Leukemias
Epidemiology
Etiology
Cellular Classification
Clinical Manifestations
Diagnosis
Differential Diagnosis
Treatment
Supportive Care
Prognosis
Bibliography
Keywords
Epidemiology
Cellular Classification
Clinical Manifestations
Diagnosis
Prognosis and Treatment
Bibliography
Keywords
Bibliography
Keywords
Bibliography
Keywords
Bibliography
Keywords
Bibliography
Chapter 523 Lymphoma
Keywords
Epidemiology
Pathogenesis
Clinical Manifestations
Diagnosis
Treatment
Relapse
Prognosis
Bibliography
Keywords
Epidemiology
Pathogenesis
Clinical Manifestations
Laboratory Findings
Treatment
Complications
Prognosis
Bibliography
Keywords
Chapter 524 Brain Tumors in Childhood
Etiology
Epidemiology
Pathogenesis
Clinical Manifestations
Diagnosis
Specific Tumors
Complications and Long-Term Management
Bibliography
Chapter 525 Neuroblastoma
Epidemiology
Pathology
Pathogenesis
Clinical Manifestations
Diagnosis
Treatment
Bibliography
Chapter 526 Neoplasms of the Kidney
Keywords
Epidemiology
Etiology: Genetics and Molecular Biology
Clinical Presentation
Diagnosis and Differential Diagnosis
Treatment
Recurrent Disease
Prognosis
Late Effects
Keywords
Mesoblastic Nephroma
Clear Cell Sarcoma of the Kidney
Rhabdoid Tumor of the Kidney
Renal Cell Carcinoma
Bibliography
Chapter 527 Soft Tissue Sarcomas
Rhabdomyosarcoma
Other Soft Tissue Sarcomas
Bibliography
Chapter 528 Neoplasms of Bone
Keywords
Osteosarcoma
Ewing Sarcoma
Keywords
Characteristic Lesions of the Tibia
Histiocytosis
Diagnostic Considerations
Vascular Tumors of Bone
Bibliography
Chapter 529 Retinoblastoma
Epidemiology
Pathogenesis
Screening
Clinical Manifestations
Diagnosis
Treatment
Prognosis
Bibliography
Chapter 530 Gonadal and Germ Cell Neoplasms
Epidemiology
Pathogenesis
Clinical Manifestations and Diagnosis
Treatment
Prognosis
Bibliography
Chapter 531 Neoplasms of the Liver
Hepatoblastoma
Hepatocellular Carcinoma
Bibliography
Chapter 532 Benign Vascular Tumors
Keywords
Clinical Manifestations
Treatment
Bibliography
Keywords
Bibliography
Chapter 533 Rare Tumors
Keywords
Benign Thyroid Tumors
Malignant Thyroid Tumors
Bibliography
Keywords
Bibliography
Keywords
Bibliography
Keywords
Bibliography
Keywords
Bibliography
Chapter 534 Histiocytosis Syndromes of Childhood
Classification and Pathology
Keywords
Clinical Manifestations
Treatment and Prognosis
Bibliography
Keywords
Clinical Manifestations
Treatment and Prognosis
Bibliography
Keywords
Bibliography
Part XXII Nephrology
Section 1 Glomerular Disease
Chapter 535 Introduction to Glomerular Diseases
Section 2 Conditions Particularly Associated with Hematuria
Chapter 536 Clinical Evaluation of the Child With Hematuria
Chapter 537 Isolated Glomerular Diseases Associated With Recurrent Gross Hematuria
Chapter 538 Multisystem Disease Associated With Hematuria
Chapter 539 Tubulointerstitial Disease Associated With Hematuria
Chapter 540 Vascular Diseases Associated with Hematuria
Chapter 541 Anatomic Abnormalities Associated With Hematuria
Chapter 542 Lower Urinary Tract Causes of Hematuria
Section 3 Conditions Particularly Associated with Proteinuria
Chapter 543 Clinical Evaluation of the Child With Proteinuria
Chapter 544 Conditions Associated With Proteinuria
Chapter 545 Nephrotic Syndrome
Section 4 Tubular Disorders
Chapter 546 Tubular Function
Chapter 547 Renal Tubular Acidosis
Chapter 548 Nephrogenic Diabetes Insipidus
Chapter 549 Inherited Tubular Transport Abnormalities
Chapter 550 Renal Failure
Chapter 551 Renal Transplantation
Part XXIII Urologic Disorders in Infants and Children
Chapter 552 Congenital Anomalies and Dysgenesis of the Kidneys
Embryonic and Fetal Development
Renal Agenesis
Renal Dysgenesis: Dysplasia, Hypoplasia, and Cystic Anomalies
Renal Cysts in Children
Anomalies in Shape and Position
Associated Physical Findings
Bibliography
Chapter 553 Urinary Tract Infections
Prevalence and Etiology
Clinical Manifestations and Classification
Pathogenesis and Pathology
Diagnosis
Imaging Findings
Treatment
Imaging Studies in Children With a Febrile UTI
Prevention of Recurrences
Bibliography
Chapter 554 Vesicoureteral Reflux
Classification
Clinical Manifestations
Diagnosis
Natural History
Treatment
Current Vesicoureteral Reflux Guidelines
Bibliography
Chapter 555 Obstruction of the Urinary Tract
Etiology
Clinical Manifestations
Diagnosis
Physical Findings
Imaging Studies
Specific Types of Urinary Tract Obstruction and Their Treatment
Bibliography
Chapter 556 Anomalies of the Bladder
Bladder Exstrophy
Other Exstrophy Anomalies
Bladder Diverticula
Urachal Anomalies
Bibliography
Chapter 557 Neuropathic Bladder
Neural Tube Defects
Associated Disorders
Bibliography
Chapter 558 Enuresis and Voiding Dysfunction
Normal Voiding and Toilet Training
Diurnal Incontinence
Overactive Bladder (Diurnal Urge Syndrome)
Nonneurogenic Neurogenic Bladder (Hinman Syndrome)
Infrequent Voiding (Underactive Bladder)
Vaginal Voiding
Other Causes of Incontinence in Females
Voiding Disorders Without Incontinence
Nocturnal Enuresis
Bibliography
Chapter 559 Anomalies of the Penis and Urethra
Hypospadias
Chordee Without Hypospadias
Phimosis and Paraphimosis
Circumcision
Penile Torsion
Inconspicuous Penis
Micropenis
Priapism
Other Penile Anomalies
Meatal Stenosis
Other Male Urethral Anomalies
Urethral Prolapse (Female)
Other Female Urethral Lesions
Bibliography
Chapter 560 Disorders and Anomalies of the Scrotal Contents
Undescended Testis (Cryptorchidism)
Scrotal Swelling
Testicular (Spermatic Cord) Torsion
Torsion of the Appendix Testis/Epididymis
Epididymitis
Varicocele
Spermatocele
Hydrocele
Inguinal Hernia
Testicular Microlithiasis
Testicular Tumor
Bibliography
Chapter 561 Trauma to the Genitourinary Tract
Etiology
Diagnosis
Treatment
Bibliography
Chapter 562 Urinary Lithiasis
Stone Formation
Clinical Manifestations
Diagnosis
Metabolic Evaluation
Pathogenesis of Specific Renal Calculi
Treatment
Stone Prevention
Bibliography
Part XXIV Gynecologic Problems of Childhood
Chapter 563 Gynecologic History and Physical Examination
History
Gynecologic Examination
Bibliography
Chapter 564 Vulvovaginitis
Etiology
Epidemiology
Clinical Manifestations
Diagnosis and Differential Diagnosis
Treatment and Prevention
Bibliography
Chapter 565 Vaginal Bleeding in the Prepubertal Child
Bibliography
Chapter 566 Breast Concerns
Breast Development
Breast Evaluation
Breast Self-Awareness
Abnormal Development
Breast Masses
Cosmetic Surgery
Bibliography
Chapter 567 Polycystic Ovary Syndrome and Hirsutism
Polycystic Ovary Syndrome
Hirsutism
Bibliography
Chapter 568 Gynecologic Neoplasms and Adolescent Prevention Methods for Human Papillomavirus
Overview of Gynecologic Malignancies in Children and Adolescents
Impact of Cancer Therapy on Fertility
Ovarian Neoplasms
Uterine Malignancies
Vaginal Malignancies
Vulvar Malignancies
Cervical Malignancies and Their Prevention
Bibliography
Chapter 569 Vulvovaginal and Müllerian Anomalies
Embryology
Epidemiology
Clinical Manifestations
Laboratory Findings
Uterine Anomalies
Vaginal Anomalies
Cervical Anomalies
Vulvar and Other Anomalies
Bibliography
Chapter 570 Gynecologic Care for Girls With Special Needs
Sexuality and Sexual Education
Abuse
Pelvic Examination
Menstruation
Contraception
Bibliography
Chapter 571 Female Genital Mutilation
Background
Complications
Clinical Management of FGM
Bibliography
Part XXV The Endocrine System
Section 1 Disorders of the Hypothalamus and Pituitary Gland
Chapter 572 Hormones of the Hypothalamus and Pituitary
Chapter 573 Hypopituitarism
Chapter 574 Diabetes Insipidus
Chapter 575 Other Abnormalities of Arginine Vasopressin Metabolism and Action
Chapter 576 Hyperpituitarism, Tall Stature, and Overgrowth Syndromes
Chapter 577 Physiology of Puberty
Chapter 578 Disorders of Pubertal Development
Section 2 Disorders of the Thyroid Gland
Chapter 579 Thyroid Development and Physiology
Chapter 580 Disorders of Thyroxine-Binding Globulin
Chapter 581 Hypothyroidism
Chapter 582 Thyroiditis
Chapter 583 Goiter
Chapter 584 Thyrotoxicosis
Chapter 585 Carcinoma of the Thyroid
Chapter 586 Autoimmune Polyglandular Syndromes
Chapter 587 Multiple Endocrine Neoplasia Syndromes
Section 3 Disorders of the Parathyroid Gland
Chapter 588 Hormones and Peptides of Calcium Homeostasis and Bone Metabolism
Chapter 589 Hypoparathyroidism
Chapter 590 Pseudohypoparathyroidism
Chapter 591 Hyperparathyroidism
Section 4 Disorders of the Adrenal Gland
Chapter 592 Physiology of the Adrenal Gland
Chapter 593 Adrenocortical Insufficiency
Chapter 594 Congenital Adrenal Hyperplasia and Related Disorders
Chapter 595 Adrenocortical Tumors and Masses
Chapter 596 Virilizing and Feminizing Adrenal Tumors
Chapter 597 Cushing Syndrome
Chapter 598 Primary Aldosteronism
Chapter 599 Pheochromocytoma
Section 5 Disorders of the Gonads
Chapter 600 Development and Function of the Gonads
Chapter 601 Hypofunction of the Testes
Chapter 602 Pseudoprecocity Resulting From Tumors of the Testes
Chapter 603 Gynecomastia
Chapter 604 Hypofunction of the Ovaries
Chapter 605 Pseudoprecocity Resulting From Lesions of the Ovary
Chapter 606 Disorders of Sex Development
Section 6 Diabetes Mellitus in Children
Chapter 607 Diabetes Mellitus
Part XXVI The Nervous System
Chapter 608 Neurologic Evaluation
History
Neurologic Examination
General Examination
Special Diagnostic Procedures
Bibliography
Chapter 609 Congenital Anomalies of the Central Nervous System
Hydrocephalus
Etiology
Prevention
Clinical Manifestations
Treatment
Prognosis
Bibliography
Bibliography
Lissencephaly
Schizencephaly
Neuronal Heterotopias
Polymicrogyrias
Focal Cortical Dysplasias
Porencephaly
Bibliography
Holoprosencephaly
Bibliography
Congenital Cranial Dysinnervation Disorders
Brainstem and Cerebellar Disorders
Bibliography
Etiology
Clinical Manifestations and Diagnosis
Treatment
Bibliography
Physiology
Pathophysiology and Etiology
Clinical Manifestations
Diagnosis and Differential Diagnosis
Megalencephaly
Hydranencephaly
Treatment
Prognosis
Bibliography
Development and Etiology
Clinical Manifestations and Treatment
Bibliography
Bibliography
Chapter 610 Deformational Plagiocephaly
Epidemiology and Etiology
Examination and Differentiating Between Deformational Plagiocephaly and Craniosynostosis
Treatment
Outcomes
Bibliography
Chapter 611 Seizures in Childhood
Evaluation of the First Seizure
Keywords
Genetic and Other Factors Leading to Febrile Seizures
Evaluation
Treatment
Bibliography
Keywords
History and Examination
Differential Diagnosis
Long-Term Approach to the Patient and Additional Testing
Bibliography
Keywords
Focal Seizures With Preserved Awareness
Focal Seizures With Impaired Awareness
Focal to Bilateral Tonic-Clonic Seizures
Benign Epilepsy Syndromes With Focal Seizures
Severe Epilepsy Syndromes With Focal Seizures
Bibliography
Keywords
Absence Seizures
Generalized Motor Seizures
Benign Generalized Epilepsies
Severe Generalized Epilepsies
Keywords
Bibliography
Keywords
Deciding on Long-Term Therapy
Counseling
Mechanisms of Action of Antiepileptic Drugs
Choice of Drug According to Seizure Type and Epilepsy Syndrome
Choice of Drug: Other Considerations
Initiating and Monitoring Therapy
Side Effects
Additional Treatments
Approach to Epilepsy Surgery
Discontinuation of Therapy
Sudden Unexpected Death in Epilepsy (SUDEP)
Bibliography
Keywords
Pathophysiology
Types of Neonatal Seizures
Etiology
Diagnosis
Prognosis
Treatment
Bibliography
Keywords
Etiology
Mechanisms
Therapy
Bibliography
Keyword
Bibliography
Keywords
Bibliography
Chapter 612 Conditions That Mimic Seizures
Syncope and Other Generalized Paroxysms
Movement Disorders and Other Paroxysmal Movements and Postures
Oculomotor and Visual Abnormalities
Chapter 613 Headaches
Chapter 614 Neurocutaneous Syndromes
Chapter 615 Movement Disorders
Chapter 616 Encephalopathies
Chapter 617 Neurodegenerative Disorders of Childhood
Chapter 618 Demyelinating Disorders of the Central Nervous System
Chapter 619 Pediatric Stroke
Chapter 620 Central Nervous System Vasculitis
Chapter 621 Central Nervous System Infections
Chapter 622 Brain Abscess
Chapter 623 Idiopathic Intracranial Hypertension (Pseudotumor Cerebri)
Chapter 624 Spinal Cord Disorders
Part XXVII Neuromuscular Disorders
Chapter 625 Evaluation and Investigation of Neuromuscular Disorders
Chapter 626 Developmental Disorders of Muscle
Chapter 627 Muscular Dystrophies
Chapter 628 Endocrine and Toxic Myopathies
Chapter 629 Metabolic Myopathies and Channelopathies
Chapter 630 Disorders of Neuromuscular Transmission and of Motor Neurons
Chapter 631 Hereditary Motor-Sensory Neuropathies
Chapter 632 Toxic Neuropathies
Chapter 633 Autonomic Neuropathies
Chapter 634 Guillain-Barré Syndrome
Chapter 635 Bell Palsy
Part XXVIII Disorders of the Eye
Chapter 636 Growth and Development of the Eye
Chapter 637 Examination of the Eye
Chapter 638 Abnormalities of Refraction and Accommodation
Chapter 639 Disorders of Vision
Chapter 640 Abnormalities of Pupil and Iris
Chapter 641 Disorders of Eye Movement and Alignment
Chapter 642 Abnormalities of the Lids
Chapter 643 Disorders of the Lacrimal System
Chapter 644 Disorders of the Conjunctiva
Chapter 645 Abnormalities of the Cornea
Chapter 646 Abnormalities of the Lens
Chapter 647 Disorders of the Uveal Tract
Chapter 648 Disorders of the Retina and Vitreous
Chapter 649 Abnormalities of the Optic Nerve
Chapter 650 Childhood Glaucoma
Chapter 651 Orbital Abnormalities
Chapter 652 Orbital Infections
Chapter 653 Injuries to the Eye
Part XXIX The Ear
Chapter 654 General Considerations and Evaluation of the Ear
Chapter 655 Hearing Loss
Chapter 656 Congenital Malformations of the Ear
Chapter 657 External Otitis (Otitis Externa)
Chapter 658 Otitis Media
Chapter 659 Acute Mastoiditis
Chapter 660 The Inner Ear and Diseases of the Bony Labyrinth
Chapter 661 Traumatic Injuries of the Ear and Temporal Bone
Chapter 662 Tumors of the Ear and Temporal Bone
Part XXX The Skin
Chapter 663 Morphology of the Skin
Chapter 664 Dermatologic Evaluation of the Patient
Chapter 665 Principles of Dermatologic Therapy
Chapter 666 Dermatologic Diseases of the Neonate
Chapter 667 Cutaneous Defects
Chapter 668 Ectodermal Dysplasias
Chapter 669 Vascular Disorders
Chapter 670 Cutaneous Nevi
Chapter 671 Hyperpigmented Lesions
Chapter 672 Hypopigmented Lesions
Chapter 673 Vesiculobullous Disorders
Chapter 674 Eczematous Disorders
Chapter 675 Photosensitivity
Chapter 676 Diseases of the Epidermis
Chapter 677 Disorders of Keratinization
Chapter 678 Diseases of the Dermis
Chapter 679 Ehlers-Danlos Syndrome
Chapter 680 Diseases of Subcutaneous Tissue
Chapter 681 Disorders of the Sweat Glands
Chapter 682 Disorders of Hair
Chapter 683 Disorders of the Nails
Chapter 684 Disorders of the Mucous Membranes
Chapter 685 Cutaneous Bacterial Infections
Chapter 686 Cutaneous Fungal Infections
Chapter 687 Cutaneous Viral Infections
Chapter 688 Arthropod Bites and Infestations
Chapter 689 Acne
Chapter 690 Tumors of the Skin
Chapter 691 Nutritional Dermatoses
Part XXXI Bone and Joint Disorders
Section 1 Orthopedic Problems
Section 2 Sports Medicine
Section 3 The Skeletal Dysplasias
Section 4 Metabolic Bone Disease
Part XXXII Rehabilitation Medicine
Chapter 727 Evaluation of the Child for Rehabilitative Services
Chapter 728 Rehabilitation for Severe Traumatic Brain Injury
Chapter 729 Spinal Cord Injury and Autonomic Dysreflexia Management
Chapter 730 Spasticity
Chapter 731 Birth Brachial Plexus Palsy
Chapter 732 Meningomyelocele (Spina Bifida)
Chapter 733 Ambulation Assistance
Chapter 734 Health and Wellness for Children With Disabilities
Part XXXIII Environmental Health
Chapter 735 Overview of Environmental Health and Children
Chapter 736 Biologic Effects of Ionizing Radiation on Children
Chapter 737 Chemical Pollutants
Chapter 738 Heavy Metal Intoxication
Chapter 739 Lead Poisoning
Chapter 740 Nonbacterial Food Poisoning
Chapter 741 Biologic and Chemical Terrorism*
Chapter 742 Mass Psychogenic Illness
Chapter 743 Animal and Human Bites
Chapter 744 Rat Bite Fever
Chapter 745 Monkeypox
Chapter 746 Envenomations
Part XXXIV Laboratory Medicine
Chapter 747 Laboratory Testing in Infants and Children
Chapter 748 Reference Intervals for Laboratory Tests and Procedures
Index
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