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Index
Cover
Title Page
Copyright
Table of Contents
Dedication
Preface
Acknowledgements
Abbreviations
How to use your textbook
Features contained within your textbook
About the companion website
Part 1: Evaluation of the child
Chapter 1: Paediatrics and child health
The changing face of paediatrics and child health
The determinants of health
Types of paediatric problems
Chapter 2: The paediatric consultation
Communication skills in paediatrics
Approaching the consultation
History taking
Beginning the examination—observation
Chapter 3: Systems examination
Chapter 4: Development and developmental assessment
Milestones
Developmental warning signs
Chapter 5: Growth and puberty
Chapter 6: Understanding investigations
Chest radiography
Magnetic resonance imaging scans
Computed tomography scans
Ultrasound
Blood culture
Serological evidence of infection
Direct detection methods
Lumbar puncture and CSF analysis
Urinalysis
Immunology
Part 2: Moving through childhood
Chapter 7: Screening
Screening
Screening in pregnancy
Screening for Down's syndrome
Newborn blood spot screening
Newborn hearing screening
Newborn infant physical examination (NIPE)
Screening in later childhood
Chapter 8: Genetics and inherited disorders
Unusual patterns of inheritance
Chromosomal disorders
Testing for genetic disorders
Chapter 9: The newborn baby
The normal newborn
Asphyxia and resuscitation
Intrauterine growth retardation
Vitamin K
Chapter 10: Congenital abnormalities
Patterns of congenital abnormality
Cleft lip and palate
Neural tube defects (spina bifida)
Developmental dysplasia of the hip
Chapter 11: Common neonatal problems
Respiratory disorders presenting from birth
Early onset neonatal sepsis
Group B streptococcal (GBS) sepsis
Late onset sepsis
Weight loss and feeding problems
Jaundice
Chapter 12: The premature baby
Respiratory distress syndrome
Necrotizing enterocolitis
Retinopathy of prematurity
Brain injury
Chapter 13: Nutrition in childhood
Infant nutrition
Technique of breast-feeding
Weaning
Nutrition in the preschool years
Nutrition in the school-age child
Chapter 14: Common behaviour concerns
Common emotional and behavioural problems
Crying babies and colic
Feeding problems
Sleeping problems
Temper tantrums
Unwanted or aggressive behaviour
Chapter 15: Child care and school
Common problems at school age
Severe educational difficulties
Dyslexia
Dyspraxia
Chapter 16: Child health promotion
Parenting support
Parental mental health
Baby care
Child development and behavioural problems
Nutrition
Dental health
Passive smoking
Injury prevention
Identifying risks and safeguarding children
Health promotion in school
Screening and immunization
Chapter 17: The immunization schedule
Diseases protected against by immunizations in childhood
Diphtheria
Tetanus
Pertussis (whooping cough)
Polio
Haemophilus influenzae B
Pneumococcal disease
Meningococcal C
Rotavirus
Measles
Mumps
Rubella
Tuberculosis (TB)
Hepatitis B
Human papillomavirus (HPV)
Chicken pox
Part 3: Growth, endocrine and metabolic
Chapter 18: Weight faltering and failure to thrive
‘Catch down’ growth and ‘constitutional’ causes
Weight faltering due to environmental or psychosocial causes
Failure to thrive
Malabsorption
Chronic illness
Genetic and intrauterine causes
Chapter 19: Short stature and poor growth
Constitutional or familial short stature
Maturational delay
Hypothyroidism
Rarer hormonal problems
Chronic illness
Turner's syndrome
Late effects of cancer treatment
Chapter 20: Obesity
Nutritional obesity
Infant obesity
Public health issues
Chapter 21: Diabetes
Diabetes mellitus
Initial presentation of type 1 diabetes
Growing up with diabetes
Insulin therapy (type 1 diabetes)
Monitoring
Part 4: Cardiovascular disorders
Chapter 22: Congenital heart disease
Congenital heart disease presenting in the newborn period
Chapter 23: Heart problems in older children
Left-to-right shunts
Obstructive lesions
Cardiac arrhythmias in childhood
Myocarditis
Inherited cardiac disorders
Part 5: Fever
Chapter 24: Acute fever
Treatment of fever
Fever in young infants
Viral upper respiratory tract infections
Tonsillitis
Infectious mononucleosis
Acute otitis media
Chapter 25: Persistent fever and serious recurrent infections
Persistent fever and pyrexia of unknown origin
Kawasaki's disease
Infective endocarditis
Osteomyelitis
Serious recurrent infection and immunodeficiency
Splenectomy and hyposplenism
Congenital immunodeficiency
Acquired immunodeficiency
Part 6: Respiratory disorders
Chapter 26: Cough and wheeze
The ‘chesty’ child
Pneumonia
Bronchiolitis
Whooping cough
Croup (acute laryngotracheobronchitis)
Acute epiglottitis
Chapter 27: Stridor
Chapter 28: Swellings in the neck
Chapter 29: Asthma
Presentation
Management of chronic asthma
Medical management of asthma in children
Inhaler devices
Treatment of severe exacerbation
Chapter 30: Cystic fibrosis
Genetics
Presentation
Common problems and their management
Diagnosis
Prognosis
Part 7: Abdominal disorders
Chapter 31: Acute abdominal pain
Acute appendicitis
Intussusception
Other surgical causes of acute abdominal pain
Non-surgical causes of acute abdominal pain
Chapter 32: Vomiting
Gastro-oesophageal reflux
Pyloric stenosis
Vomiting due to gastroenteritis
Bowel obstruction
Sepsis presenting with vomiting
Vomiting due to raised intracranial pressure
Chapter 33: Acute diarrhoea and dehydration
Dehydration
Acute diarrhoea
Management of dehydration
Chapter 34: Chronic diarrhoea
Toddler diarrhoea
Lactose intolerance
Coeliac disease
Inflammatory bowel disease
Parasites
Cow's milk protein intolerance
Chapter 35: Recurrent abdominal pain
Idiopathic recurrent abdominal pain
Other causes
Other causes of recurrent abdominal pain
Chapter 36: Constipation
Constipation
Idiopathic constipation
Hirschsprung's disease
Risk factors for constipation
Part 8: Urogenital disorders
Chapter 37: Urinary tract infections
Investigating urinary tract infections
Renal anomalies
Urological abnormalities
Vesicoureteric reflux
Chapter 38: Haematuria and proteinuria
Acute post-streptococcal glomerulonephritis
Nephrotic syndrome
Other renal conditions
Chapter 39: Bedwetting and daytime wetting
Chapter 40: Swellings in the groin and scrotum
Part 9: Neurological disorders
Chapter 41: Developmental delay
Severe learning/intellectual disabilities (mental retardation)
Intrauterine infections
Foetal alcohol syndrome
Congenital hypothyroidism
Inborn errors of metabolism
Neurodegenerative disorders
Neurocutaneous syndromes
Abuse and neglect
Chapter 42: Headache
Migraine
Tension headache
Cluster headache
Raised intracranial pressure
Other causes of headache
Chapter 43: Fits, faints and funny turns
Breath-holding spells
Reflex anoxic seizures
Infantile spasms
Syncope (fainting)
Cardiac arrhythmias
Hyperventilation
Hypoglycaemia and other metabolic conditions
Chapter 44: Epilepsy
Medical management of epilepsy
Management of a tonic–clonic seizure
Monitoring a child with epilepsy
Living with epilepsy
Chapter 45: Cerebral palsy
Management of cerebral palsy
Therapy
Orthopaedic problems
Nutrition
Growing up with cerebral palsy
Part 10: Musculoskeletal disorders
Chapter 46: Swollen joints
Chapter 47: Juvenile idiopathic arthritis
Chapter 48: Leg pain and limp
Chapter 49: Common childhood skeletal problems
Part 11: Blood disorders
Chapter 50: Anaemia and thrombocytopenia
Iron deficiency anaemia
Thalassaemia
Sickle-cell anaemia
Idiopathic thrombocytopenic purpura (ITP)
Chapter 51: Jaundice
Jaundice and liver disease in the newborn
Liver disease in older children
Chapter 52: Leukaemia and childhood cancer
Acute leukaemia
Short-term side effects of treatment
Late sequelae of treatment
Part 12: Skin disorders
Chapter 53: Rashes—types of skin lesions
Chapter 54: Rashes—infancy and congenital
Chapter 55: Rashes—infections and infestations
Chapter 56: Rashes—common inflammatory disorders
Chapter 57: Allergy
Atopic disease
Eczema
Asthma
Allergic rhinitis
Allergic conjunctivitis
Food allergy
Urticaria, angioedema and anaphylaxis
Part 13: Emergency paediatrics
Chapter 58: Assessing the acutely ill child
Respiratory failure
Acute upper airway obstruction
Septic shock
Neurological warning signs
Chapter 59: The collapsed child
Collapse and cardiorespiratory arrest
Establishing an airway and artificial ventilation
Choking
External cardiac massage
Focal points for the assessment of the collapsed child
Chapter 60: The unconscious child
Coma
Meningitis
Encephalitis
Metabolic causes of coma
Reye's syndrome
Unexplained coma
Chapter 61: The fitting child
Generalized convulsions
Febrile convulsions
Management of the fitting child
Status epilepticus
Chapter 62: Injuries and burns
Chapter 63: Poisoning
Part 14: Child health in the community
Chapter 64: Living with a chronic illness
The effect of chronic illness on the child
The effect of chronic illness on the family
The paediatric care of children with long-term medical conditions
Involvement with school
Chapter 65: Living with a disability
How disability presents?
Assessment and diagnosis of a child with a disability
Paediatric care
Provision of services
The child with special educational needs
Chapter 66: Learning disability and autism
Paediatric management
Growing up with learning disability
Down's syndrome (trisomy 21)
Fragile X
Autistic spectrum disorders
Chapter 67: Visual and hearing impairment
Visual impairment
Hearing impairment
Chapter 68: Neglect and abuse
Overview
How does child abuse present?
Physical abuse
Neglect
Neglect and failure to thrive
Emotional abuse
Sexual abuse
Child sexual exploitation
Factitious or fabricated illness
Medical investigation
The safeguarding process
Chapter 69: Adolescent issues
Adolescent harmful health behaviours
Sexual health issues
Chapter 70: Sudden infant death
Acute life-threatening events and SIDS
Acute life-threatening events
Chapter 71: Ethics, research and consent
Research and evidence-based medicine
Chapter 72: Palliative and end-of-life care
Referral to palliative care services
Hospices
Symptom management
Pain
Feeding
Psychological and spiritual aspects of care
End-of-life care and bereavement
After death
Index
End User License Agreement
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