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Index
Contributors
Preface
Acknowledgments
Chapter 1
Cardiology
1 A Neonate with a Heart Murmur
2 A 10-Year-Old Boy with Palpitations
3 A 7-Year-Old with a Heart Murmur
4 A 5-Year-Old with a Heart Murmur and Fever
5 A 10-Year-Old Boy with Elevated Blood Pressure Ascertained at a Routine Physical Examination
Chapter 2
Critical Care
6 A 5-Month-Old with Apnea and Cyanosis
7 A 4-Month-Old with Hypotonia and a Weak Cry
8 A 5-Year-Old Boy with Fever, Drooling, and Stridor
9 A 6-Year-Old Boy Found at the Bottom of the Neighbor’s Pool
10 A 2-Year-Old Boy with Sudden Onset of Coughing
11 A 3-Year-Old Girl with Hypoxia and a History of Hoarseness
12 16-Year-Old Boy with Very High Body Temperature
13 A 4-Year-Old Girl with Snoring
14 A 16-Month-Old Boy with Fever and Cough
15 An 8-Month-Old with Generalized Seizures
Chapter 3
Dermatology
16 A Neonate with a Birthmark on the Face
17 A Neonate Girl with Vesicles
18 An 8-Year-Old Boy with an Itchy Rash
19 A 4-Year-Old Girl with an Itchy Rash
20 An 8-Year-Old Girl with Hair Loss
21 A 6-Month-Old Boy with Birthmarks
Chapter 4
Development
22 A 2-Month-Old with Colic and Subsequent Development Delay
23 A 4-Year-Old Boy with Motor Disability Preparing to Transition to Public School Kindergarten
24 A 1-Year-Old with Early Handedness
25 A Child with Spina Bifida
26 A 3-Year-Old with Speech Delay
27 A Neonate Girl with Floppy Tone and Upward-slanting Eyes
28 An 8-Year-Old Boy with Autistic Behaviors that are Difficult to Control
29 A 4-Year-Old who was Born Prematurely
30 An 8-Year-Old Boy with Loss of Milestones
31 A 3-Year-Old Boy with Poor Language and Social Skills
32 A 7-Year-Old Boy with ADHD Fails First Grade
33 An 18-Month-Old Boy who has not Spoken
34 A 4-Month-Old Well Child Visit with a Tearful Mother
35 A 6-Year-Old Boy who Failed Kindergarten
36 An 8-Year-Old Girl who is Bossy
Chapter 5
Endocrinology
37 A 10-Year-Old Boy with Short Stature
38 An 81/2-Year-Old with Pubertal Development
39 A 14-Year-Old without any Signs of Puberty
40 A 10-Year-Old with a Goiter
41 A 14-Month-Old with a Seizure
42 A 12-Year-Old Girl with Nausea, Abdominal Pain, and Vomiting
43 A Neonate with Ambiguous Genitalia
44 A 13-Year-Old Girl with Rapid Weight Gain
45 A 16-Year-Old Boy with Fatigue, Anorexia, Intermittent Vomiting, and Weight Loss
Chapter 6
Gastroenterology
46 A 1-Month-Old with Jaundice
47 An 11-Year-Old with Cramping Abdominal Pain
48 A 4-Year-Old Boy with Rectal Bleeding
49 A 6-Week-Old with Vomiting
50 An 8-Year-Old with Jaundice
51 A 6-Year-Old with Fecal Incontinence
52 A 15-Month-Old with Diarrhea
Chapter 7
General Pediatrics
53 A 12-Year-Old with Ear Discharge
54 A 2-Year-Old with Eye Redness
55 A 5-Year-Old Boy with a Painless Limp
56 A 4-Year-Old with Ear Pain
57 A 14-Year-Old Boy with a Sore Throat and Enlarged Spleen
58 A 5-Year-Old with Nosebleeds
59 A 4-Year-Old Girl with “Pink Eye”
60 A 9-Month-Old in a Car Accident
61 An 8-Year-Old with Congestion
62 An 8-Year-Old Girl with Sore Throat
63 A 7-Month-Old with Crossed Eyes
64 A 4-Year-Old with a Neck Mass
65 A 3-Month-Old Boy with Apnea
66 A 2-Year-Old Boy Who Needs a Checkup
67 A 2-Year-Old who Refuses to Walk
68 A 2-Year-Old with Recurrent Wheezing
69 A 5-Year-Old with Hives after 10 Days of Antibiotics
70 A 3-Month-Old with Poor Weight Gain, Recurrent Infection, and Diarrhea
Chapter 8
Adolescent Medicine
71 A 14-Year-Old Girl who Needs a School Physical
72 A 15-Year-Old Boy with Short Stature and Pubertal Delay
73 A 16-Year-Old Girl who has Never had a Menstrual Period
74 A 17-Year-Old Girl with Painful Menses
75 A 14-Year-Old Girl with Painful Urination
76 A 17-Year-Old Girl with Heavy, Irregular Menses
77 A 15-Year-Old Girl with Abdominal Pain, Weight Gain, and Fatigue
78 A 15-Year-Old Girl with Obesity, Acne, No Menses in 3 Months, and Possible Depression
Chapter 9
General Emergency and Urgent Care
79 A 17-Year-Old with Knee Pain
80 A 15-Year-Old and A 17-Year-Old Who Collapse During a Marathon
81 A 5-Year-Old Boy with Abdominal Pain
82 A 3-Year-Old Girl who Drinks a Bottle of Acetaminophen
Chapter 10
Genetics
83 A Neonate with a Heart Defect and Dysmorphic Features
84 A Neonate with Lethargy
85 A Neonate with a Ventricular Septal Defect and a Thin Upper Lip
86 A 6-Month-Old Boy with Short Stature Suggestive of Skeletal Dysplasia
Chapter 11
Hematology and Oncology
87 A Neonate with Hyperbilirubinemia
88 An 18-Month-Old Girl with Anemia
89 A 16-Year-Old with Sickle Cell Disease and Respiratory Distress
90 A 14-Year-Old Boy with a Painful Left Thigh
91 A 6-Year-Old with Fevers, Fatigue, and Bruising
92 A 5-Year-Old with Petechiae
93 A 3-Year-Old Girl with an Abdominal Mass
Chapter 12
Infectious Disease
94 A 12-Month-Old with Delayed Immunizations
95 A 4-Year-Old Immunocompromised Girl with an Exposure to Varicella
96 A 2-Year-Old at Day Care with Fever, Anorexia, and Nausea
97 A 3-Year-Old with a Febrile Seizure
98 A 9-Month-Old with Fever and Cerebrospinal Fluid Pleocytosis
99 An 18-Month-Old with Fever after Renal Transplant
100 A 12-Year-Old Girl with Leukemia and Persistent Fever
101 A 15-Year-Old Adolescent Girl with Fever, Shortness of Breath, and an Abnormal Chest Radiograph
102 A 2-Week-Old with Fever, Rash, and a Seizure
103 A 15-Month-Old with Feverand Tachypnea
104 A 13-Year-Old Adolescent Boy with a Chronic Cough
105 A 4-Year-Old Boy with Fever and a Neck Mass
106 A 2-Year-Old Girl with Abdominal Pain and Fever
Chapter 13
Neglect and Abuse
107 A 4-Month-Old with Weight Loss
108 A 2-Year-Old with a Burn
109 An 8-Month-Old with Irritability
110 A 6-Year-Old with Vaginal Discharge
Chapter 14
Neonatal Medicine
111 A Term Neonate with Respiratory Distress
112 A Premature Neonate with Respiratory Distress Syndrome and Necrotizing Enterocolitis
113 A Term Neonate with a History of Maternal Polyhydramnios
114 Neonate of a Diabetic Mother
115 A Neonate with a History of Maternal Group B Streptococcal Colonization and a Reactive Rapid Plasma Reagin Test for Syphilis
116 A Neonate with Hyperpigmented Macular Skin Findings
117 A Term Neonate Needs an Initial Examination
118 A Term Neonate Found to have Low Birthweight after Delivery
119 A 36-Week-Gestation Neonate’s Mother wants an Early Discharge
120 A Term Neonate Requires Routine Care in the Nursery
Chapter 15
Nephrology
121 A 4-Day-Old with Feeding Problems
122 A 4-Month-Old Boy with Poor Weight Gain, Irritability, and Low Urine Osmolality
123 An 8-Month-Old Boy with Vomiting and Weight Loss
124 A 7-Year-Old with Enuresis
125 A 6-Year-Old with Puffy Eyelids and Swollen Legs
126 A 12-Year-Old Girl with Smoky-colored Urine
127 A 5-Year-Old Boy with Bloody Diarrhea and Oliguria
128 A 4-Year-Old Girl with a Purpuric Rash on the Buttocks
129 A 10-Year-Old Girl with Bed-wetting and Proteinuria
130 A 15-Year-Old Boy with Flank Pain and Bloody Urine
Chapter 16
Neurology
131 A 6-Year-Old Girl with Staring Spells
132 A 5-Month-Old Boy with Seizures and a Birth Mark
133 A 2-Year-Old Girl with Headache and Fever
134 A 17-Year-Old Adolescent Girl with Muscle Weakness
135 A 7-Year-Old Boy with Head Jerks
136 A 16-Year-Old Girl with Headaches and Blurred Vision
137 An 8-Year-Old Boy with Difficulty in School
138 A 2-Year-Old Boy with Developmental Delay and Spasticity
139 A 17-Year-Old Boy with Weakness and Paresthesias
Chapter 17
Rheumatology
140 A 5-Year-Old Boy with Fevers and Joint Swelling
141 A 15-Year-Old Girl with Fatigue, Fever, and Arthritis
Chapter 18
Ophthalmology
142 A Child with a Lazy Eye
Chapter 19
Dentistry
143 A 4-Year-Old with Dental Truama
144 A Neonate with an Erupted Tooth
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