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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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