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ED368492.Pdf DOCUMENT RESUME ED 368 492 PS 6-2 243 AUTHOR Markel, Howard; And Others TITLE The Portable Pediatrician. REPORT NO ISBN-1-56053-007-3 PUB DATE 92 NOTE 407p. AVAILABLE FROMMosby-Year Book, Inc., 11830 Westline Industt.ial Drive, St. Louis, MO 63146 ($35). PUB TYPE Guides Non-Classroom Use (055) Reference Materials Vocabularies/Classifications/Dictionaries (134) Books (010) EDRS PRICE MF01/PC17 Plus Postage. DESCRIPTORS *Adolescents; Child Caregivers; *Child Development; *Child Health; *Children; *Clinical Diagnosis; Health Materials; Health Personnel; *Medical Evaluation; Pediatrics; Reference Materials; Symptoms (Individual Disorders) ABSTRACT This ready reference health guide features 240 major topics that occur regularly in clinical work with children nnd adolescents. It sorts out the information vital to successful management of common health problems and concerns by presentation of tables, charts, lists, criteria for diagnosis, and other useful tips. References on which the entries are based are provided so that the reader can perform a more extensive search on the topic. The entries are arranged in alphabetical order, and include: (1) abdominal pain; (2) anemias;(3) breathholding;(4) bugs;(5) cholesterol, (6) crying,(7) day care,(8) diabetes, (9) ears,(10) eyes; (11) fatigue;(12) fever;(13) genetics;(14) growth;(15) human bites; (16) hypersensitivity; (17) injuries;(18) intoeing; (19) jaundice; (20) joint pain;(21) kidneys; (22) Lyme disease;(23) meningitis; (24) milestones of development;(25) nutrition; (26) parasites; (27) poisoning; (28) quality time;(29) respiratory distress; (30) seizures; (31) sleeping patterns;(32) teeth; (33) urinary tract; (34) vision; (35) wheezing; (36) x-rays;(37) yellow nails; and (38) zoonoses, diseases transmitted by animals. (TJQ) *********************************************************************** Reproductions supplied by EDRS are the best that can be made from the original document. *********************************************************************** --.... -- , !---.-.-,,.'. -.7--- -_-,_ - --...- r U S. DEPARTMENT OF IIIIUCATSON Olfice of Educational Research and Improvement EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) Wu* document Ras been reproduced im received from the person or organization 1 originating it. Manor changes Rave been made to improve reproduction Quality Points of view or opinions stated in this docir mem do not risciessaity rmxissent official OERI position or POW,/ ,I ' -L;t4,4i 'PERMISSION TO REPRODUCE THIS MATERIAL HAS BEEN GRANTED BY ko... Gecxx.s TO THE EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) 2 , -7; , 1.6 f 419f N., The authors (the big people in white coats, left to right. JAO, JAM, FAO, HM) and friends in the lobby of The Johns Hopkins Children's Center. 4 BEST COPY AVAILIT.F. J A pediatrician Howard Markel, M.D. Harriet Lane Horne Researcn Fellow Department of Pediatrics The Johns Hopkins Children's Center; Fellow, Institute of the History of Medicine The Johns Hopkins University School of Medicine Baltimore, Maryland Jane A Oski, M.D. Department of Pediatrics The Johns Hopkins Children's Center; Clinical Fellow in Pediatrics The Johns Hopkins University School of Medicine Baltimore, Maryland Frank A. Oski, M.D. Director and Pediatrician-in-Chief The Johns Hopkins Children's Center; Given Professor and Chairman Department of Pediatrics The Johns Hopkins University School of Medicine Baltimore, Maryland Julia A. McMillan, M.D. Deputy Director The Johns Hopkins Children's Center; Associate Professor and Deputy Chairman Department of Pediatrics The Johns Hopkins University School of Medicine Baltimore, Maryland HANLEY & BELFUS, INC./Philadelphia MOSBY-YEAR BOOK, INC./St. LouisBaltimoreBostonChicagoLondon PhiladelphiaSydneyToronto 5 Publisher: HANLEY & BELFUS, 210 South 13th Street Philadelphia, PA 19107 (215) 546-7293 North American and Worldwide sales and distribution: MOSBY-YEAR BOOK INC. 11830 West line Industrial Drive St. Louis, MO 63146 In Canada: MOSBY-YEAR BOOK INC. 5240 Finch Avenue East Unit 1 Scarborough, Ontario M1S 5A2 Canada The Portable Peck:Wien ISBN 1-56053-007-3 4. (D 1992 by Hanley & Belfus, Inc. All rights reserved. Nopart of this book may be reproduced, reused, republished, or transmitted In any form or byany means without written permission of the publisher. Library of Congress catalog card number 91-58777 Last digit Is the print number 9 8 7 6 5 4 3 2 6 , DEDICATION We dedicate this book to our parents: Bernice and Samuel Markel Barbara and Frank Oski Sara and Aram Oski and Dorothy and Robert McMillan, and to all children, past, present, and future. , 7 , CONTENTS Preface xi Carotenemia 52 Abdominal Masses 1 Cat Scratch Disease 53 Abdominal Pain 2 Cervicitis 54 Acid-Base 5 Chest Pain 56 Alopecia 6 Cholesterol 57 Alpha-Fetoprotein 7 Clinical Judgment 58 Amenorrhea 8 Cocaine 59 Androgens 10 Coma 60 Anemias 11 Congenital Heart Disease 62 Anion Gap 13 Constipation 65 Anorexia 14 Contraception 66 Antibiotics 16 Cortisol 67 Anticonvulsants 17 Cough 67 Apnea 19 Crayons 63 The Argyll Robertson Pupil 20 Creamatocrit 69 Arthritis 21 Crying 70 Ataxia 25 Cyanosis 73 Back Pain 29 Cystic Fibrosis 74 Bacterial Endocarditis 32 Cystitis 75 Basal Skull Fracture 34 Cytomegalovirus 75 Behavior 35 Day Care 77 Bladder 35 Dehydration 78 Blistering 36 Dermatology 79 Blood Cultures 39 Development 82 Body Temperature 40 Diabetes 87 Bone Marrow Examinations 40 Diarrhea-Chronic 91 Breast Masses 41 Dysmenorrhea 95 Breathholding 43 Dysmorphism 95 Bugs 44 Dysphagia 100 Calcium 49 Dysrhythmia 101 Candidal Infection 51 Dysuria 101 Vii 8 vMContents Ears 103 Hoarseness 156 Encopresis 104 Human Bites 158 Endotracheal Intubation 104 Human Immunodeficiency 159 Virus Enuresis 106 Hydrops 162 Eosinophils 107 Hyperhidrosis 164 Epididymitis 108 Hyperleukocytosis 164 Epistaxis 109 Hyperlipidemia 165 Epstein-Barr Virus 109 Hypersensitivity 165 Erythrocyte Sedimentation 111 Rate Hypertension 166 Eye 112 Hypogonadism 169 Failure to Thrive 115 Hypotonia-Neonatal 170 Fatigue 117 Idiopathic Thrombocytopenic 175 Fever 118 Purpura Fontanels 124 Immunodeficiency 175 177 Foreign Body 127 Immunology Fragile X Syndrome 128 Inborn Errors of Metabolism 177 182 Gastroenteritis 131 Incidence vs. Prevalence Gastrointestinal Bleeding 132 Injuries 182 Genetics 134 Intoeing 183 Growth 135 Intraosseous Infusion 186 Gynccomastia 137 Intussusception 188 Head 139 Iron Deficiency Anemia 189 Headache 139 Iron Overdose 191 Hearing 140 Jaundice 193 Hematology 142 Joint Pain 196 Hematuria 142 Juvenile Rheumatoid Arthritis 197 Hemoglobin 147 Kawasaki's Disease 199 Hemoptysis 149 Kidneys 202 Henoch-Schönlein Purpura 151 Language 203 Hepatomegaly 152 Leukokoria 204 Herpes 153 Limb Pain 204 Hip 154 Limp 205 Hirschprung's Discase 155 Lumbar Puncture 206 Hirsutism 156 Lyme Disease 210 9 Contentslx Lymphadenopathy 212 Pigmenturia 260 (Generalized) Pleural Effusion 262 Magnesium 2 i 7 Poisoning 263 Malignant Disease 218 Polyposis 267 Maple Syrup Urine Disease 220 Polyuria 268 Marfan's Syndrome 220 Porphyrias 269 Mean Corpuscular Volume 221 Potassium: Hyperkalemia 269 Meningitis 222 Potassium: Hypokalemia 269 Meningococcal Infection 225 Procedures 270 M icrocytosis 226 Proteinuria 272 Milestones 227 Pruritus 272 Mononucleosis 231 Puberty 274 Movement Disorders 232 Pupils 279 Murphy's Law (Medical 234 Purpura (Petechial and 280 Murphology) Ecchymoses) Neurofibromatosis 237 Pyuria and Bacteriuria 282 Neurologic Development 238 Quality Time 283 Neutropenia 239 Questions 285 Norm), 'qstemia 240 Red Cell 289 Nursemaid's Elbow 241 Renal Failure 289 Nutrition 243 Respiratory Distress 290 Obsessive-Compulsive Disorder245 Respiratory Viruses 291 Occam's Razor 246 Retropharynx 293 Odor.; of Disease 246 Rett Syndrome 294 Osmolality 248 Rhinitis 295 Pain 249 Rhythmic Behaviors 297 Palsy 249 Rickets 298 Pancreatitis 250 Scrotum 303 Panniculitis 252 Seizures 304 Parasites 252 Sexuality 308 Parvovirus 253 Short Stature 309 Pelvic Inflammatory Disease 254 Shwachman's Syndrome 312 Pertussis 256 Sinuses 312 Phagocytes 257 Skin Signs 313 Phobias 258 Sleeping Patterns 313 I 0 XContents Snake Bite 314 Tick 354 Sodium: Hypernatremia 320 Torticollis 355 Sodium. Hyponatremia 320 Tourette's Syndrome 356 Splenomegaly 320 Tracheoesophageal Fistula 357 The Spoiled Cbild Syndrome 321 Umbilicus 359 Sports 323 Upper Airway Obstruction 363 Stool 326 Urinalysis 364 Strabismus 328 Urine Output 366 Stridor 323 Urinary Tract 366 Stroke 330 N,aginal Bleeding 369 Sudden Death 333 Vas Deferens 370 Sunlight 333 Vesicles 370 Sweat Test 334 Vertigo and Syncope 372 Syncope 335 Vision 373 Syndromes and Eponyms 338 Vulnerable Child Syndrome 374 Syphilis 342 Walkers 377 Teeth 347 Wheezing 378 Tennis Elbow 347 Wound Care 378 Terminology 349 X-rays 381 Thalassemias 349 Yellow Nails 383 Theophylline 351 Zoonoses 385 Thrombocytosis 352 Index 387 1 1 PREFACE The Portable Pediatricianis intended to instruct, enlighten, and entertain those who are studying or providing for the health care needs of children and adolescents. Although this book is clearly not meant to be an all-encompassing textbook of pediatrics, it is the authors' hope that the busy practitioner, house officer, medical student, or nurse can turn to these pages in the quest for an important bit of information that solves an immediate problem or to replenish his or her reservoir of knowledge in pediatrics. We have arranged this book in a dictionary format so that the reader can look up in alphabetical order the subject or key word at hand for quick and ready reference. A more complete
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