Illustrated Textbook of Paediatrics: with STUDENTCONSULT Online Access, 4e
Format: PDF / Kindle (mobi) / ePub
Winner of the 2012 British Medical Association book awards' first prize in the paediatrics category!
This is the fourth edition of a highly popular 'must have textbook for paediatrics for medical students'. The previous edition has been translated into eight languages and also won British Medical Association and Royal Society of Medicine prizes for the best paediatrics textbook.
- New section on child protection
- New section on global paediatrics
- Over fifty new images
- Thoroughly revised and updated throughout
transient • Subaponeurotic haemorrhage (Fig. 10.4) (very uncommon) – diffuse, boggy swelling of scalp on Figure 10.7 Erb palsy. The affected arm lies straight, limp and with the hand pronated and the fingers flexed (waiter’s tip position). examination, blood loss may be severe and lead to hypovolaemic shock and coagulopathy. Nerve palsies Brachial nerve palsy results from traction to the bra chial plexus nerve roots. They may occur at breech deliveries or with shoulder dystocia. Upper
‘hundreds and thousands’ cake sprinkles) at 15 months. Adult levels are reached by 3–4 years of age, when the child can match pictures or letters at 6/6 using both eyes together. Summary Vision • Term newborn infants can fix and follow horizontally and prefer to watch faces. • Visual acuity is poor in the newborn but increases to adult levels by 4 years of age. • Vision screening is performed at school entry or in preschool children. Hearing screening of newborn infants (a) Evoked
Fraser guidelines. Despite including children’s views in consent, legal judgements have not supported children who refuse treatment parents and clinicians feel to be in their best interests, especially if its purpose is to save life or prevent serious harm, e.g. heart transplantation for acute cardiomyopathy in an intelligent 15-year-old patient. Where disputes cannot be resolved by nego tiation or mediation, or there is doubt over the legality of what is proposed, legal advice should be sought.
variation at other genes, environ mental effects, or sheer chance. Non-penetrance Refers to the lack of clinical signs and symptoms in an individual who has inherited the abnormal gene. An example of this is otosclerosis, in which only about 40% of gene carriers develop deafness (Fig. 8.10). No family history of the disorder It therefore may be due to: • A new mutation in one of the gametes leading to the conception of the affected person. This is the most common reason for absence of a
resuscitation in air to avoid excessive tissue oxygenation. If giving additional oxygen, use air/oxygen blender to titrate oxygen concentration with oxygen saturation on pulse oximeter. (Acceptable pre-ductal saturations – 2 min 60%; 3 min 70%; 4 min 80%; 5 min 85%; 10 min 90%.) • Reassess every 30 seconds. If heart rate not responding, check mask position, neck position, is jaw thrust needed, is circuit all right, ensure adequate chest movement. Consider using two-person airway control (f). Call