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By Andrew J. White

Concise, transportable, and undemanding, The Washington guide® of Pediatrics, second Edition, specializes in the fundamental details you want to be aware of while taking care of teenagers within the sanatorium, ICU, emergency division, and subspecialty outpatient clinics.  This sensible reference offers short, logical techniques to the prognosis and therapy of universal inpatient pediatric difficulties, in addition to evidence-based references the place they're available.  completely up to date all through, the second variation presents a transparent view of the demanding situations confronted by means of citizens, interns, and clinical scholars, plus bargains useful options, and professional information – multi functional handy and simply available source.

Key Features:

  • Thoroughly revised chapters with up to date, clinically appropriate content material that's effortless for prone in any respect levels.
  • New chapters on improvement Milestones, baby Maltreatment, and sufferer defense and caliber Improvement
  • Coverage includes progress and meals, emergencies, poisonings, child medication, serious care, surgical procedure, adolescent drugs, baby maltreatment, hypersensitivity and immunology, radiology, sedation, genetic illnesses, and masses more.
  • Numerous tables, algorithms, and evidence-based references continue you as much as date.
  • Written by way of interns, citizens, leader citizens, subspecialty fellows, and school at St. Louis Children’s clinic and Washington collage in St. Louis.

 
Now with the print variation, benefit from the bundled interactive publication variation, that are downloaded for your pill and telephone or accessed on-line and comprises positive aspects like:

  • Complete content material with more desirable navigation
  • Powerful seek instruments and clever navigation cross-links that pull effects from content material within the ebook, your notes, or even the web
  • Cross-linked pages, references, and more for simple navigation
  • Highlighting tool for less complicated reference of key content material in the course of the text
  • Ability to take and percentage notes with acquaintances and colleagues
  • Quick reference tabbing to avoid wasting your favourite content material for destiny use

The Washington guide® is a registered mark belonging to Washington collage in St. Louis to which foreign felony security applies. The mark is utilized in this book through Wolters Kluwer less than license from Washington University.

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Hypercalcemia in children and adolescents. Curr Opin Pediatr 2010;22(4):508-515. Owen GM, Garry P, Fomon SJ, et al. Concentrations of calcium and inorganic phosphorus in serum of normal infants receiving various feedings. Pediatrics 1963;31(3):495-498. Rose BD. Clinical Physiology of Acid Base and Electrolyte Disorders. 5th Ed. New York: McGraw Hill, 2001. Teach SJ, Yates EW, Feld LG. Laboratory predictors of fluid deficit in acutely dehydrated children. Clin Pediatr (Phila) 1997;36:395-400. Zaoutis LB, Chiang VW, eds.

See the ÒLead Screening and ToxicityÓ section of Chapter 1, Common Topics, for further details. Refer an adolescent with history of heavy menstrual cycles to an obstetrician/gynecologist for evaluation of menorrhagia. TABLE 2-2 Clinical Signs of Vitamin and Mineral Deficiency Vitamin/Mineral Clinical pearls A Bitot spots (keratinization of conjunctiva) Nyctalopia (night blindness) Follicular hyperkeratosis Failure to thrive Impaired mucosal immunity B1 (thiamine) BeriberiÑcardiac failure, peripheral neuritis Wernicke encephalopathyÑophthalmoplegia, nystagmus, ataxia B2 (riboflavin) Cheilosis/glossitis B3 (niacin) PellagraÑdiarrhea, dermatitis (photosensitive), dementia B6 (pyridoxine) Infantile spasms, refractory seizures Hypochromic anemia B12 Megaloblastic anemia Neuropathy C ScurvyÑpoor wound healing, bleeding gums, pain on weight bearing Skeletal x-ray abnormalities D RicketsÑosteomalacia, bowed legs, rachitic rosary Hypocalcemia Increased alkaline phosphatase E Ataxia, hyporeflexia Hemolysis in premature infants Pigmented retinopathy K Coagulopathy with elevated prothrombin time Folate Megaloblastic anemia Iron Microcytic anemia Zinc Acral rash SUGGESTED READINGS Baker RD, Greer FR; the Committee on Nutrition.

Bryk J, Zenati M, Forsythe R, Peitzman A, et al. Effect of calorically dense enteral nutrition formulas on outcome in critically ill trauma and surgical patients. J Parenter Enteral Nutr 2008;32(1):6-11. Gidding SS, et al. Dietary recommendations for children and adolescents: a guide for practitioners. Pediatrics 2006;117:544-559. Hagan JF, Shaw JS, Duncan PM, eds. Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents. 3rd Ed. Elk Grove Village, IL: American Academy of Pediatrics, 2008.

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