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Basics In Adolescent Medicine: A Practical Manual Of Signs, Symptoms And Solutions

Basics In Adolescent Medicine: A Practical Manual Of Signs, Symptoms And Solutions

Silber Tomas | Saxena Harshita

(2014)

Additional Information

Book Details

Abstract

This practical manual reviews salient topics in Adolescent Medicine. The volume is practitioner-centered, focusing on the symptoms that bring a teenager to the clinician. Every chapter begins with a very brief clinical vignette, highlighting the patient's chief complaint or primary issue of concern.The handbook is divided into five primary sections: (1) Well Adolescent Care to include chapters such as the Annual Physical and Immunizations in Adolescence; (2) Common Problems of Adolescence such as Acne and Low Back Pain; (3) Reproductive Health Care issues such as Menstrual Disorders and Teen Pregnancy/Options Counseling; (4) Urgent Care matters including Acute Chest Pain and Scrotal Pathology: Pain and Masses; and finally, (5) Special Considerations to include chapters such as Cyberbullying and Sexting and Tobacco Use and Cessation Counseling.Chapters follow a uniform format with vignette as described above, followed by multiple choice questions designed to test the readers knowledge. Salient features related to the chapter topic follow, including relevant clinical “pearls” such as history, physical exam, laboratory and diagnostic studies and treatment strategies. For each chapter, issues that are unique to managing illness in adolescents are highlighted to distinguish them from adults and younger children. When applicable, a broad differential diagnosis is provided to help guide the reader. Easy to read tables are included to highlight and clearly summarize key aspects of the topic and the chapters end with answers to the Board-Style questions presented at the start.

Table of Contents

Section Title Page Action Price
CONTENTS vii
Author Contributors xv
Foreword xxv
Preface xxix
Acknowledgments xxxi
SECTION I: WELL ADOLESCENT CARE 1
Chapter 1: The Annual Physical 3
TEST YOUR KNOWLEDGE 3
ASSESSMENT 5
DISPOSITION 8
TEST YOUR KNOWLEDGE ANSWERS 9
WEB REFERENCES 20
Chapter 2: Adolescent Consent and Confidentiality 23
TEST YOUR KNOWLEDGE 23
ASSESSMENT 26
DISPOSITION 26
TEST YOUR KNOWLEDGE ANSWERS 28
WEB REFERENCES 28
Chapter 3: Normal Nutrition Through Adolescence 31
TEST YOUR KNOWLEDGE 31
ASSESSMENT 32
STUDIES 34
DIETARY TREATMENT CONSIDERATIONS 35
DISPOSITION 37
TEST YOUR KNOWLEDGE ANSWER 37
WEB REFERENCES 38
Chapter 4: Immunizations in Adolescents 41
TEST YOUR KNOWLEDGE 41
THE NEW GENERATION OF “ADOLESCENT” VACCINES 42
VACCINES OF ADOLESCENCE 47
ASSESSMENT 48
DISPOSITION 48
TEST YOUR KNOWLEDGE ANSWER 51
WEB REFERENCES 56
Chapter 5: Taking Care of Adolescent Males 59
TEST YOUR KNOWLEDGE 59
ASSESSMENT 60
TEST YOUR KNOWLEDGE ANSWER 62
WEB REFERENCES 65
Chapter 6: Taking Care of Lesbian, Gay, Bisexual, Transgender and Questioning (LGBTQ) Teens 67
TEST YOUR KNOWLEDGE 67
RISK FACTORS 68
ASSESSMENT 69
STUDIES 72
TEST YOUR KNOWLEDGE ANSWER 74
WEB REFERENCES 76
Chapter 7: The Pre-Participation Sports Physical 79
TEST YOUR KNOWLEDGE 79
ASSESSMENT 80
STUDIES 83
DISPOSITION 84
CLEARANCE CONSIDERATIONS 84
TEST YOUR KNOWLEDGE ANSWER 89
WEB REFERENCES 90
Chapter 8: Sports Supplements 93
TEST YOUR KNOWLEDGE 93
ASSESSMENT 94
STUDIES 97
DISPOSITION 98
TEST YOUR KNOWLEDGE ANSWERS 101
WEB REFERENCES 101
Chapter 9: Adolescent Driving 103
TEST YOUR KNOWLEDGE 103
ASSESSMENT 104
INTERVENTIONS 104
DISPOSITION 107
TEST YOUR KNOWLEDGE ANSWERS 110
WEB REFERENCES 112
Chapter 10: The Transition to College 113
TEST YOUR KNOWLEDGE 113
ASSESSMENT 114
STUDIES 115
DISPOSITION 116
TEST YOUR KNOWLEDGE ANSWER 119
WEB REFERENCES 119
Chapter 11: The Adolescent Traveler and Immigrant 121
TEST YOUR KNOWLEDGE 121
PRE-TRAVEL RECOMMENDATIONS 122
POST-TRAVEL RECOMMENDATIONS 124
THE ADOLESCENT IMMIGRANT 125
TEST YOUR KNOWLEDGE ANSWER 126
WEB REFERENCES 127
SECTION II: COMMON PROBLEMS 129
Chapter 12: Short Stature/Delayed Onset of Puberty 131
TEST YOUR KNOWLEDGE 131
DEFINITIONS 132
ASSESSMENT 133
STUDIES 135
TREATMENT 137
TEST YOUR KNOWLEDGE ANSWERS 138
WEB REFERENCES 140
Chapter 13: Tall Stature 141
TEST YOUR KNOWLEDGE 141
ASSESSMENT 142
STUDIES 144
TREATMENT 145
TEST YOUR KNOWLEDGE ANSWERS 146
WEB REFERENCES 146
Chapter 14: Abnormal Weight Gain 149
TEST YOUR KNOWLEDGE 149
ASSESSMENT 150
STUDIES 156
TREATMENT 158
DISPOSITION 158
TEST YOUR KNOWLEDGE ANSWER 160
WEB REFERENCES 161
Chapter 15: Abnormal Weight Loss/Malnutrition 165
TEST YOUR KNOWLEDGE 165
ASSESSMENT 166
STUDIES 170
DISPOSITION 174
TEST YOUR KNOWLEDGE ANSWERS 175
WEB REFERENCES 178
Chapter 16: Bulimia 179
TEST YOUR KNOWLEDGE 179
ASSESSMENT 180
STUDIES 185
DISPOSITION 188
TEST YOUR KNOWLEDGE ANSWERS 189
WEB REFERENCES 191
Chapter 17: Anemia 193
TEST YOUR KNOWLEDGE 193
ASSESSMENT 196
STUDIES 198
DISPOSITION 201
TEST YOUR KNOWLEDGE ANSWERS 202
WEB REFERENCES 203
Chapter 18: Headaches: Common, Chronic and Recurrent 205
TEST YOUR KNOWLEDGE 205
ASSESSMENT 207
STUDIES 211
TREATMENT 211
DISPOSITION 212
TEST YOUR KNOWLEDGE ANSWERS 213
WEB REFERENCES 214
Chapter 19: Bell’s Palsy (7th Nerve or Facial Nerve Palsy) 217
TEST YOUR KNOWLEDGE 217
ASSESSMENT 218
STUDIES 219
DISPOSITION 220
TEST YOUR KNOWLEDGE ANSWERS 221
WEB REFERENCES 221
Chapter 20: Asthma, Exercise Induced Bronchospasm (EIB) and Vocal Cord Dysfunction (VCD) 223
TEST YOUR KNOWLEDGE 223
ASSESSMENT 224
STUDIES 226
DISPOSITION 227
TEST YOUR KNOWLEDGE ANSWERS 230
WEB REFERENCES 232
Chapter 21: Gynecomastia 235
TEST YOUR KNOWLEDGE 235
ASSESSMENT 236
STUDIES 238
DISPOSITION 238
TEST YOUR KNOWLEDGE ANSWER 239
WEB REFERENCES 240
Chapter 22: Recurrent or Chronic Abdominal Pain 243
TEST YOUR KNOWLEDGE 243
ASSESSMENT 244
STUDIES 247
TREATMENT 248
DISPOSITION 248
TEST YOUR KNOWLEDGE ANSWERS 249
WEB REFERENCES 253
Chapter 23: Constipation and Encopresis 255
TEST YOUR KNOWLEDGE 255
RISK FACTORS 256
ASSESSMENT 257
STUDIES 258
TREATMENT 259
TEST YOUR KNOWLEDGE ANSWER 260
WEB REFERENCES 260
Chapter 24: Enuresis 263
TEST YOUR KNOWLEDGE 263
ASSESSMENT 264
STUDIES 266
TREATMENT 267
DISPOSITION 268
TEST YOUR KNOWLEDGE ANSWER 268
WEB REFERENCES 269
Chapter 25: Dysuria, Urinary Tract Infections and Pyelonephritis 271
TEST YOUR KNOWLEDGE 271
ASSESSMENT 272
STUDIES 275
TREATMENT 276
TEST YOUR KNOWLEDGE ANSWER 278
WEB REFERENCES 278
Chapter 26: Proteinuria 281
TEST YOUR KNOWLEDGE 281
ASSESSMENT 282
STUDIES 284
DISPOSITION 286
TEST YOUR KNOWLEDGE ANSWER 287
WEB REFERENCES 289
Chapter 27: Hematuria 291
TEST YOUR KNOWLEDGE 291
ASSESSMENT 292
STUDIES 294
DISPOSITION 297
TEST YOUR KNOWLEDGE ANSWER 297
WEB REFERENCES 300
Chapter 28: Low Back Pain 303
TEST YOUR KNOWLEDGE 303
ASSESSMENT 304
STUDIES 307
DISPOSITION 308
TEST YOUR KNOWLEDGE ANSWERS 309
WEB REFERENCES 311
Chapter 29: Sports Medicine: Musculoskeletal Injuries 313
TEST YOUR KNOWLEDGE 313
ASSESSMENT 314
STUDIES 317
TREATMENT 318
TEST YOUR KNOWLEDGE ANSWER 319
WEB REFERENCES 321
Chapter 30: Acne 323
TEST YOUR KNOWLEDGE 323
ASSESSMENT 324
TREATMENT 327
DISPOSITION 329
TEST YOUR KNOWLEDGE ANSWER 330
WEB REFERENCES 331
Chapter 31: Vague Somatic Complaints 333
TEST YOUR KNOWLEDGE 333
ASSESSMENT 335
TREATMENT 338
DISPOSITION 339
TEST YOUR KNOWLEDGE ANSWER 342
WEB REFERENCES 342
Chapter 32: Sleep Disorders 343
TEST YOUR KNOWLEDGE 343
ASSESSMENT 344
STUDIES 347
DISPOSITION 348
TEST YOUR KNOWLEDGE ANSWERS 349
WEB REFERENCES 352
Chapter 33: Tics and Tourette Syndrome 353
TEST YOUR KNOWLEDGE 353
ASSESSMENT 354
TREATMENT 356
TEST YOUR KNOWLEDGE ANSWERS 357
WEB REFERENCES 357
Chapter 34: Attention Deficit Hyperactivity Disorder (ADHD) 359
TEST YOUR KNOWLEDGE 359
ASSESSMENT 361
STUDIES 362
TREATMENT 363
TEST YOUR KNOWLEDGE ANSWERS 366
WEB REFERENCES 370
Chapter 35: Anxiety Disorders 373
TEST YOUR KNOWLEDGE 373
RISK FACTORS 374
ASSESSMENT 375
STUDIES 376
DISPOSITION 376
TEST YOUR KNOWLEDGE ANSWERS 378
WEB REFERENCES 380
Chapter 36: Depression 381
TEST YOUR KNOWLEDGE 381
RISK FACTORS 382
ASSESSMENT 383
STUDIES 386
DISPOSITION 386
TEST YOUR KNOWLEDGE ANSWER 388
WEB REFERENCES 389
SECTION III: REPRODUCTIVE HEALTH CARE 391
Chapter 37: Breast Pathology: Masses and Nipple Discharge 393
TEST YOUR KNOWLEDGE 393
ASSESSMENT 395
STUDIES 397
DISPOSITION 398
ASSESSMENT 399
STUDIES 401
DISPOSITION 402
TEST YOUR KNOWLEDGE ANSWER 403
WEB REFERENCES 405
Chapter 38: Dysmenorrhea, PMS and PMDD 407
TEST YOUR KNOWLEDGE 407
ASSESSMENT 408
STUDIES 410
TREATMENT 411
ASSESSMENT 413
TREATMENT 413
TEST YOUR KNOWLEDGE ANSWERS 414
WEB REFERENCES 416
Chapter 39: Amenorrhea 417
TEST YOUR KNOWLEDGE 417
ASSESSMENT 418
STUDIES 422
TREATMENT 425
TEST YOUR KNOWLEDGE ANSWERS 427
WEB REFERENCES 430
Chapter 40: Vaginal Bleeding 431
TEST YOUR KNOWLEDGE 431
ASSESSMENT 432
STUDIES 434
TREATMENT 435
TEST YOUR KNOWLEDGE ANSWER 437
WEB REFERENCES 437
Chapter 41: Vaginal Discharge 439
TEST YOUR KNOWLEDGE 439
ASSESSMENT 440
STUDIES 442
TREATMENT 444
TEST YOUR KNOWLEDGE ANSWER 445
WEB REFERENCES 449
Chapter 42: Pelvic Inflammatory Disease (PID)/Tuboovarian Abscess (TOA) 451
TEST YOUR KNOWLEDGE 451
ASSESSMENT 452
STUDIES 455
TREATMENT 456
DISPOSITION 457
TEST YOUR KNOWLEDGE ANSWERS 458
WEB REFERENCES 460
Chapter 43: Urethritis in Males 463
TEST YOUR KNOWLEDGE 463
ASSESSMENT 464
STUDIES 466
TREATMENT 466
DISPOSITION 467
TEST YOUR KNOWLEDGE ANSWERS 468
WEB REFERENCES 471
Chapter 44: Genital Warts: Condyloma Accuminata 473
TEST YOUR KNOWLEDGE 473
ASSESSMENT 474
STUDIES 476
TREATMENT 476
TEST YOUR KNOWLEDGE ANSWERS 477
WEB REFERENCES 478
Chapter 45: Genital Ulcer Syndrome (GUS) 479
TEST YOUR KNOWLEDGE 479
ASSESSMENT 480
STUDIES 482
TREATMENT 484
TEST YOUR KNOWLEDGE ANSWER 485
WEB REFERENCES 488
Chapter 46: Condoms 489
TEST YOUR KNOWLEDGE 489
ASSESSMENT 490
STUDIES 492
DISPOSITION 492
TEST YOUR KNOWLEDGE ANSWER 494
WEB REFERENCES 495
Chapter 47: Hormonal Contraception 499
TEST YOUR KNOWLEDGE 499
ASSESSMENT 500
STUDIES 503
DISPOSITION 504
TEST YOUR KNOWLEDGE ANSWER 506
WEB REFERENCES 510
Chapter 48: Emergency Contraception (EC) 511
TEST YOUR KNOWLEDGE 511
ASSESSMENT 512
STUDIES 513
TREATMENT 513
DISPOSITION 514
TEST YOUR KNOWLEDGE ANSWERS 516
WEB REFERENCES 521
Chapter 49: Teen Pregnancy and Options Counseling 523
TEST YOUR KNOWLEDGE 523
RISK FACTORS 524
ASSESSMENT 524
STUDIES 527
TREATMENT 527
DISPOSITION 528
TEST YOUR KNOWLEDGE ANSWERS 531
WEB REFERENCES 532
SECTION IV: URGENT CARE 535
Chapter 50: Heat Exhaustion and Heat Stroke 537
TEST YOUR KNOWLEDGE 537
RISK FACTORS 538
ASSESSMENT 538
STUDIES 539
TREATMENT 540
PREVENTION 540
RISK FACTORS 541
ASSESSMENT 542
STUDIES 542
TREATMENT 543
TEST YOUR KNOWLEDGE ANSWERS 544
WEB REFERENCES 544
Chapter 51: Syncope 547
TEST YOUR KNOWLEDGE 547
ASSESSMENT 548
STUDIES 551
DISPOSITION 553
TEST YOUR KNOWLEDGE ANSWERS 554
WEB REFERENCES 556
Chapter 52: Concussion and Post Concussion Syndrome 559
TEST YOUR KNOWLEDGE 559
RISK FACTORS 561
ASSESSMENT 561
STUDIES 564
TREATMENT 566
TREATMENT 572
DISPOSITION 573
TEST YOUR KNOWLEDGE ANSWERS 574
WEB REFERENCES 576
Chapter 53: Acute Chest Pain 579
TEST YOUR KNOWLEDGE 579
ASSESSMENT 580
STUDIES 586
DISPOSITION 589
TEST YOUR KNOWLEDGE ANSWERS 591
WEB REFERENCES 593
Chapter 54: Acute Abdominal Pain 595
TEST YOUR KNOWLEDGE 595
ASSESSMENT 596
STUDIES 601
DISPOSITION 605
TEST YOUR KNOWLEDGE ANSWER 606
WEB REFERENCES 606
Chapter 55: Hematemesis 607
TEST YOUR KNOWLEDGE 607
ASSESSMENT 608
STUDIES 611
TREATMENT 613
DISPOSITION 613
TEST YOUR KNOWLEDGE ANSWER 614
WEB RESOURCES 615
Chapter 56: Bloody Stools: Melena and Hematochezia 617
TEST YOUR KNOWLEDGE QUESTION 617
ASSESSMENT 618
STUDIES 621
DISPOSITION 623
TEST YOUR KNOWLEDGE ANSWER 624
WEB REFERENCES 625
Chapter 57: Scrotal Pathology: Pain and Masses 627
TEST YOUR KNOWLEDGE 627
ASSESSMENT 629
STUDIES 632
DISPOSITION 632
ASSESSMENT 633
STUDIES 634
DISPOSITION 635
TEST YOUR KNOWLEDGE ANSWERS 636
WEB REFERENCES 637
Chapter 58: Hip Pain and Limping 639
TEST YOUR KNOWLEDGE 639
RISK FACTORS 640
ASSESSMENT 641
STUDIES 643
TREATMENT 645
DISPOSITION 645
TEST YOUR KNOWLEDGE ANSWER 646
WEB REFERENCES 649
Chapter 59: Neurological Emergencies: Severe Headaches, Weakness, Incoordination and Altered Mental Status 651
TEST YOUR KNOWLEDGE 651
ASSESSMENT 652
STUDIES 657
DISPOSITION 659
TEST YOUR KNOWLEDGE ANSWER 660
WEB REFERENCES 660
Chapter 60: Seizures 661
TEST YOUR KNOWLEDGE 661
ASSESSMENT 662
STUDIES 666
TREATMENT 667
TEST YOUR KNOWLEDGE ANSWERS 668
WEB REFERENCES 669
Chapter 61: Adolescent Sexual Assault/Rape 671
TEST YOUR KNOWLEDGE 671
ASSESSMENT 672
STUDIES 673
TREATMENT 674
TEST YOUR KNOWLEDGE ANSWERS 676
WEB REFERENCES 678
Chapter 62: The Suicidal Adolescent 681
TEST YOUR KNOWLEDGE 681
ASSESSMENT 682
STUDIES 684
TREATMENT 684
SUICIDE PREVENTION 685
TEST YOUR KNOWLEDGE ANSWERS 686
WEB REFERENCES 687
SECTION V: SPECIAL CARE 689
Chapter 63: Chronic Illness and Adherence to Treatment 691
TEST YOUR KNOWLEDGE 691
ASSESSMENT 692
TREATMENT 695
DISPOSITION 696
TEST YOUR KNOWLEDGE ANSWER 699
WEB REFERENCES 699
Chapter 64: Difficult Conversations: Bad News, Disclosure and Advance Directives 701
TEST YOUR KNOWLEDGE 701
SPECIAL CONSIDERATIONS 703
ASSESSMENT 703
DISPOSITION 704
TEST YOUR KNOWLEDGE ANSWERS 706
WEB REFERENCES 708
Chapter 65: Screening for Violence and Abuse 711
TEST YOUR KNOWLEDGE 711
RISK FACTORS 712
ASSESSMENT 713
STUDIES 715
DISPOSITION 715
TEST YOUR KNOWLEDGE ANSWERS 716
WEB REFERENCES 717
Chapter 66: Cyberbullying and Sexting 719
TEST YOUR KNOWLEDGE 719
ASSESSMENT 720
DISPOSITION 722
TEST YOUR KNOWLEDGE ANSWER 723
WEB REFERENCES 725
Chapter 67: Tobacco Use and Cessation Counseling 727
TEST YOUR KNOWLEDGE 727
ASSESSMENT 729
STUDIES 731
TREATMENT 732
DISPOSITION 735
RELAPSE PREVENTION 736
TEST YOUR KNOWLEDGE ANSWERS 737
WEB REFERENCES 743
Chapter 68: Substance Use and Abuse 745
TEST YOUR KNOWLEDGE 745
ASSESSMENT 747
STUDIES 750
DISPOSITION 751
TEST YOUR KNOWLEDGE ANSWERS 753
WEB REFERENCES 763
Chapter 69: Judicious Use of Psychopharmacologic Agents 765
TEST YOUR KNOWLEDGE 765
ASSESSMENT 767
STUDIES 768
TREATMENT 768
DISPOSITION 773
TEST YOUR KNOWLEDGE ANSWER 775
WEB REFERENCES 777
List of Questions & Answers 779