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Surgery, Orthopaedics, Connective Tissue & Bone E-Book

Surgery, Orthopaedics, Connective Tissue & Bone E-Book

Will Carroll

(2016)

Additional Information

Book Details

Abstract

Surgery, Orthopaedics, Connective Tissue & Bone is a new e-book in a collection of subject-themed e-books containing relevant key articles from Paediatrics & Child Health. The e-books provide a perfect source of revision for post-graduate exams in paediatrics and portfolio material for life-long learning.

As well as mapping to the requirements of post-graduate training in paediatrics, these e-books also enable anyone with a short-term interest in a specific area to buy individual articles at a price-point that will give affordable access to all readers (from medical students to GPs and practitioners in related areas). The quality of user experience on mobiles, tablets and laptops will be an added bonus for learning on the move.

About the journal

The parent journal (http://www.paediatricsandchildhealthjournal.co.uk/) is a rolling, continuously updated review of clinical medicine over a 4-year cycle covering all the important topics for post-graduate exams in paediatrics. The journal’s articles are refreshed, updated, augmented or replaced as appropriate each time the subject is due for revision to provide a concise overview of knowledge and practice core to the curriculum. Each article is written by invited experts and overseen by the relevant subject specialist on the Board. A trainee representative on the Board ensures relevance and accessibility for exam candidates.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Surgery, Orthopaedics, Connective Tissue and Bone: Prepare for the MRCPCH Fm-1
Copyright Page Fm-2
PREFACE Fm-4
Table of Contents Fm-5
Section 1: Surgery and Orthopaedics 1
Minimally invasive surgery in paediatric patients 1
Introduction 1
History 1
Applications of paediatric laparoscopy 2
Evidence base for laparoscopy 5
Financial implications 5
Training in laparoscopy 5
The future 5
Conclusion 6
FURTHER READING 6
Neonatal surgical problems of the chest 8
Introduction 8
Cystic lung lesions 8
Congenital diaphragmatic hernia (CDH) 9
Chylothorax 10
Thoracic teratomas 11
Tracheo-oesophageal fistula (TOF) and oesophageal atresia (OA) 11
FURTHER READING 12
Scoliosis: a review 13
Introduction 13
Natural history of scoliosis 13
Clinical assessment 16
Investigations 17
Treatment 18
FURTHER READING 19
Variations in normal gait development 20
Introduction 20
Normal gait 20
Toe walking 20
Flatfeet 21
Bow legs and knock knees 22
In-toeing and out-toeing 22
Summary 23
FURTHER READING 23
The hip in cerebral palsy 24
Introduction 24
Normal hip development 24
Abnormal hip development in cerebral palsy 24
Interventions 26
Treatment options 27
FURTHER READING 29
Evaluation of the acute abdomen 31
Introduction 31
History and symptoms 31
Physical examination 31
Peritonitis 32
Common causes of acute abdominal pain 33
Intussusception 34
Midgut malrotation and volvulus 35
Intra-abdominal: “Medical” and unusual causes 36
Extra-abdominal & systemic causes 36
FURTHER READING 37
Surgical management of renal tract problems 38
Embryology 38
Investigation of renal tract problems 38
Pelvi-ureteric junction obstruction 39
Duplex anomalies 39
Multicystic dysplastic kidney 40
Horseshoe kidney 40
Vesico-ureteric reflux 40
Vesico-ureteric junction obstruction 41
Posterior urethral valves 42
FURTHER READING 43
Testicular problems in children 44
Introduction 44
Congenital 44
Acquired 46
Varicocele 47
Treatment 48
Testicular tumours 48
FURTHER READING 48
Diagnosis and management of developmental hip dysplasia 49
Definition 49
Epidemiology 49
Pathophysiology 49
Natural history 49
Clinical findings 50
Screening 50
Investigations 50
Management 50
Secondary procedures 52
Summary 52
Role of funding source 52
FURTHER READING 52
Update on club foot 53
Incidence 53
Aetiology 53
Classification 53
Diagnosis 53
The Pirani score 53
Management 53
Summary 56
FURTHER READING 56
Management of biliary tract problems 57
Introduction 57
Biliary atresia 57
Choledochal cysts 59
Spontaneous perforation of the bile duct 59
Cholelithiasis 60
Acalculous cholecystitis 60
Gallbladder dysfunction 61
FURTHER READING 61
Section 2: Connective Tissue and Bone 62
Joint pain in children 62
Introduction 62
History 62
Examination 63
Investigations 64
Management 65
Septic arthritis 65
Transient synovitis 66
Slipped upper femoral epiphysis (SUFE) 66
Musculoskeletal neoplasms 66
Summary 66
FURTHER READING 67
Rare connective tissue diseases in childhood 68
Heritable connective tissue disorders 68
Calculation of systemic score 68
Systemic autoimmune connective tissue disorders IN childhood 69
Other conditions associated with stiff SKIN 73
FURTHER READING 73
Vasculitis in children 75
Introduction 75
Predominantly small vessel vasculitis 75
Predominantly medium vessel vasculitis 77
Predominantly large vessel vasculitis 80
FURTHER READING 80
Outcomes for Juvenile idiopathic arthritis 81
Definition and classification 81
Epidemiology and aetiology 81
Clinical features 81
Management 81
Monitoring of disease activity 82
Reported outcomes in JIA 85
JIA associated uveitis outcomes 87
Conclusion 88
FURTHER READING 88
Sexual health in young people with connective tissue disorders 89
Introduction 89
Epidemiology — why does it matter? 89
Talking about sexual health 89
General adolescent sexual health issues 91
Issues specific to CTD 91
Importance of multidisciplinary working 93
Conclusion 93
FURTHER READING 93
Establishing good bone health in children 95
Introduction 95
Prenatal determinants 95
Early childhood 97
Late childhood and adolescence 97
Conclusion 98
FURTHER READING 98
Diagnosing arthritis in children 100
Case 1: Chloe’s story 100
Case 2: Lily’s story 100
Case 3: Connor’s story 100
The limping child — thinking about Chloe and Connor’s story 101
Multiple joint swelling — Lily’s story 101
Clues from the history 102
Clues from examination 105
Investigations (and their pitfalls) 106
Principles of management in JIA 106
Avoiding delay in JIA diagnosis 107
REFERENCES AND FURTHER READING 107
ONLINE RESOURCES 107
Back pain in children and adolescents 108
Introduction 108
Anatomy 108
Clinical assessment 108
Examination 108
Mechanical pain 110
Scheurmann’s disease 110
Spondylolysis 110
Pain amplification 111
Infection 111
Malignancy 112
Inflammatory 112
Summary 113
FURTHER READING 113
Juvenile-onset systemic lupus erythematosus: how to diagnose and manage 114
Background 114
Pathophysiology 114
Diagnosis 115
Management 116
FURTHER READING 119