Additional Information
Book Details
Abstract
Chapter 1: Ill babies
Chapter 2: Faltering Growth (Failure to Thrive)
Chapter3: The wheezy child
Bronchiolitis
Upper Respiratory Tract Infections
Wheeze associated with Viral Illnesses
Asthma
Chapter 4:The child with stridor or barking cough
Chapter 5: The febrile child
Possible Sepsis
Meningitis
Urinary Tract Infection
Lower Respiratory Tract Infection
Chapter 6: Abdominal Pain
The surgical abdomen
Non-specific abdominal pain
Chapter 7: Funny do’s
Chapter 8: Constipation
Chapter 9: Diarrhoea and Vomiting
Chapter 10: Child protection concerns
All chapters include the following sections:
Introduction and overview
What to look for in the history and diagnosi
The pitfalls to avoid (dos and don’ts)
The suggested management of each problem
Some indication of what hospital paediatricians may have to add to diagnosis.
A flowchart where useful
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Book Cover | C | ||
| Title | i | ||
| Copyright | ii | ||
| Contents | iii | ||
| About the Publisher | viii | ||
| About the Author | viii | ||
| Acknowledgements | ix | ||
| Foreword | x | ||
| Introduction | xii | ||
| How to get the most out of this book | xiii | ||
| A guide to assessing any child who presents to general practice or the emergency department | xvi | ||
| Approach each consultation with flexibility and inventiveness | xvi | ||
| Talk to the parent and the child | xvi | ||
| Take a good history | xvi | ||
| Look at the child | xvii | ||
| Airway, Breathing and Circulation (ABC) | xvii | ||
| Make the examination fun | xviii | ||
| Examine what you need to | xix | ||
| Risk-taking and safety-netting | xix | ||
| A guide to the terminology used to describe ill children | xxi | ||
| Altered consciousness | xxi | ||
| Assessing whether a child is systemically unwell or well | xxi | ||
| Respiratory distress | xxii | ||
| Assessing vital signs | xxiii | ||
| Chapter 1 Neonatal presentations | 1 | ||
| Background | 2 | ||
| How to assess | 2 | ||
| The 'must do's | 2 | ||
| Pitfalls to avoid | 3 | ||
| How to be a know-it-all | 3 | ||
| A guide to the initial management of neonatal jaundice | 3 | ||
| De-mystifying the role of the paediatrician: what the paediatrician might do | 4 | ||
| FAQs | 4 | ||
| Should I suggest that a breastfeeding mother change to bottle feeding if jaundice is persisting? | 4 | ||
| Also worth knowing | 4 | ||
| What do I tell the parents? | 5 | ||
| In all cases: | 5 | ||
| If I don't think that treatment or testing are needed: | 6 | ||
| If you do think that testing is needed: | 6 | ||
| Summary for neonatal jaundice | 6 | ||
| Chapter 2 Feeding and growth problems in the first year | 7 | ||
| Background | 8 | ||
| How to assess | 8 | ||
| The 'must do's | 9 | ||
| Pitfalls to avoid | 9 | ||
| How to be a know-it-all | 9 | ||
| Also worth knowing | 10 | ||
| A guide to the initial management of feeding and growth problems | 15 | ||
| De-mystifying the role of the paediatrician: what the paediatrician might do | 17 | ||
| FAQs | 17 | ||
| How can I work out how much feed a baby is taking? | 17 | ||
| What is a normal feed volume for a baby? | 18 | ||
| There is so much overlap between GORD and CMPA. How do I tell the difference? | 19 | ||
| What do I tell the parents? | 19 | ||
| When someone is concerned that a baby is not gaining weight, or not taking enough feeds, yet the baby is thriving and well: | 19 | ||
| When a formula-fed baby (prior to weaning) is refluxing excessively or unsettled in association with feeds and is taking excessive volumes: | 19 | ||
| Flowchart for assessing feeding and growth problems in the first year | 20 | ||
| Summary for feeding and growth problems | 21 | ||
| Chapter 3 The coughing, wheezing or snuffly child | 23 | ||
| Background | 24 | ||
| How to assess | 24 | ||
| The 'must do's | 25 | ||
| Pitfalls to avoid | 25 | ||
| Flowchart for classifying wheezy children | 27 | ||
| The upper respiratory tract infection (URTI) | 28 | ||
| Assessment | 28 | ||
| Management | 28 | ||
| De-mystifying the role of the paediatrician: what the paediatrician might do | 28 | ||
| How to be a know-it-all | 29 | ||
| Also worth knowing | 29 | ||
| FAQs | 30 | ||
| When should I give antibiotics? | 30 | ||
| This child seems to be having too many minor illnesses. How many infections can a normal child have? | 31 | ||
| What do I tell the parents? | 32 | ||
| When I have diagnosed a URTI: | 32 | ||
| Flowchart for assessing the child with an upper respiratory tract infection (URTI) | 33 | ||
| Summary for upper respiratory tract infection (URTI) | 34 | ||
| The bronchiolitic baby | 34 | ||
| Assessment | 34 | ||
| Management | 34 | ||
| De-mystifying the role of the paediatrician: what the paediatrician might do | 35 | ||
| How to be a know-it-all | 35 | ||
| Also worth knowing | 35 | ||
| FAQs | 36 | ||
| Why do different inhalers work sometimes but not others? | 36 | ||
| What do I tell the parents? | 36 | ||
| When a baby has bronchiolitis but does not need admission to hospital: | 36 | ||
| When a baby has bronchiolitis, and needs admission to hospital: | 37 | ||
| Flowchart for assessing babies with bronchiolitis | 38 | ||
| Summary for the bronchiolitic baby | 38 | ||
| The viral induced wheeze (VIW) | 39 | ||
| Assessment | 39 | ||
| Management | 39 | ||
| De-mystifying the role of the paediatrician: what the paediatrician might do | 40 | ||
| How to be a know-it-all | 40 | ||
| Also worth knowing | 41 | ||
| FAQs | 41 | ||
| What is the difference between viral wheezing and bronchiolitis? When should I use salbutamol? | 41 | ||
| Do inhaled steroids work for viral-induced wheezes? | 42 | ||
| Should I use a smaller dose of bronchodilator for a small child? | 42 | ||
| What do I tell the parents? | 42 | ||
| When I have decided that the child probably has a VIW and they are not severely unwell: | 42 | ||
| When they have told me that they are smokers: | 42 | ||
| When I am sending home a child who has had a VIW: | 43 | ||
| Flowchart for managing viral induced wheeze episodes (VIW) | 44 | ||
| Summary for viral induced wheeze (VIW) | 45 | ||
| Asthma | 45 | ||
| Assessment of acute asthma | 45 | ||
| The 'must do's | 46 | ||
| Pitfalls to avoid | 47 | ||
| Grading the severity of acute asthma | 47 | ||
| Management of mild acute asthma | 48 | ||
| Flowchart for managing mild acute asthma | 49 | ||
| Management of moderate acute asthma | 50 | ||
| Flowchart for managing moderate acute asthma | 52 | ||
| Management of severe/life-threatening acute asthma | 53 | ||
| Flowchart for managing severe/life-threatening asthma | 54 | ||
| FAQs | 54 | ||
| Should I use nebulisers or spacers for an acute wheeze? | 54 | ||
| Summary for acute asthma | 55 | ||
| Management of chronic asthma | 56 | ||
| De-mystifying the role of the paediatrician: what the paediatrician might do | 57 | ||
| Summary for chronic asthma | 57 | ||
| How to be a know-it-all | 58 | ||
| Also worth knowing | 58 | ||
| FAQs | 59 | ||
| What is the best inhaler for children? | 59 | ||
| What do I tell the parents? | 60 | ||
| When a child is having an exacerbation of asthma that can be managed initially at home: | 60 | ||
| When I want to advise about managing chronic asthma: | 60 | ||
| Summary for asthma | 61 | ||
| Chapter 4 The child with stridor and/or a barking cough | 63 | ||
| Background | 64 | ||
| How to assess | 65 | ||
| The 'must do's | 67 | ||
| Pitfalls to avoid | 67 | ||
| How to be a know-it-all | 67 | ||
| Also worth knowing | 68 | ||
| De-mystifying the role of the paediatrician: what the paediatrician might do | 68 | ||
| FAQs | 69 | ||
| Should I give steroids to children with mild croup? Which steroid should I use? | 69 | ||
| What do I tell the parents? | 69 | ||
| When I am sending home a child who has croup: | 69 | ||
| Flowchart for assessing and treating the child with croup | 70 | ||
| Summary for the child with stridor and/or a barking cough | 71 | ||
| Chapter 5 The febrile or unsettled child with non-specific symptoms | 73 | ||
| Background | 74 | ||
| How to assess | 74 | ||
| From birth to six months | 76 | ||
| Six months to three years | 77 | ||
| Three years to adulthood | 78 | ||
| The 'must do's | 79 | ||
| Pitfalls to avoid | 79 | ||
| How to be a know-it-all | 79 | ||
| Also worth knowing | 80 | ||
| General management of the febrile or unsettled child | 80 | ||
| Temperature control | 80 | ||
| Specific management of the febrile or unsettled child | 81 | ||
| Lower respiratory tract infection (LRTI) | 81 | ||
| Assessment | 81 | ||
| Management | 82 | ||
| How to be a know-it-all | 83 | ||
| What do I tell the parents? | 83 | ||
| When I do not think their child has a 'chest infection': | 83 | ||
| When I think that a child has a 'chest infection' but does not need to be admitted: | 83 | ||
| When I think that a child has a 'chest infection' and I feel that they need admission: | 83 | ||
| Flowchart for managing lower respiratory tract infection | 84 | ||
| Summary for lower respiratory tract infection (LRTI) | 85 | ||
| Urinary tract infection (UTI) | 85 | ||
| Assessment | 85 | ||
| Management | 86 | ||
| De-mystifying the role of the paediatrician: what the paediatrician might do | 87 | ||
| How to be a know-it-all | 88 | ||
| FAQs | 88 | ||
| What do I do with this result? The urine has grown e-coli/a mixed growth, but the test was done two weeks ago and the child is better now. No antibiotics were given. | 88 | ||
| What do I tell the parents? | 88 | ||
| When I have diagnosed UTI in a child who is well and can be treated at home: | 88 | ||
| Flowchart for assessing the child with a urinary tract infection | 90 | ||
| Summary for urinary tract infection (UTI) | 90 | ||
| Meningitis | 91 | ||
| Assessment | 91 | ||
| Management | 92 | ||
| What do I tell the parents? | 92 | ||
| When I feel that a child is well enough to go home, but I want the parents to be wary for signs of meningitis: | 92 | ||
| When I think that a child needs referral for possible meningitis: | 93 | ||
| Flowchart for assessing the child with meningitis | 94 | ||
| Summary for meningitis | 95 | ||
| Sepsis | 95 | ||
| Assessment | 95 | ||
| Management | 96 | ||
| The 'must do's | 96 | ||
| Pitfalls to avoid | 96 | ||
| How to be a know-it-all | 96 | ||
| What do I tell the parents? | 98 | ||
| Flowchart for assessing the child with possible sepsis | 98 | ||
| Summary for sepsis | 99 | ||
| De-mystifying the role of the paediatrician: what the paediatrician might do | 99 | ||
| FAQs | 99 | ||
| If I give a dose of paracetamol or ibuprofen, will I mask a serious infection? | 99 | ||
| Chapter 6 Abdominal pain | 101 | ||
| Background | 102 | ||
| How to assess | 102 | ||
| The 'must do's | 103 | ||
| Pitfalls to avoid | 103 | ||
| A guide to the initial management of abdominal pain | 105 | ||
| How to be a know-it-all | 108 | ||
| De-mystifying the role of the paediatrician: what the paediatrician might do | 108 | ||
| FAQs | 109 | ||
| Is it ok to give non-steroidal anti-inflammatory drugs (NSAIDs) to children who already have abdominal pain? | 109 | ||
| What do I tell the parents? | 109 | ||
| When I think that their child has colic: | 109 | ||
| When I think that the abdominal pain is most likely related to a viral illness and the child does not need to be referred to a surgeon: | 109 | ||
| Flowchart for assessing the child with abdominal pain | 110 | ||
| Summary for abdominal pain | 110 | ||
| Chapter 7 Funny turns | 111 | ||
| Background | 112 | ||
| How to assess | 112 | ||
| A guide to the common specific diagnoses at different ages | 113 | ||
| Babies (from birth to 12 months) | 114 | ||
| Preschool age (12 months to 5 years) | 115 | ||
| School age (5 to 18 years) | 116 | ||
| The 'must do's | 118 | ||
| Pitfalls to avoid | 118 | ||
| How to be a know-it-all | 118 | ||
| Also worth knowing | 118 | ||
| De-mystifying the role of the paediatrician: what the paediatrician might do | 119 | ||
| FAQs | 120 | ||
| Was this a febrile convulsion or a rigor? | 120 | ||
| What do I tell the parents? | 120 | ||
| When I believe that their child has had a febrile convulsion: | 120 | ||
| Flowchart for assessing the child with funny turns | 121 | ||
| Summary for funny turns | 121 | ||
| Chapter 8 Constipation | 123 | ||
| Background | 124 | ||
| How to assess | 124 | ||
| The 'must do's | 125 | ||
| Pitfalls to avoid | 125 | ||
| How to be a know-it-all | 126 | ||
| A guide to the management of constipation | 126 | ||
| Education and advice | 126 | ||
| Medication | 128 | ||
| De-mystifying the role of the paediatrician: what the paediatrician might do | 129 | ||
| FAQs | 129 | ||
| How long does constipation need to be treated for? | 129 | ||
| What do I tell the parents? | 130 | ||
| When I have said that I think that their child is constipated, and they say that this is impossible because their child does poo sometimes: | 130 | ||
| Flowchart for assessing the child with constipation | 131 | ||
| Summary for constipation | 132 | ||
| Chapter 9 The child with diarrhoea and/or vomiting | 133 | ||
| Background | 134 | ||
| How to assess | 134 | ||
| The 'must do's | 135 | ||
| Pitfalls to avoid | 136 | ||
| A guide to the management of diarrhoea and/or vomiting | 136 | ||
| If not dehydrated or significantly unwell: | 136 | ||
| If mildly dehydrated or mildly unwell: | 137 | ||
| If moderately dehydrated or moderately unwell: | 138 | ||
| How to be a know-it-all | 138 | ||
| De-mystifying the role of the paediatrician: what the paediatrician might do | 139 | ||
| FAQs | 139 | ||
| Is it beneficial to give oral or nasogastric fluids to a child who is vomiting? | 139 | ||
| How long does this child need to stay off school? | 139 | ||
| When should I test a stool sample? | 140 | ||
| What do I tell the parents? | 140 | ||
| When a child has gastroenteritis but is well enough to be managed at home: | 140 | ||
| Flowchart for assessing the child with diarrhoea and/or vomiting | 141 | ||
| Summary for diarrhoea and/or vomiting | 142 | ||
| Chapter 10 Non-accidental injury (NAI) and safeguarding concerns | 143 | ||
| Background | 144 | ||
| How to assess | 144 | ||
| The 'must do's | 144 | ||
| Pitfalls to avoid | 145 | ||
| A guide to the management of NAI and safeguarding concerns | 145 | ||
| How to be a know-it-all | 147 | ||
| Also worth knowing | 147 | ||
| De-mystifying the role of the paediatrician: what the paediatrician might do | 147 | ||
| FAQs | 148 | ||
| Is vaginal discharge suspicious of abuse? | 148 | ||
| How can I tell a non-accidental bruise from an accidental bruise? | 148 | ||
| Flowchart for assessing suspected physical abuse | 150 | ||
| Flowchart for assessing suspected physical neglect or emotional abuse | 151 | ||
| Flowchart for assessing suspected sexual abuse | 151 | ||
| What do I tell the parents? | 152 | ||
| When I need to refer for a child protection assessment or do one myself: | 152 | ||
| Summary for non-accidental injury (NAI) and safeguarding concerns | 153 | ||
| Closing thoughts | 154 | ||
| Index | 156 | ||
| More titles in the Progressing your Medical Career Series | 159 | ||
| More titles in the Progressing your Medical Career Series | 160 | ||
| More titles in the Progressing your Medical Career Series | 161 | ||
| More titles in the Essential Clinical Handbook Series | 162 | ||
| More titles in the MediPass Series | 163 |