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Examination Paediatrics

Examination Paediatrics

Wayne Harris

(2011)

Additional Information

Book Details

Abstract

A practical study guide to help candidates pass clinical examinations in paediatrics, particularly at postgraduate level

Examination Paediatrics, 4th Edition is written for candidates preparing for the Fellowship Examination of the Royal Australasian College of Physicians (FRACP). This includes both Australian and New Zealand candidates as well as candidates taking the Australian examination in other countries.

This invaluable paediatric study guide is also aimed at candidates preparing for the Membership Examination for the Royal College of Paediatrics and Child Health (UK) (Part II) (MRCPCH).

Additionally, Examination Paediatrics will be a useful medical reference for all undergraduate and postgraduate students preparing for any paediatric exam with a clinical component – including those with an OSCE format.

The new sections and expanded text in this fourth edition will assist General Practitioners, paediatric residents, house officers, registrars and doctors sitting the Australian Medical Council examination.

Examination Paediatrics, 4th Edition contains ample information on history-taking, examination procedure, relevant investigations, memory aids, lists and mnemonics, and management for the majority of chronic paediatric clinical problems seen in hospital-based practice.

This new edition retains a key feature popular in previous editions of Examination Paediatrics – a detailed explanation of the attitudinal skills, body language, and motivation necessary to complete clinical examinations successfully.

• discussion of new mini CEX (Clinical Evaluation Exercises) and new short case introduction
• expanded cardiology, endocrinology and neurology sections with new diagrams
• a new section on Williams syndrome
• expanded sections on Marfan syndrome and Noonan syndrome
• a new long case on obstructive sleep apnoea
• a new short case on virilisation

Table of Contents

Section Title Page Action Price
Front Cover Cover
Examination Paediatrics iii
Copyright\r iv
Dedication v
Contents vii
Foreword ix
Preface xi
Preface to the first edition xiii
Acknowledgements xv
Abbreviations xvii
Introduction xxxiii
Basic training requirements xxxiii
The written examination xxxiii
The clinical examination xxxiv
The Mini-Clinical Evaluation Exercise (mini-CEX) xxxiv
Achievement psychology: the psychology of passing xxxiv
Chapter 1 - Approach to the examination 1
Positive mindset 1
Body language 2
Eye contact 2
Breath control 3
Dress and grooming 3
Speech training 3
Equanimity 4
Ability to summarise 4
Reasoning skills 4
Assessment of examiner 5
The clinical examination 5
Chapter 2 - The Long Case 7
Obtaining the history 7
Physical examination 8
Preparation to meet the examiners 8
A long-case proforma 9
Opening statement 9
Details and history 9
Remaining history 10
Examination 10
Chapter 3 - The short case 14
Chapter 4 - Achievement psychology 17
Positive mindset 17
Self-motivation 17
Commitment 18
Why do you do the things you do? 18
Goal-setting 19
Affirmation 20
Self-talk 20
Visualisation 21
Mental toughness 23
Failure 23
Chapter 5 - Behavioural and developmental paediatrics 25
Long Cases 25
Anorexia nervosa 25
Attention deficit hyperactivity disorder (ADHD) 35
Autistic disorder (autism) 49
Short Cases 61
Chapter 6 - Cardiology 67
Selected diagrams 99
Chapter 7 - Endocrinology 107
Diabetes mellitus 116
Diabetes 135
Short stature 136
Tall stature 150
Obesity 157
Normal puberty 163
Precocious puberty 164
Delayed puberty 169
Disorders of Sexual Development (virilisation in the post-neonatal period) 177
Thyroid disorders 182
Thyroid disorders in infants 186
Chapter 8 - Gastroenterology 190
Inflammatory bowel disease 190
Chronic liver disease (CLD) 200
Malabsorption/maldigestion 212
Gastrointestinal system 217
The abdomen 222
Jaundice 229
Nutritional assessment 236
Failure to thrive 244
Poor feeding 246
Weight loss—older child/adolescent 246
Chapter 9 - Genetics and dysmorphology 253
Long Cases 253
Down syndrome 253
Turner syndrome 265
Short Case 277
The dysmorphic child 277
Chapter 10 - Haematology 287
Long Cases 287
Haemophilia 287
Sickle cell disease (SCD) 297
Thalassaemia: β-thalassaemia major 311
Short Cases 321
Thalassaemia 329
Chapter 11 - Neonatology 332
Short Cases 332
The neonatal examination 332
The 6-week check 337
Chapter 12 - Nephrology 338
Long Cases 338
Chronic kidney disease (CKD) 338
Nephrotic syndrome 356
Short Cases 365
Hypertension 369
Oedema 374
Chapter 13 - Neurology 377
Seizures and epileptic syndromes 403
Spina bifida 420
Developmental assessment 430
Eye examination 432
Motor cranial nerves 438
Neurological assessment of the upper limbs 439
Gait: a short-case approach 443
Neurological assessment of the lower limbs 444
Cerebellar function 447
Large head 447
Small head 450
Seizures 459
Facial weakness 462
Floppy infant 464
Hemiplegia 469
Intellectual impairment 472
Involuntary movements 475
Neurofibromatosis, type 1 (NF-1) 477
Neuromuscular assessment 479
Scoliosis 480
Spina bifida 482
Chapter 14 - Oncology 487
Oncology 487
Late effects of oncology treatment 498
Chapter 15 - The respiratory system 503
Asthma 503
Cystic fibrosis (CF) 521
Obstructive sleep apnoea (OSA) 546
The respiratory system 552
The chest 556
Stridor 556
Chest X-rays 558
Chapter 16 - Rheumatology 561
Juvenile idiopathic arthritis (JIA) 561
Systemic lupus erythematosus (SLE) 587
Joints 598
Suggested reading 604
Medical books 604
Medical journals 605
CDs and audiotapes 606
Medical examinations 606
Motivation and achievement 606
Quick Reference Mnemonics 607
Chapter 5 607
Chapter 6 610
Chapter 7 613
Chapter 8 614
Chapter 9 616
Chapter 10 617
Chapter 12 618
Chapter 13 619
Chapter 14 620
Chapter 15 620
Chapter 16 622
Figure Credits and Source Lines 623
Index 625