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Examination Paediatrics
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Table of Contents

Dedication v Foreword ix Preface xi Preface to the first edition xiii Acknowledgements xv Abbreviation xvii Introduction xxxiii 1 Approach to the examination 1 2 The long case 7 3 The short case 14 4 Achievement psychology 17 5 Behavioural and developmental paediatrics 25 Long Cases Anorexia nervosa 25 Attention deficit hyperactivity disorder (ADHD) 35 Autistic disorder (autism) 49 Short Cases Child suspected of having ADHD 61 Child with possible autism/autistic spectrum disorder (ASD) 64 6 Cardiology 67 Long Case Cardiac disease 67 Short Case The cardiovascular system 91 7 Endocrinology 107 Long Cases Congenital adrenal hyperplasia 107 Diabetes mellitus 116 Short Cases Disorders of Sexual Development (ambiguous genitalia) 132 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 postneonatal period) 177 Thyroid disorders 182 Thyroid disorders in infants 186 8 Gastroenterology 190 Long Cases Inflammatory bowel disease 190 Chronic liver disease (CLD) 200 Malabsorption/maldigestion 212 Short Cases Gastrointestinal system 217 The abdomen 222 Jaundice 229 Nutritional assessment 236 Failure to thrive 244 Poor feeding 246 Weight loss-older child/adolescent 246 9 Genetics and dysmorphology 253 Long Cases Down syndrome 253 Turner syndrome 265 Short Case The dysmorphic child 277 10 Haematology 287 Long Cases Haemophilia 287 Sickle cell disease (SCD) 297 Th alassaemia: ss-thalassaemia major 311 Short Cases The haematological system 321 Thalassaemia 329 11 Neonatology 332 Short Cases The neonatal examination 332 The 6-week check 337 12 Nephrology 338 Long Cases Chronic kidney disease (CKD) 338 Nephrotic syndrome 356 Short Cases Renal examination 365 Hypertension 369 Oedema 374 13 Neurology 377 Long Cases Cerebral palsy 377 Dystrophinopathies: Duchenne muscular dystrophy (DMD) 391 Seizures and epileptic syndromes 403 Spina bifi da 420 Short Cases 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 Neurofi bromatosis, type 1 (NF-1) 477 Neuromuscular assessment 479 Scoliosis 480 Spina bifida 482 14 Oncology 487 Long Case Oncology 487 Short Case Late effects of oncology treatment 498 15 The respiratory system 503 Long Cases Asthma 503 Neonatal intensive care unit graduate: chronic lung disease/bronchopulmonary dysplasia (CLD/BPD) 513 Cystic fi brosis (CF) 521 Obstructive sleep apnoea (OSA) 546 Short Cases The respiratory system 552 The chest 556 Stridor 556 Chest X-rays 558 16 Rheumatology 561 Long Cases Juvenile idiopathic arthritis (JIA) 561 Juvenile idiopathic inflamatory myopathies (JIIMs): juvenile dermatomyositis (JDM) 577 Systemic lupus erythematosus (SLE) 587 Short Case Joints 598 Suggested reading 604 Quick Reference Mnemonics 607 Picture Credits 623 Index 625 Contents

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