By Mary Rudolf, Malcolm I. Levene

Paediatrics and baby health and wellbeing is the definitive consultant to paediatrics for clinical scholars. This fresh interesting version has been thoroughly revised for the modern curriculum. Paediatrics and baby overall healthiness follows a signs and problem-based technique. The booklet makes a speciality of the whole improvement of a kid from delivery via to formative years. The authors’ services is more suitable by way of transparent causes and whole color presentation. The booklet has been designed for simple navigation for either in-depth studying and revision. significant gains contain: A CD Rom with demonstrations of kid exam ideas with convenient tricks and information 'Find your means round' brain maps that visualize vital stipulations and differential diagnoses precis 'At a look' bins for quick revision an incredible self-assessment part to additional reduction revision top of the range photos and line drawings Paediatrics and baby well-being is ideal for scientific scholars, and junior medical professionals on origin Programmes, and may reduction basic Practitioners, paediatric nurses and MRCPCH exam applicants. Pre-publication stories "I'd have enjoyed to have found this e-book in the course of my very own paediatric rotation and assessments! it has got plenty of vibrant illustrations and is absolutely fascinating and straightforward to learn. it is a nice textual content to take advantage of either as an advent to paediatrics, in addition to an excellent revision consultant. certainly steered to an individual attempting to familiarize yourself with the fundamentals of paediatrics!" —Final yr scholar, Oxford collage "there is not any different undergraduate textbook of Paediatrics on hand that provides any such concise but whole exposition of the subject." —Final 12 months scholar, Imperial clinical institution "the top description and procedure i have ever learn to the notoriously tricky and troublesome subject of paediatric historical past and exam" —Fourth yr scholar, Southampton scientific college "the content material is pared all the way down to disguise what scholars want to know and not more" —PhD pupil, Barts and QM scientific university, London "Almost the correct paediatrics textbook...this can be a very helpful e-book" —Fifth 12 months scholar, Oxford collage studies of earlier version "…beautifully provided ebook… The 'At a look' precis shows are a very good reduction to pupil and registrar studying" —Family perform "I have no idea if there are different paediatric textbooks that may make paediatrics more straightforward to learn than this one." —Medical scholar, Sydney collage, Australia observe: CD-ROM/DVD and different supplementary fabrics are usually not integrated as a part of booklet dossier.

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This may be a result of scoliosis and is assessed by examining the spine (p. 42). Chest expansion Place your hands on the child’s chest with your thumbs just touching at the sternum and your fingers lightly resting on the skin over the ribs (Fig. 15). Ask the child to take a deep breath – the distance your thumbs move apart gives the degree of chest expansion. In a 5-year-old, 1 cm or more is normal. Percussion The degree of resonance is assessed by percussion. Place the middle finger of your left hand (if you are righthanded) along the line of the rib and strike it with the first finger of the right hand as if it were a hammer hitting a small nail.

75. In addition, examine the oropharynx, mucosa, teeth, tongue and palate. Feel for cervical lymphadenopathy. 11. Look for any gross abnormality of the eyes. Note the size, shape and orientation, and examine the sclera, conjunctiva and iris. Look for a squint (Fig. 36). Assess each eye separately. 11 one eye may appear to have normal visual function if both eyes are assessed together. Visual acuity Gain visual attention in a newborn using a visually interesting object and move it to see if the baby follows.

Examine the nostrils for inflammation, obstruction and polyps. History taking and clinical examination Chapter 3 43 Tympanic membrane Manubrium Incus (a) Umbo Light reflex 2 (b) Fig. 35 Position for holding a child to examine the throat. (c) Fig. 34 Tympanic membrane appearances: (a) normal; (b) otitis media with a bulging drum; and (c) glue ear with a retracted drum. Examination of the throat Young children do not like to have their throats examined and this is best done with the child sitting on the mother’s lap as shown in Fig.

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