Core Clinical Cases in Paediatrics: A Problem-Solving by Andrew Ewer

By Andrew Ewer

Middle medical situations publications you to think about the sufferer as an entire, instead of as a series of unconnected indicators. With its useful strategy strongly associated with underlying concept, the sequence integrates your wisdom with the realities of dealing with scientific difficulties, and offers a foundation for constructing problem-solving abilities. The middle components of undergraduate research are lined in a logical series of studying actions: each one case is through an in depth solution, besides a few OSCE-style inquiries to assist you instruction for the examination. comparable OSCE counselling sort questions and solutions additionally function on the finish of every part. Key recommendations and critical details are highlighted, and the reader-friendly format displays precisely the kind of query you are going to come across, making the fitting revision reduction for every type of case-based exam. middle scientific instances in Paediatrics presents the reader with a hugely based case historical past textual content fully acceptable for all sorts of case-based exam. absolutely entire the publication covers all elements of the path from neonatal exam and power difficulties to developmental matters, health conditions and behavioural difficulties.

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A 5-month-old baby is found in its cot, not breathing, 1 hour after being put down to sleep. 1 – My child is hot; has she got meningitis? 2 – My toddler has diarrhoea and vomiting; what should I do? 38 Acute severe illness Key concepts In order to work through the core clinical cases in this chapter, you will need to understand the following key concepts. Children are not small adults Key differences are: z Size: This changes rapidly in the first year of life. An average birth weight of 3 kg increases to 10 kg by 1 year.

Z Urinary tract infection. z Inborn error of metabolism. Q2: What issues in the given history support the diagnosis? A2 z Murmur at birth, sweatiness, poor feeding, and cyanosis suggest congenital heart disease. ). z Lower respiratory tract infection is suggested by the history of difficulty breathing. z Neonatal sepsis is suggested by the age of the baby. Meningitis, septicaemia, urinary tract infection and inborn error of metabolism may present with non-specific symptoms in newborns and young children.

Cows’ milk protein intolerance. g. cardiac, respiratory, renal, liver or thyroid disease, malignancy. 1 – My 2-year-old son is not gaining weight. Q1: What is the likely differential diagnosis? A1 z undernutrition due to poor feeding behaviour. z poor feeding drive. z gastro-oesophageal reflux. z chronic illness z cystic fibrosis z renal disease z congenital heart disease z malignancy z hypothyroidism. g. cows’ milk protein intolerance. Social deprivation is not thought to be a factor in aetiology, although often stated in referrals.

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