Atlas of Ear Nose and Throat Disorders in Children by Steven D. Handler, Charles M., III Myer

By Steven D. Handler, Charles M., III Myer

C. Decker). Univ. of Pennsylvania, Philadelphia. Atlas divided into sections such as anatomic areas evaluated by way of the pediatric otolaryngologist. For fundamental care physicians. large colour photos. contains entire textual content and illustrations on CD-ROM.

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WHAT ARE THE COMPLICATIONS ASSOCIATED WITH THIS DISEASE? A clinician must understand the complications of a disease so that the patient can be monitored. Sometimes, the student will have to make the diagnosis from clinical clues and then apply his or her knowledge of the sequelae of the pathologic process. For example, a child diagnosed with high fever, rash, lymphadenopathy, and oral and conjunctival changes is diagnosed with Kawasaki syndrome. Complications of this condition include arthritis, vasculitis of the medium-sized arteries, hydrops of the gallbladder, urethritis, and aseptic meningitis.

For some conditions, such as syphilis, the staging depends on the length of time and follows along the natural history of the infection (ie, primary, secondary, or tertiary syphilis). RENDERING TREATMENT BASED ON THE STAGE OF THE DISEASE Many illnesses are stratified according to severity because prognosis and treatment vary based on the severity. If neither the prognosis nor the treatment was affected by the stage of the disease process, it would not make much sense to subcategorize something as mild or severe.

In: McMillan JA, DeAngelis CD, Feigin RD, eds. Oski’s Pediatrics: Principles and Practice. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2006: 39-51. Blickman JG, Parker BR, Barnes PD. Pediatric Radiology: The Requisites. 3rd ed. Philadelphia, PA: Mosby Publishers; 2009. SECTION II Clinical Cases CASE 1 A mother brings her 12-month-old child, a new patient for your clinic, for a well-child visit. You immediately note the child to be small for her age. Her weight is below the 5th percentile on standardized growth curves (50th percentile for an 8-month-old), her length is at the 25th percentile, and her head circumference is at the 50th percentile.

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