Download e-book for kindle: Current Clinical Strategies Pediatric History and Physical by Elizabeth K., M.D. Albright

By Elizabeth K., M.D. Albright

ISBN-10: 1881528936

ISBN-13: 9781881528937

CD-ROM containing speedy reference details for physicians and citizens taking pediatric histories. geared up by way of process, this CD-ROM covers significant pediatric issues. Date of past variation now not pointed out. process standards: home windows, home windows CE, or Macintosh; 1MB of harddrive house. additionally to be had in softcover pocketbook layout.

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Chest: Chest wall retractions, wheezing, fine crackles on inspiration, diminished air exchange. Heart: Murmurs. Abdomen: Paradoxical abdominal wall motion with respiration (ie, abdomen collapses with each inspiration). Laboratory Evaluation: CBC, electrolytes, pulse oximetry. Nasopharyngeal washings for RSV antigen. Chest X-ray: Hyperinflation, flattened diaphragms, patchy atelectasis. Differential Diagnosis: Foreign body aspiration, asthma, pneumonia, congestive heart failure, aspiration syndromes (gastroesophageal reflux).

History of Present Illness: Warm, red, painful, indurated lesion. Fever, chills, headache; diarrhea, localized pain, night sweats. Insect bite or sting; joint pain. Past Medical History: Cirrhosis, diabetes, heart murmur, recent surgery; AIDS risk factors. Allergies: Drug allergies. Review of Systems: Animal exposure (pets), travel history, drug therapy. Family History: Diabetes, cancer. Social History: Home situation. Physical Examination General Appearance: Note whether the patient looks “ill” or well.

Blood cultures. Culture of cervix and urethra on Thayer-Martin media for gonorrhea. Lyme titer, anti-streptolysin-O titer. Synovial Fluid Findings in Various Types of Arthritis WBC Count/mm3 % PMN Septic arthritis >50,000 �90 Juvenile rheuma­ toid arthritis <15,000-20,000 60 Normal to decreased Lyme arthritis 15,000-100,000 50+ Normal Joint Fluid:Blood Glucose Ratio Decreased Differential Diagnosis: Septic arthritis, Lyme disease, juvenile rheumatoid arthritis, systemic lupus erythematosus, acute rheumatic fever, inflammatory bowel disease, leukemia (bone pain), synovitis, trauma, cellulitis.

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Current Clinical Strategies Pediatric History and Physical Examination by Elizabeth K., M.D. Albright

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