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