The first chapter -- nutrition and nutritional disorders in the first section of protein energy malnutrition clinical thinking case analysis part of pediatric clinical practice: protein energy malnutrition of protein energy malnutrition is due to various causes, a nutritional energy and / or protein deficiency disease, often accompanied by a variety of organ dysfunction and other nutrition deficiency, mainly in infants under 3 years old. [cause] can be divided into primary and secondary. The clinical manifestations and signs  into 3 types: ① marasmus is more common in infants under the age of.1, the weight does not increase, decrease the weight, a long time can appear not height increasing, mental retardation, reduced subcutaneous fat, subcutaneous fat reduced order: abdominal a trunk one four pier of cheek. Wrinkled, relaxation, withered like "old man", the whole body muscle tension is low, temperature below normal, slow heart rate, low heart sound blunt, shallow breathing; the edema type: also called kwashiorkor, is a serious lack of protein, may be associated with insufficient energy intake, found in simple carbohydrate feeding 1. The 3 year old children, part of the first visceral edema and limbs, facial skin, weight loss is not obvious. Signs: shape like "paste", may be associated with hepatic large, sparse hair, easy to fall off, atrophy of tongue papillae; ③ thin edematous: between the two. Protein energy malnutrition. Often associated with nutritional anemia, micronutrient deficiencies, such as vitamin A, B, C, D and trace elements of iron, zinc, magnesium, copper, phosphorus deficiency, prone to spontaneous hypoglycemia and concurrent infection.  1 laboratory examination of serum albumin decreased most characteristic changes, insulin like growth factor I is a sensitive and reliable indicator for early diagnosis. Decreased the activity of various enzymes in the serum of 2, reduce blood sugar.  the diagnosis is mainly based on the age, feeding history, clinical manifestations, physical examination and necessary laboratory examinations of patients with early, mild and rely on accurate dietary history, regular physical examination and nutritional assessment and laboratory indexes to diagnose.
The first part of pediatric clinical practice -- case analysis of the first chapter of nutrition and nutritional disorders in the first section of protein energy malnutrition in section second, vitamin D, vitamin A deficiency and excess chapter second neonates and neonatal asphyxia of newborn first day second day third day hypoxic ischemic encephalopathy in neonatal septicemia fourth neonatal hypocalcemia fifth day gestational age section sixth of seventh neonatal hyaline membrane disease section of neonatal pneumonia eighth hemorrhagic disease of the newborn ninth neonatal hypoglycemia tenth premature infants eleventh neonatal jaundice and dissolve blood disease in twelfth normal term infants and thirteenth section of the review third chapter connective tissue disease first allergic purpura second rheumatic fever third day juvenile rheumatoid arthritis in fourth chapter infectious the first section of second measles varicella disease section third section fourth epidemic cerebrospinal meningitis Festival scarlet fever fifth mumps sixth toxic bacillary dysentery seventh Salmonella infection in children with tuberculosis fifth chapter eighth section of digestive system diseases section second section third section of infantile diarrhea gastritis peptic ulcer fourth gastroesophageal reflux section fifth infantile hepatitis syndrome The sixth chapter sixth section of acute abdomen in children respiratory system disease first upper respiratory tract infection, second children with acute laryngitis third asthmatic bronchitis in children with pneumonia fourth day fifth day sixth day of bronchial asthma purulent pleurisy seventh tuberculous pleurisy eighth pneumothorax, Pyopneumothorax seventh cardiovascular cardiovascular system section of congenital heart disease heart failure in section third, section second viral myocarditis in fourth day of endocardial fibroelastosis fifth ventricular extrasystole eighth urinary system disease first acute glomerulonephritis nephrotic syndrome in third day second day fourth day fifth day hematuria and proteinuria in IgA nephropathy in section sixth, urinary infection in ninth chapter blood system diseases section of nutritional megaloblastic anemia the second section of nutritional iron deficiency anemia in third acute lymphoblastic leukemia fourth idiopathic thrombocytopenic purpura fifth infectious mononucleosis tenth chapter diseases of the nervous system the first day of viral encephalitis second purulent meningitis third Guillain Barre syndrome in section fourth. Eleventh chapter of myasthenia gravis endocrine, metabolism, genetic, immune deficiency the twelfth chapter of pediatric acute disease In thirteenth chapter, common symptoms of pediatric differential second pediatric treatment routine first chapter pediatric operation routine treatment of pediatric diseases diagnosis and treatment @##@ second chapter The duty of a doctor is to clinical diagnosis and treatment of patients, in the face of every patient, how to standardize the diagnosis and treatment behavior of physicians, is the key to guarantee the basic quality of care. It is in order to standardize the diagnosis and treatment of pediatric interns skills, improve the clinical thinking, training of high-quality personnel, the treatment decision-making and operation technology of pediatricians into the standardized, scientific, standardized management track, make the rules in medical practice, according to doctors, the most basic medical the quality and safety of pediatric clinical practice, in order to meet the medical requirements of reality, room of Pediatrics Xinjiang Medical University doctor at all levels of Medical University, promote professionalism, rigorous, kindness, dedication of the occupation spirit, set a few decades of clinical experience, combined with the essence of Modern Pediatrics, enumerates some typical cases in recent years a lot of. Write "pediatric clinical practice guidelines". Through the first part of pediatric clinical practice -- case analysis and the second part of the routine treatment, clinicians, especially the intern to master basic skills, in the short term, basic theory and basic knowledge. Editors are working in pediatric clinic, teaching first-line subject leader and backbone, Expo related literature, carefully written, after modification, the collective discussion draft. "Practice guidelines and Clinical Pediatrics (case version)" for pediatricians and interns reference.
"Practice guidelines and Clinical Pediatrics (case version)" the main features: case teaching, the domestic original: focusing on the teaching content, new writing pattern application of case teaching in clinical cases, the pilot, ask questions and solve problems, improve the ability to solve practical problems of clinical medical students comprehensive. Closer to the clinical, quality culture: from a clinical perspective, discusses systematically the case, etiology, disease.The mechanism, clinical manifestation, diagnosis, differential diagnosis, treatment and prognosis of clinical thinking, working to regulate, guide, inspire students. Diagnosis: perspective, focus on the concept of make amends the traditional teaching, writing subject operation routine treatment and the common disease, frequently occurring disease diagnosis, highlighting the subject's treatment characteristics, strengthen the training of basic skills of medical students. Divergent thinking, teaching benefits teachers as well as students: around the basic request of the Ministry of education teaching, followed by the postgraduate entrance examination and the national practice proposition trend analysis case of physician qualification examination, the chapter review questions, with answers, important sites covering subjects, study, exam interaction. Clear positioning, service teaching: the higher the college students as focus, use for clinical practice and probation; at the same time, the case and the case analysis with the national entrance examination proposition direction practice case analysis of the examination for the qualifications of doctors and postgraduates, for the relevant personnel and hospital physicians.
Medical Science @ 2017