"Pediatric internship Handbook" since 200 years after the publication of the pediatric medical undergraduates, around, internship, residency were thought to have certain help to the actual clinical work their. Write the second version is still in accordance with the "principle of concise, description is accurate, there is a reason, to highlight the practical features of" basic theory "does not speak, speak only application, can and science facilities, but also have the development, highlight the practical" etc.. The revised second edition features: ① to modify or add content about first version of the 30% ~ 40%; do appropriate to add the diseases, such as increased "severe acute respiratory syndrome (SARS)", "bird flu", "functional dyspepsia", "vasovagal syncope" etc. the brief introduction of pediatric diseases; diagnosis, therapy.
The first chapter of pediatric internship code, records and physical examination of second chapters of pediatric common symptoms and signs of differential diagnosis and treatment principle of the third chapter of fourth chapter of growth and development of children's nutrition and nutritional diseases of newborn and neonatal diseases fifth chapter sixth chapter of genetic diseases in seventh chapter immunodeficiency and autoimmune diseases in Chapter eighth, chapter ninth digestive infectious diseases the tenth chapter system disease, respiratory system disease eleventh chapter, twelfth chapter of disease of cardiovascular system diseases of urinary system in Chapter thirteenth, blood system diseases, malignant tumor and tissue cell disease of nervous system diseases fourteenth chapter fifteenth chapter sixteenth chapter endocrine disease severe accident and the seventeenth chapter of diagnosis and treatment of pediatric experiments to examine the technical appendix a normal appendix two common drugs and parameter values dose the appendix three nine city 7 years old of the following children age sex anthropometric measurements, the reference value
Every child shall be measured and head circumference, head circumference individual differences, and his chest (flat nipples), before the age of 2 chest and head circumference is similar to or slightly smaller than the head circumference, after the age of 2. Head circumference and physical development, head circumference and weight are parallel, children within 6 months after birth, head circumference compared with the average weight of each difference, 1kg, head circumference is 1.3cm; 6 months ~ 1 years old children, weight is 1kg, head circumference is 1cm. Palpation is to understand the fontanel size and degree of tension, anterior fontanelle bulge, the height exceeded the level of margin of bone, crying when the anterior fontanelle may bulge, if sleep is also a fontanelle bulge, is abnormal. Normal neonatal cranial suture can be wide, fontanelle near the coronal suture can be up to 4 ~ 5mm, but without clinical significance, if the squamosal suture dehiscence, should pay attention to, this is a sign of hydrocephalus, percussion note there is no "cracked pot sound", found in the normal infant craniosynostosis arteriosus or intracranial pressure increased with cranial suture dehiscence person. The head should be carried out in a quiet room auscultation, with macrovascular stethoscope bell head is arranged at the rear, mastoid frontotemporal, neck and eye socket area, about 50% ~ 70% normal infants can be heard systolic murmur, after the age of 6 is not easy to hear. Check spine should have without deformation, rigidity and abnormal curvature, with or without myelomeningocele spina bifida, percussion pain, with or without. Check the skin when the note has no abnormal pigmentation spots, such as Coffee milk spot, depigmentation spots, head and face no hemangioma, many patients with nervous system disorders, skin abnormalities. The midline of the spine with and without depression back home or abnormal hyperplasia. Two, cranial nerve examination 1 olfactory nerve in neonatal period. Rarely do the examination, the mother of diabetes in neonates, to do this test, for the children suffering from congenital absence of the olfactory bulb opportunities for more than the normal group, when the examination can use toothpaste, perfume, oranges and other aromatic substance. Not available for stimulation of the trigeminal nerve items, such as ammonia, concentration of alcohol, pepper etc.. Through its expression was observed without reaction. 2 (1): the optic nerve visual neonates with gestational age over 28 weeks that can open, and closed in response to light, gestational age over 37 weeks can turn on the light, one month old baby supine with the swing of the red eye ring (diameter 8cm) rotation of 90 ° (about 45.) 3 months baby, up to 180. (about 90 °). Normal newborns can lead to "dolls eye response" (dolls eye response). Check helped children head is erect, slowly will head to the left and right rotation, the eye does not vary with the head turning, gives the impression of eyeball in opposite direction of rotation. Under normal circumstances, within 10 days to see, when the eye appears, this reaction disappeared. Check the baby has no vision can also be used "eye movement" (opticokinetict-ape) to examine, in children's eyes 25cm pull, such as the emergence of optokinetic nystagmus, explain the cortical visual. (2) vision: young identification chart is difficult, the available pictures or small objects placed at different distances for inspection. (3) perimetry; 5 ~ 6 months or more children can do this check, but very rough, when the examination is not blind, so that children's cooperation, with two color, shape of the same items from behind slowly moved to the children with vision, moving left and right direction to symmetry. If the children normal vision, children will be toward an object to look, smile, and then go to another at the same time, hand to catch, if the test many times, children only to gaze on the side, the side view for defect. (4): normal fundus baby papillary due to the small blood vessel development is not perfect, so that the color slightly pale, not to be misdiagnosed as optic atrophy. Children with severe ametropia (hyperopia), papillary edge can be a bit fuzzy, not misdiagnosed as papillary edema. 20% normal newborns to 40% with fundus hemorrhage, without damage to the central nervous system, absorption in 1 ~ 2 weeks.......
This book introduces the pediatric internship code, records and physical examination, the most common symptoms and signs in the differential diagnosis and principle of treatment, growth and development, child nutrition and nutritional diseases, newborn and neonatal diseases, genetic diseases, immunodeficiency disease and immune diseases, infectious diseases, diseases of the digestive system, respiratory system diseases, cardiovascular diseases, diseases of urinary system, blood system diseases, malignant tumor and tissue disease, nervous system disease, endocrine disease, emergency and accident diagnosis and treatment technology, etc.. The available clinical medical professional readingReference resources.
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