By Elizabeth K., M.D. Albright
CD-ROM containing quickly reference details for physicians and citizens taking pediatric histories. prepared through approach, this CD-ROM covers significant pediatric problems. Date of past version no longer stated. method standards: home windows, home windows CE, or Macintosh; 1MB of harddrive area. additionally on hand in softcover pocketbook layout.
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Additional resources for Current Clinical Strategies Pediatric History and Physical Examination
Abdomen Inspection: Abdominal distention, scars, visible peristalsis. Auscultation: Quality and pattern of bowel sounds; high-pitched bowel sounds (partial obstruction), bruits. Palpation: Palpation while noting the patient's appearance, reaction, and distractibility. Tenderness, rebound, masses, hepatomegaly; liver texture (smooth, coarse), splenomegaly; retained fecal material. Bimanual palpation of flank (nephromegaly), hernias (inguinal, femoral, umbilical); costovertebral angle tenderness.
Skin: Ecchymoses, excoriations, jaundice, urticaria, bronze discoloration (hemochromatosis), diffuse rash (perinatal infection). Malar rash, discord lesions (lupus), erythematous scaling papules (cystic fibrosis). Lymph Nodes: Cervical or inguinal lymphadenopathy. Head: Cephalohematoma, hypertelorism, high forehead, large fontanelle, pursed lips (Zellweger syndrome), microcephaly. Eyes: Scleral icterus, cataracts, Kayser-Fleischer rings (bronze corneal pigmentation, Wilson's disease), xanthomas (chronic liver disease).
What fears does the child have? What activities has the child discontinued? Past Testing: Endoscopies, x-rays, upper GI series. Recurrent Abdominal Pain 43 Past Medical History: Diabetes, asthma, surgery, diabetes, prematurity. Prior treatment for a abdominal pain. Family History: Abdominal pain in family members, urolithiasis, migraine, peptic ulcer disease, irritable bowel syndrome, hemolytic anemia, chronic pain. Social History: Recent travel, change in schools, change in water and food consumption, marital discord, recent losses (grandparent, pet), general family function.