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Contents

Preface viii Acknowledgements ix Abbreviations x How to use your textbook xii About the companion website xiv Part 1 Evaluation of the child 1 1 Paediatrics and child health 2 2 The paediatric consultation 4 3 Systems examination 6 4 Development and developmental assessment 12 5 Growth and puberty 16 6 Understanding investigations 20 Part 2 Moving through childhood 27 7 Screening 28 8 Genetics and inherited disorders 31 9 The newborn baby 34 10 Congenital abnormalities 36 11 Common neonatal problems 38 12 The premature baby 40 13 Nutrition in childhood 42 14 Common behaviour concerns 44 15 Child care and school 46 16 Child health promotion 48 17 The immunization schedule 50 Part 3 Growth, endocrine and metabolic 53 18 Weight faltering and failure to thrive 54 19 Short stature and poor growth 56 20 Obesity 58 21 Diabetes 60 Part 4 Cardiovascular disorders 63 22 Congenital heart disease 64 23 Heart problems in older children 66 Part 5 Fever 69 24 Acute fever 70 25 Persistent fever and serious recurrent infections 72 Part 6 Respiratory disorders 75 26 Cough and wheeze 76 27 Stridor 78 28 Swellings in the neck 79 29 Asthma 80 30 Cystic fibrosis 82 Part 7 Abdominal disorders 85 31 Acute abdominal pain 86 32 Vomiting 88 33 Acute diarrhoea and dehydration 90 34 Chronic diarrhoea 92 35 Recurrent abdominal pain 94 36 Constipation 96 Part 8 Urogenital disorders 99 37 Urinary tract infections 100 38 Haematuria and proteinuria 102 39 Bedwetting and daytime wetting 104 40 Swellings in the groin and scrotum 105 Part 9 Neurological disorders 107 41 Developmental delay 108 42 Headache 110 43 Fits, faints and funny turns 112 44 Epilepsy 114 45 Cerebral palsy 116 Part 10 Musculoskeletal disorders 119 46 Swollen joints 120 47 Juvenile idiopathic arthritis 121 48 Leg pain and limp 122 49 Common childhood skeletal problems 123 Part 11 Blood disorders 125 50 Anaemia and thrombocytopenia 126 51 Jaundice 128 52 Leukaemia and childhood cancer 130 Part 12 Skin disorders 133 53 Rashes-types of skin lesions 134 54 Rashes-infancy and congenital 136 55 Rashes-infections and infestations 138 56 Rashes-common inflammatory disorders 140 57 Allergy 142 Part 13 Emergency paediatrics 145 58 Assessing the acutely ill child 146 59 The collapsed child 150 60 The unconscious child 154 61 The fitting child 156 62 Injuries and burns 158 63 Poisoning 159 Part 14 Child health in the community 161 64 Living with a chronic illness 162 65 Living with a disability 164 66 Learning disability and autism 166 67 Visual and hearing impairment 168 68 Neglect and abuse 170 69 Adolescent issues 174 70 Sudden infant death 176 71 Ethics, research and consent 178 72 Palliative and end-of-life care 180 Index 182

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