Case files. / Pediatrics by Eugene C Toy; et al

By Eugene C Toy; et al

Real-Life instances for the Pediatrics clerkship and the shelf-exam

You want publicity to high-yield circumstances to excel at the pediatrics clerkship and at the shelf-exam. Case records: Pediatrics provides 60 real-life situations that illustrate crucial ideas in pediatrics. every one case contains a whole dialogue, scientific pearls, references, definitions of keyword phrases, and USMLE-style evaluate questions. With the program, you are going to study within the context of actual sufferers, instead of in simple terms memorize facts.p>


  • 60 high-yield pediatrics situations, every one with USMLE-style questions
  • Clinical pearls spotlight key thoughts
  • Primer on how one can strategy medical difficulties and imagine like a physician
  • Proven studying method maximizes your shelf-exam scores

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A thorough history (including all school performance and behavioral problems) and physical examination can provide diagnostic clues. The etiology of his condition impacts his psychosocial outcome, his future medical therapy, and his parent’s family planning decisions. APPROACH TO Klinefelter Syndrome DEFINITIONS KLINEFELTER SYNDROME: A specific syndrome associated with behavioral problems (immaturity, insecurity), developmental delay (speech, language, lower IQ), and physical findings (gynecomastia, hypogonadism, long limbs) caused by an extra X chromosome in boys and men.

Further evaluation (amniocentesis for chromosomal analysis) then could have been offered. CLINICAL CASES 37 APPROACH TO The Dysmorphic Child DEFINITIONS ADVANCED MATERNAL AGE: The incidence of DS increases each year beyond age 35 years. At 35 years, the incidence is 1 in 378 liveborn infants, increasing to 1 in 106 by age 40 and to 1 in 11 by age 49. BRACHYDACTYLY: Excessive shortening of hand and foot tubular bones resulting in a boxlike appearance. CLINODACTYLY: Incurving of one of the digits (in DS the fifth digit curves toward the fourth digit due to midphalanx dysplasia).

Case 4 An 8-year-old boy presents to your clinic with a 3-day history of a “white coating” in his mouth. He denies having a sore throat, upper respiratory infection symptoms, gastrointestinal (GI) distress, change in appetite, or fever. His immunizations are current, he has no significant past medical history, and he has been developing normally per his mother. His weight, however, has fallen from the 25th percentile to the 5th percentile, and he has been hospitalized on three occasions in the last year with pneumonia or dehydration.

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