Main description:

This unique book is all about the art of clinical analysis. It comprises of 133 actual cases as they presented with their varied symptom complexes, encompassing a wide clinical spectrum in different subspecialties. To begin with, it briefly discusses the basic concepts of symptoms and signs pertaining to a system, before proceeding with representative cases, which are listed according to the presenting symptoms.

It describes how a sequential analysis of every point in the history, clinical examination and investigations leads to the correct diagnosis. While reading through the cases, the keywords are highlighted, facilitating a quick revision. Thus, this book is different and one of its kind in the sense that it does not intend to teach pediatrics at all; it purely stimulates the reader to develop a fine sense of rational thinking that facilitates clinical diagnosis in the field of pediatrics, through a self-learning, totally case-based format.

Extremely interesting for clinicians, physicians, pediatricians, hematologists, nephrologists, hepatologists, rheumatologists, cardiologists, endocrinologists, neurologists, etc. as well as medical students, teachers and practitioners.

Contents:

Section 1 TIME TESTED HYPOTHESIS

Case 1 'Patient' hearing a must !!

Case 2 History begins with age. How 'old' are you?

Case 3 History begins with age

Case 4 Respect chief complaints

Case 5 Respect chief complaints

Case 6 Origin matters

Case 7 Origin matters

Case 8 Do not ignore clinical setting

Case 9 Do not ignore clinical setting

Case 10 Duration is important

Case 11 Caution against unexpected progress

Case 12 Sudden improvement may be ominous

Case 13 Beware of partial improvement

Case 14 Monitor progress of fever: Biphasic fever

Case 15 Past-A lead for the future

Case 16 Attention to personal history

Case 17 First impression

Case 18 General examination is special

Case 19 Correlate temperature, pulse and respiration (TPR)

Case 20 Observe pattern of breathing

Case 21 Listen to the sounds that breathing makes

Case 22 Nail down the diagnosis

Case 23 Stick out the neck

Case 24 Stretch your imagination

Case 25 Head start

Section 2 MANAGEMENT DILEMMAS IN OFFICE PRACTICE

Case 26 Viral fever

Case 27 Enteric fever

Case 28 Enteric fever

Case 29 Enteric fever

Case 30 Frequent illnesses diagnosed as primary complex twice

Case 31 Short stature due to IUGR with malpositioned kidney

Case 32 Breastfed baby with intermittent blood in stools

Case 33 Breastfed baby with suspected GI infection who recovered fast

Case 34 Empyema

Case 35 Empyema who was given steroids

Case 36 Rheumatic fever

Case 37 UTI-1st episode at 4 years of age

Case 38 Constipation

Case 39 Nephrotic syndrome

Case 40 Immune thrombocytopenic purpura

Case 41 Reactive arthritis secondary to mediastinal malignancy

Case 42 Mismanaged gastroenteritis

Case 43 Inadequate feeding investigated for failure to thrive

Case 44 Infant with atypical Kawasaki disease

Case 45 Fungal pneumonia

Case 46 Palatopharyngeal incompetence

Case 47 Hemophagocytic syndrome

Case 48 Leukemia presenting as scurvy

Case 49 Poststreptococcal reactive arthritis

Case 50 Suspected Kawasaki disease presenting in 2nd week

Case 51 Galactosemia

Case 52 Mismanaged UTI presenting as breathlessness

Case 53 Gaucher disease

Case 54 Autoimmune disorder

Case 55 Idiopathic thrombocytopenic purpura

Case 56 Sudden falls in a 12-year-old

Case 57 Dengue shock syndrome

Case 58 Capillaria hepatica Fever with skin rash

Case 59 Systemic inflammatory disorder

Case 60 Meningococcemia

Case 61 Stevens-Johnson syndrome

Case 62 Dengue shock syndrome

Case 63 Rickettsial disease

Case 64 Severe combined immunodeficiency

Case 65 Streptococcal infection

Case 66 Hodgkin's lymphoma Inborn errors of metabolism

Case 67 Metabolic disorder presenting as complication of diarrhea

Case 68 Metabolic disorder presenting as unexplained encephalopathy

Case 69 Urea cycle defect

Case 70 Galactosemia

Case 71 Phenyl ketonuria

Case 72 Mitochondrial encephalopathy with lactic acidosis

Case 73 Metabolic disorder with cardiomyopathy

Case 74 Ataxia presenting as metabolic disorder

Section 3 AN APPROACH TO RECURRENT/ PERSISTENT PNEUMONIA

Case 75 Clinical recovery, radiological persistence duplication of esophagus

Case 76 Clinical recovery, radiological persistence

Case 77 Clinical recovery, radiological persistence

Case 78 Clinical and radiological persistence

Case 79 Clinical persistence, radiological recovery

Case 80 Recurrent pneumonia at the same site

Case 81 Subacute pneumonia

Case 82 Nonbacterial etiology

Case 83 Complication

Case 84 Complication

Case 85 True recurrence

Case 86 True recurrence

Recurrent cough with or without wheezing

Case 87 Wheeze associated lower respiratory infection

Case 88 Gastroesophageal reflux disease (GERD)

Case 89 Achalasia cardia

Case 90 Coarctation of aorta

Case 91 Cystic fibrosis

Case 92 Foreign body

Case 93 Miliary tuberculosis

Recurrent cough, cold and fever in office practice

Case 94 Frequent viral infections

Case 95 Asthma

Case 96 Bacterial infection secondary to adenoid hypertrophy

Comparison/comment on the above three cases

Case 97 Recurrent cold and fever

Recurrent abdominal pain

Case 98 Habitual constipation

Case 99 Meckel's diverticulum

Case 100 Dyspepsia

Case 101 Functional abdominal pain

Case 102 Inflammatory bowel disease

Case 103 Irritable bowel syndrome

Recurrent diarrhea

Case 104 Recurrent GI infection

Case 105 HIV infection

Case 106 Gluten induced enteropathy

Case 107 Chronic giardiasis

Case 108 Recurrent swelling around angle of mandible

Section 4 VAGARIES IN TUBERCULOSIS

Host chooses pathology and decides the outcome

Case 109 Lobar emphysema as a presentation of large mediastinal lymph node

Case 110 Missed mediastinal lymph node enlargement on routine chest X-ray

Case 111 Missed mediastinal lymph node enlargement on routine chest X-ray

Case 112 Acute onset pleural effusion that was TB

Case 113 Localized pleural effusion

Case 114 Tuberculous empyema

Case 115 Bilateral pleural effusion

Case 116 Subacute pneumonia missed as acute bacterial pneumonia

Case 117 Mediastinal lymph node, cavity and miliary lesion in same child at a time

Case 118 Fever, cough, breathlessness (TB lymph node and miliary)

Case 119 Recurrent arthritis as an immune mediated manifestation of TB

Case 120 Persistence of fever for months in spite of radiological improvement

Case 121 Suspected MDR TB

Case 122 MDR TB

Case 123 Extensive tuberculosis in infant poorly responsive to treatment

Case 124 Worsening mediastinal lymph node enlargement on recovery of primary complex

Case 125 Development of cervical lymph node on recovery of TB pneumonia

Case 126 Recurrence of meningitis on compliant anti-TB therapy

Case 127 Development of tuberculoma on recovery of TBM

Case 128 BCG lymphadenitis

Case 129 Flaring of BCG scar as a manifestation of immune disorder

Case 130 Psoriatic arthritis mistaken for TB

Case 131 Suspected abdominal TB

Case 132 Multiple recovering bony lesions of Hodgkin's mistaken as TB

Case 133 TB lymphadenitis which was lymphoma

Index