The fifth edition of Pediatric Decision Making marks a major editorial transition for this ground-breaking textbook of algorithms. I turn the editorial duties over to four outstanding clinicians for this edition, the first to be published in the twenty-first century. I have worked closely with these pediatricians for many years (and with some since residency), and as their careers have matured I have grown to greatly admire and respect their knowledge, clinical skills, and teaching abilities. I am sure that this and future editions will be creative and innovative, providing clinicians with a valuable resource to help them provide the very best care for children.
As a pediatrician for 39 years, I have been fortunate to have had the opportunity to create and edit this book. I have a career and work that I love and a wonderful supportive family—my wife, Elaine, and sons, Seth and Ben. As I reflect on why pediatrics has been so personally fulfilling and meaningful, I realize the importance of having strong personal relationships with patients and their families. These relationships take time to mature. Caring for children continuously over a long time, referred to as “continuity of care,” allows pediatricians to share many intense moments of sorrow and joy with our patients and their families.
As my clinical experience and expertise increased over the years, my approach to patients and their families began to change. I realized the need to balance both art and science in caring for children. While science strives to be as objective as possible, art remains intuitive. While science relies on technology, art relies on communication and empathy. While the art of medicine recognizes the value of helping, the science of medicine strives to find cures. Art touches people by sharing feelings and emotion. Art builds an intangible bridge that connects people and makes us aware of the shared elements of the human existence. The art of pediatric practice helps a dying patient live every day to the fullest, enjoying life by being with loved ones. Science requires a thorough understanding of the scientific method and how observations generate hypotheses that can be tested by experiments or trials. Science is about defining, counting, measuring, and then analyzing. Practicing pediatrics is about using science and technology in conjunction with the art of pediatric care to prevent disease, save lives, heal children, and help families cope.
In a textbook of algorithms, it is difficult to demonstrate how to communicate with patients and families, and thus to teach “the art of pediatrics.” Therefore, I tried to do this with a different type of book, entitled Getting it Right for Children: Stories of Pediatric Care and Advocacy, published by the American Academy of Pediatrics. I learned that successful advocacy involves storytelling that reaches out and touches readers combined with data that provide the evidence needed to make good policy decisions.
While I could not incorporate as much of the art of pediatrics into Pediatric Decision Making as I would have liked, I hope that this next generation of editors will have more success. I am sure that they will integrate the rapid advances in our understanding of genetics, pathophysiology and treatment of disease, and technology into this book in ways that will be understandable and useful to clinicians. I thank them for accepting this role and appreciate the opportunity I have to continue to work with them and other members of our Department of Pediatrics at The Children’s Hospital on a regular basis.
Stephen Berman, MD
Contents
Presenting Complaints General
- Anaphylaxis
- Growth deficiency/failure to thrive
- Crying: acute, excessive
- Generalized lymphadenopathy
- Obesity
- Polyuria and polydipsia
- Shock
- Syncope
Adolescent
- Primary and secondary amenorrhea
- Breast pain in adolescent girls
- Breast lump in adolescent girls
- Nipple discharge in adolescent girls
- Menstrual problems and vaginal bleeding
- Sexually transmitted infections in adolescents
Behavior
- Encopresis (soiling)
- Enuresis (bed wetting): Nocturnal and Diurnal
Cardiovascular
- Bradyarrhythmias
- Evaluation of a child with a heart murmur
- Hypertension
- Supraventricular tachycardia
Dental
- Facial swelling and odontogenic infections
- Dental caries and the primary care provider
Dermatology
- Evaluation of skin lesions
- Dermatitis
- Reactive erythemas and erythematous maculopapular lesions
- Nonblistering, nonerythematous skin lesions
- Papulosquamous disorders
- Vesiculobullous disorders
- Nail disorders
Ear / Nose / Throat
- Acute otitis media
- Otitis media with effusion
- Mastoiditis
- Epistaxis
- Nasal congestion
- Cervical lymphadenitis / adenopathy
- Acute pharyngitis in children
Endocrine
- Ambiguous genitalia
- Delayed puberty
- Short stature
- Precocious puberty in boys
- Precocious puberty in girls
Fever
- Acute fever in infants younger than 3 months
- Acute fever without a source in infants and children 3 to 36 months of age
- Fever, rash, and red eyes
- Frequent infections
- Fever of unknown origin
Gastrointestinal
- Acute abdominal pain
- Persistent or chronic abdominal pain
- Bloody stools
- Constipation
- Acute diarrhea
- Persistent diarrhea
- Upper gastrointestinal bleeding
- Elevated liver tests after 6 months of age
- Vomiting during infancy
- Vomiting after infancy
Musculoskeletal
- Chest pain
- Foot pain
- Gait abnormalities
- Knee pain
- Limp
Neonatal
- Neonatal hyperbilirubinemia
- Neonatal seizures
- Respiratory distress syndrome
- Neonatal sepsis
Neurologic Disorders
- Evaluation of neurologic disorders
- Neurology
- Abnormalities of head size and shape
- Abnormal tone
- Altered mental status/coma
- Headache
- Movement disorders: Ataxia, Chorea, Dystonia, Psychogenic Movements, Stereotypies, Infantile Self-Stimulation, and Tremor
- Tics and tourette syndrome
- Seizure disorders: febrile
- Seizure disorders: nonfebrile
- Status epilepticus
- Acute weakness in childhood
Ophthalmology
- Evaluation of poor vision
- Periorbital (preseptal) cellulitis
- Conjunctivitis / red, painful eyes
- Strabismus (eye misalignment)
- Orbital cellulitis or abscess
Pulmonary
- Evaluation of cough and pulmonary disorders
- Hypoxemia related to pulmonary disease / respiratory distress
- Chronic cough
- Stridor
- Wheeze
Trauma
- Prehospital basic life support
- Head injury
- Neck injury
- Chest trauma
- Abdominal trauma
- Genitourinary trauma
- Upper extremity trauma
- Lower extremity trauma
- Ocular injury
- Dental and oral trauma
- Hand injuries
- Lacerations
- Bites
- Thermal injury (frostbite/burns)
- Child abuse: physical abuse
- Child abuse: sexual abuse
Toxicology
- Evaluation of acute poisoning and overdose
- Lead exposure and intoxication in children
Specific Disorders Adolescent Medicine
- Contraception (including emergency contraception)
- Eating disorders
- Substance abuse
Behavioral / Developmental Disorders/ Psychiatric Issues
- Attention-deficit/hyperactivity disorder
- Autism spectrum disorders
- Adolescent with depression
- Developmental delay in children younger than 6 years
- School learning problems
- Sleep disturbances
Cardiovascular Disorders
- Cyanotic heart disease
- Rheumatic fever
Children with Special Health Care Needs
- Overview of primary care for the child with special health care needs
- Preventive ambulatory care of the premature infant
- Medical care of children in foster care
- Cerebral palsy
- Cleft lip and cleft palate
- Transitioning young adults with special health care needs to adult medical care
Dermatology
- Acne
- Vascular birthmarks
Gastroenterologic Disorders
- Inflammatory bowel diseases: Crohn Disease and Ulcerative Colitis
- Gastroesophageal reflux
- Infectious hepatitis
- Acute pancreatitis
Hematologic Disorders
- Hemolytic anemia
- Microcytic anemia
- Normocytic and macrocytic anemia
- Bleeding disorders
- Venous thromboembolism
- Fever or acute illness in a child with sickle cell disease
- Thrombocytopenia
- Neutropenia
Infectious Diseases
- Human immunodeficiency virus infection
- Kawasaki disease
- Lyme disease
- Meningitis
International Pediatrics
- Common illness after international travel
- Management of common illnesses in developing countries at first-level health facilities
- Tuberculosis
Metabolic and Genetic Disorders
- Evaluation for a genetic disease
- Birth defects and dysmorphic features
- Down syndrome
- Inborn errors of metabolism in the neonate
- Inborn errors of metabolism in the acutely ill child
Musculoskeletal Disorders
- Evaluation of musculoskeletal disorders and overuse syndromes
- Evaluation of the active athlete
- Juvenile idiopathic arthritis
- Osteomyelitis
- Septic arthritis
Neonatal Disorders
- Necrotizing enterocolitis
- Neonatal herpes simplex infections
- Newborn delivery room resuscitation
Pulmonary Disorders
- Asthma
- Bronchiolitis
- Bronchopulmonary dysplasia in the premature infant
- Pneumonia
- Sleep disordered breathing in children
Renal and Urologic Disorders
- Clinical presentation and evaluation of acute versus chronic renal disease
- Proteinuria
- The undescended testis
Acronyms and their definitions
Key Features
- Rapidly access guidance on diagnosis and management from algorithms for each clinical disorder.
- Treat the full range of diseases and disorders with comprehensive coverage of diagnosis, assessment of severity, and clinical management.
- Choose the best treatment for each case thanks to indications for surgical interventions as well as expensive diagnostic procedures
Website Features
- Consult the book from any computer at home, in your office, or at any practice location.
- Instantly locate the answers to your clinical questions via a simple search query.
- Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
New to this edition
- Access the fully searchable contents online at www.expertconsult.com.
- Stay current on recent developments and make effective decisions for movement disorders, physical abuse in children, sexual abuse in children, eating disorders, ADHD, and other hot topics.
- Find answers quickly and easily with a new table of contents organized into two sections-Presenting Complaints and Specific Disorders-that reduces the need to flip between chapters.
- Tap into the diverse perspectives of expert authors from all over the country.
- Get only the information you need in the streamlined new edition with shorter, more user-friendly flow diagrams and fewer specialized chapters.
Product Details
- Paperback: 808 pages
- Publisher: Mosby; 5 edition (June 30, 2011)
- Language: English
- ISBN-10: 0323054056
- ISBN-13: 978-0323054058
List Price: $99.00
