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Paediatrics 

Paediatrics
Chapter:
Paediatrics
DOI:
10.1093/med/9780199681907.003.0026
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date: 23 October 2019

A whistle-stop tour that covers virtually the whole of medicine but in children. The chapter covers neonatology, including the management of premature babies, the physiology behind neonatal resuscitation, and common neonatal problems such as jaundice and feeding problems. Neonatal intensive care is also discussed, detailing common procedures such as intubation, cranial ultrasound, and umbilical lines. The chapter discusses common acute presentations, including breathing difficulties (asthma, bronchiolitis, croup, pneumonia), fever (including the difficulty in differentiating between a benign viral infection and early sepsis), the many causes of limp in children, and issues around safeguarding. Common presentations to clinic such as asthma, growth, and constipation are discussed. Common problems seen by community paediatricians—autism, Down’s syndrome, developmental delay and its many different causes—are also covered. Congenital heart disease is looked at in detail, including cyanotic versus acyanotic lesions. Throughout the chapter, there are tips on history taking and examination techniques to help win children and their families over and how to cope when a child won’t cooperate! Useful references such as the UK vaccination schedule are also included.

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