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This fourth edition of what is now Kleinman's Diagnostic Imaging of Child Abuse remains the premier source of comprehensive information on all aspects of medical imaging related to child abuse and its differential diagnosis. Chapters cover all aspects of imaging of the abused child – musculoskeletal, spine, visceral and abusive head trauma. Thoroughly updated and revised, there are new chapters on imaging of abusive orbital and facial trauma, post-mortem imaging and on the differential diagnosis of abusive head and spine trauma. A section of the book addresses differential diagnoses for child abuse in the musculoskeletal system. The text is richly illustrated with over 1500 high-quality imaging examples by radiography, computed tomography (CT), magnetic resonance imaging (MRI), nuclear scintigraphy and ultrasound, supplemented with select correlative pathology images. With contributions from experts of multiple disciplines, this book is the sought-after source for reputable information on diagnostic imaging of the suspected victim of child abuse.
Fully revised and updated, the second edition of this important book covers the key topics in paediatric anaesthesia in a concise and structured format, providing key management principles for practitioners. Incorporating the latest advances in clinical practice and anaesthesia, it guides readers through the complications and complexities of the field, from the premature infant to the teenager. It covers the common surgical conditions encountered in daily practice alongside a comprehensive discussion of consent and the law, safeguarding children and the complexity of drug dosing in the paediatric population. Additional topics include trauma, burns, resuscitation, principles of intensive care, transporting a sick child and information on the paediatric-specific areas of ethics and medicolegal concerns. Established experts in the field share a wealth of practical experience, providing all the essential information required for advanced paediatric anaesthesia training. This book is an essential reading for trainee and practising paediatric anaesthetists and general anaesthetists managing children.
This brand-new fourth volume in Stahl's Case Studies series presents a selection of clinical case studies in child and adolescent psychopharmacology, taken from Dr. Strawn's clinics and consultations. These cases illustrate common questions that are routinely asked by Dr. Strawn's peers in consultations and which represent dilemmas in the day-to-day practice of pediatric psychopharmacology. Followings a consistent, user-friendly layout, each case features icons, tips and questions about diagnosis and management as it progresses over time, a pre-case self-assessment question, followed by the correct answers at the end of the case. Formatted in alignment with the American Board of Psychiatry and Neurology's maintenance of psychiatry speciality certification, cases address multifaceted issues in a relevant and understandable way. Covering a wide-ranging and representative selection of clinical scenarios, each case is followed through the complete clinical encounter, from start to resolution, acknowledging all the complications, issues, decisions, twists and turns along the way.
The presentation of kidney diseases can vary widely between children and adults as can age-related differential diagnoses and the consequences of treatment. This comprehensive and practical guide to pediatric nephropathology covers a range of conditions and diseases, including abnormal kidney development, glomerular diseases, vascular diseases and transplant pathology. Special emphasis is placed on integrating mechanisms of disease to pathology and therapeutic options. The book also includes ancillary testing such as genetics, as these are fast becoming the gold standard for a number of paediatric kidney diseases. Over a hundred high-quality colour images are included, fully annotated to display the key features of the diseases discussed. Summaries of key points and knowledge gaps condense vital information for an accessible read by busy clinicians and trainees. An online version of the book with expandable figures can be accessed on Cambridge Core, via the code printed on the inside of the cover.
Paediatric and Adolescent Gynaecology (PAG) is a subspecialty that encompasses a broad spectrum of conditions affecting girls from birth up to adulthood. For younger children, vulval dermatological conditions are frequently seen, whilst the adolescent population will often present with menstrual dysfunction or pelvic pain, with a range of aetiologies. This book, aimed at trainees and consultants in the field and all healthcare professionals working in the multidisciplinary team providing care for girls with gynaecological conditions, offers practical, detailed advice on dealing with this spectrum: including rarer conditions such as disorders of puberty, including precocious puberty, delayed puberty and primary amenorrhoea, differences in sex development and Mullerian duct anomalies. Written by international experts in the field, this book will inform and inspire generations of healthcare professionals working in PAG.
The concept of the early life developmental origins of health and disease (DOHaD) in adults has stimulated a new approach to understanding disease trajectories, with major public health implications. Indeed, the principle of the 'lifecourse of disease' now influences health policies internationally. Environmental influences during pregnancy and early life that affect lifelong health are well documented, but there is a new focus on the preconception period and the significance of paternal health on the fetus. This fully revised second edition highlights scientific and clinical advances in the field, exploring new understanding of mechanisms such as epigenetics and the increasingly recognised role of external influences, including pollution. The book is structured logically, covering environment, clinical outcomes, mechanisms of DOHaD, interventions throughout the lifespan and finally implications for public health and policy. Clinicians and scientists alike will improve their understanding of the developmental origins of health and disease with this essential text.
Ever wondered why your life and health can sometimes be so hard to control? Or why it seems so easy for other people? Mark Hanson and Lucy Green draw on their years of experience as scientists and educators to cut through the usual information on genetics and lifestyle to reveal the secrets of early development which start to make each of us unique, during our first 1,000 days from the moment of conception. Some surprising discoveries, based on little-known new research, show how events during our first 1,000 days make each of us who we are and explain how we control our bodies, processes that go way beyond just the genes which we inherited. Provoking new ways of thinking about being parents, this book empowers individuals and society to give the next generation the gift of a good start to life and future health.
Multiple pregnancies are associated with higher risks for both mother and babies. Women with multiple pregnancies have an increased risk of miscarriage, anemia, hypertensive disorders, haemorrhage, and postnatal illness. These pregnancies are more likely to need an operative delivery, and maternal mortality is generally 2.5 times that of singleton births. Fetuses are at increased risk for anatomic and genetic anomalies, growth abnormalities, prematurity, and several physiological problems related to monochorionicity. This book provides a much needed, up-to-date guide to the management of multiple pregnancies. Presented with a uniform approach to all chapters, information is easily navigable, evidence-based, and highly practical. Heavily illustrated, particularly with ultrasound images – the cornerstone of management of multiple pregnancies - this book will appeal to obstetricians and specialists in maternal-fetal medicine, midwives and ultrasonographers and will improve outcomes for mothers and babies.
The behavioral issues experienced by individuals with Prader-Willi Syndrome (PWS) can be both surprising and overwhelming to clinicians and caregivers. Despite the distress and dysfunction posed by them, there are very few resources available to address these neuropsychiatric problems. This invaluable guidebook helps to identify and address the spectrum of behavioral issues faced by individuals with PWS. Written by a psychiatrist with unique expertise in the management of patients with this condition, this easy-to-read book explores practical details that will aid any clinician or caregiver. Chapters offer vivid case examples and clear guidance on both the behavioral and pharmacological management of issues such as anxiety, skin-picking, ADHD, disruptive behavior (including non-suicidal self-harm), mood disorders (including depression and bipolar disorder), and psychosis. Neuro-behavioral Manifestations of Prader-Willi Syndrome serves as an essential and practical companion for any caregiver or healthcare professional providing care to people with PWS.
With the number of patients living with congenital heart disease steadily increasing, relevant training in anesthesia care for these patients is becoming ever more important. Written by experts in the field, this highly illustrated book succinctly reviews the pathophysiology of congenital cardiac lesions along with important anesthetic implications for each. Case scenarios cover patients of wide-ranging ages, with a focus on care in non-cardiac operating room settings, including the general operating room, cardiac catheterization laboratory and radiology. Divided into sections corresponding to the anatomic classification of each cardiac lesion, the book includes keywords for easy cross-referencing. Several lesions have multiple scenarios presented in order to allow readers to learn how to discern more critically ill patients. The stepwise approach to understanding complex lesions provides a readily accessible guide for all anesthesia providers who care for patients with congenital heart disease. The book is also a useful tool for intraoperative teaching.
Procedure induced anxiety affects the majority of children undergoing medical intervention and has been directly linked to behaviour disturbances, psychological trauma, phobias and symptoms of PTSD. Despite this, there is currently no formal training relating to the management of procedure induced anxiety for medical personnel caring for children. A distillation of more than eighty years of research, this textbook examines the nature, prevalence and consequences of anxiety in children, alongside evidence-based strategies for its effective management. Designed as a training manual, it includes a comprehensive account of positive and negative aspects of behaviour that contribute to the successful management of anxious children. Chapters cover topics such as non-verbal and verbal communication, enhanced communication management strategies, support of children with autistic spectrum disorder, ADHD, learning difficulties, the use of premedication and the role that families play. Essential reading for anaesthetists and paediatricians and a valuable resource for any practitioner working with children.
Neonatal hematology is a fast-growing field, and the majority of sick neonates will develop hematological problems. This is an essential guide to the pathogenesis, diagnosis and management of hematologic problems in the neonate. Guidance is practical, including blood test interpretation, advice on transfusions and reference ranges for hematological values. Chapters have been thoroughly revised according to the latest advances in the field for this updated third edition. Topics discussed include erythrocyte disorders, platelet disorders, leukocyte disorders, immunologic disorders and hemostatic disorders. Coverage of oncological issues has been expanded to two separate chapters on leukemia and solid tumors, making information more easily accessible. Approaches to identifying the cause of anemia in a neonate are explained, with detailed algorithms provided to aid clinicians in practice. Covering an important hematologic niche with an ever increasing amount of specialized knowledge, this book is a valuable resource for hematologists, neonatologists and pediatricians.
Liver disease in children is increasing in prevalence, placing a huge burden on healthcare systems and often requiring long-term management. Offering an integrative approach to the science and clinical practice of pediatric hepatology, this is the definitive reference text for improved diagnosis and treatment strategies. In the new edition of this authoritative text, chapters have been thoroughly revised in line with major advances in the field, such as recognizing the increased frequency of fatty liver disease, and how genetic testing has the potential to establish earlier diagnoses for a variety of diseases. Disorders covered include cholestasis, metabolic disorders and hepatitis, with their presentation across the spectrum of infancy, childhood and adolescence discussed. The indications and surgical aspects of liver transplant are explained and post-transplant care is described in detail. This is a valuable resource for pediatricians, hepatologists, gastroenterologists and all clinicians involved in the care of children with liver diseases.
Sudden unexpected infant death, including sudden infant death syndrome, is the leading cause of death in infants one month to one year of age, in the developed world. A thorough investigation is crucial for accurate diagnosis. As part of the Diagnostic Pediatric Pathology Series, this book provides a detailed guide to various diagnoses and strong frameworks across continents, for strong support in conducting a multi-professional approach to the physiopathological mechanisms behind SIDS. Offering sensitive consideration for parents in mourning, this book rigorously explores current standards of police investigation and post-mortem, incorporating all aspects of the investigation, including the home visit, medical history and autopsy findings. Written by multidisciplinary experts, this vital guide uses clear reference tables and diagrams to present cutting-edge knowledge for use by paediatric and general pathologists, paediatricians, medico-legal practitioners, and all involved in the investigation of sudden infant death.
This concise and comprehensive resource is vital for the pathologist faced with providing accurate, timely, and clinically useful diagnoses for placentas, products of conception, and gravid hysterectomies. Combining the pathologic, research, and clinical expertise of a diverse group of editors and authors from centers of excellence for placental pathology, this book enables easy application of the latest Amsterdam international consensus classification criteria, with cross-references to previous terminology and a pathophysiology-based classification system. It provides complete descriptions and illustrations of diagnostic gross, microscopic, and immunohistochemical findings together with a thorough discussion of potential pitfalls and differential diagnosis. Current theories of the genetic and physiologic basis for disease processes, culminating in placental lesions are discussed. The book features high-quality images and standardized measurement tables to assist real-time diagnoses and provides access to an online version on Cambridge Core, which can be accessed via the code printed on the inside of the cover.
This volume covers aspects of sudden infant and early childhood death and deals with the changes that have occurred over time with the definitions of SIDS, SUDI and SUDIC. It will be indispensable for SIDS researchers, SIDS organisations, paediatric pathologists, forensic pathologists, paediatricians, families, residents in training programs involving paediatrics, physicians, lawyers, law enforcement officials, and other experts in the field. The text will be indispensable for SIDS researchers, SIDS organisations, paediatric pathologists, forensic pathologists, paediatricians and families, in addition to residents in training programs that involve paediatrics. It will also be of use to other physicians, lawyers and law enforcement officials who deal with these cases, and should be a useful addition to all medical examiner/forensic, paediatric and pathology departments, hospital and university libraries on a global scale. Given the marked changes that have occurred in the epidemiology and understanding of SIDS and sudden death in the very young over the past decade, a text such as this is very timely and is also urgently needed.
Committed to providing safe anaesthetic care for paediatric patients, it is of paramount importance for clinicians to learn from suboptimal situations in order to continuously improve clinical performance. The first resource of its kind, this text analyses a selection of fascinating case studies and evaluates best practice in providing safe anaesthesia to children with recommendations on how to avoid the most common clinical pitfalls. Featuring over seventy chapters, topics include airway-related problems, vascular access, regional anaesthesia, medication related problems and the management of patients with pre-existing conditions. Each case study is supported by full colour images, making this essential reading for consultants and trainees in anaesthesia.
Extensively updated, with chapter revisions and an array of new material, the Sixth Edition of this Clinical Manual offers an indispensable resource on Emergency Pediatrics. Incorporating the latest guidelines concerning a wide range of conditions, the text is an up to date and practical resource for use at the point of care. Providing critical information in all sites where sick and injured children receive treatment - from emergency departments to private offices and primary care settings - this Sixth Edition enables first-rate care. Fully updated with current knowledge and guidance within the field New topics include Ovarian Emergencies, Bedside Ultrasound, Zika Virus and Commercial Sexual Exploitation among othersClear guidance enables effective patient evaluation and follow-upStreamlined chapters, with increased use of tables to enable readers to locate critical information rapidly.Successful and trusted for more than 30 years, this updated handbook is a key resource for pediatricians, emergency medicine physicians, family practitioners, and trainees.
It is estimated that 1.5 million infants undergo surgery and anesthesia in the USA each year. However, there are serious concerns within the pediatric anesthesia community regarding the safety of anaesthesia in infants and children. There is mounting evidence from animal studies that anesthetics in common clinical use are neurotoxic to the developing brain and cause long-term neurobehavioral abnormalities. Essentials of Anesthesia for Infants and Neonates provides a comprehensive guide to the special needs of infants undergoing anesthesia. It focuses on the first year of life, the time when anesthesia mortality and morbidity is highest. Chapters are illustrated in color throughout, and include sections on newborn physiology for anesthetic management, specific procedures, pain management, and topics such as regional anesthesia and sedation. Written by nationally recognized experts, this book will become an invaluable point of reference for any physician interested in pain management in the first year of life.
Pediatric and adolescent gynecology (PAG) is recognized as a specialist area and clinicians working in PAG need specific expertise. A wide spectrum of conditions needs to be addressed, ranging from simple disorders which respond to basic treatment to complex congenital anomalies with a genetic origin and life-long health consequences. Investigations must be appropriate and treatment should reduce symptoms and distress whilst optimizing gynecological and reproductive potential. Centered upon a series of common clinical presentations, this book includes stepwise guidance on the initial investigations, management, and treatment options. Guidance is supported by the most up-to-date evidence-base, written by clinicians with dedicated clinical and research experience in PAG. New techniques - such as laparoscopic surgery - are included and the importance of the psychological assessment of children with specific PAG disorders is highlighted. The book also includes an authoritative chapter on safeguarding - recognizing the unique opportunity for gynecologists in child protection.