Clinical Paediatrics for Postgraduate Examinations

300 Pages·2003·29.892 MB·English

by  Terence Stephenson, Hamish Wallace, Angela Edgar

1·
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P a e d i a r1c
for Postgraduate
Examinations
Terence Stephenson
Hamish Wallace
Angela Thomson
(
Clinical
Paediatrics for
Postgraduate
Examinations
)'
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Cummissioniug F:rlitor: Ellen Green
Project Develupmeul Manager: Jim Killgore
Project Manager· Fr;mces Affleck
Ucsigncr: George Ajayi
:tlustrntor: Gr2eme Chambers
Clinical
Paediatrics for
Postgraduate
Examinations
Terence Stephenson
BSc BM BCh DM FRCP(UK) FRCPCH
Professor of Child Health, Queen's Medical Centre,
Nottingham
Hamish Wallace
MD FRCPCH FRCP(Edin)
Consultant Paediatric Oncologist, Royal Hospital
for Sick Children, Edinburgh
Angela Thomson
BSc MBChB MRCP(UK) MRCPCH
Speci_alist R_egistrar in P~ediatrics, Royal Hospital
for S1ck Children Yorkhlli, Glasgow
~'i\
..I.A CHURCHill
• LiVINGSTONE
EDINBURGH LONDON NEW YORK PHILADELPHIA STLOUIS SYDNEY TORONTO 2002
CHURCHILL LIVINGSTONE
An imprint of Elsevier Science Limited
©Longman Group UK Limited 1991
©Pearson Professional Limited 1995
©Harcourt Brace and Company Limited 199R
© 2002, Elsevier Science Limited. All rights reserved.
The right of Terence Stephenson, Hamish Wallace and Angela
Thomson to be identified as authors of this work has been asserted by
them in accordance with the Copyright, Designs and Patents Act 1988
No part of this publication may be reproduced, stored in a retrieval
system, or transmitted in any form or by any means, electronic,
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First edition 1991
Reprinted 1991
Reprinted 1993 (twice)
Second edition 1995
Reprinted 1996
Reprinted 1998
Third edition 2002
ISBN 0443070415
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of
Congress
Note
Medical knowledge is constantly changing. Standard safety
precautions must be followed, but as new research and clinical
experience broaden our knowledge, changes in treatment and drug
therapy may become necessary or appropriate. Readers are advised
to check the most current product information provided by the
manufacturer of each drug to be administered to verify the
recommended dose, the method and duration of administration, and
contraindications. It is the responsibility of the practitioner, relying
on experience and knowledge of the patient, to determine dosages
and the best treatment for each individual patient. Neither the
Publisher nor the authors assumes any liability for any injury and/or
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Contents
1. Introduction 1
----
2. Long case 17
3. The cardiovascular system 25
4. The respiratory system 49
5. The abdomen 77
6. Growth and endocrinology 105
7. The nervous system 125
8. The developmental examination 189
9. Skin 209
10. The musculoskeletal system 219
11. Common exam syndromes 237
---
12. The neonate 257
13. The oral examination 267
14. Appendix 273
15. Index 275

;' Preface
This book has been inspired by our experience both in teaching doctors
for paediatric postgraduate examinations and our own experience in
passing them. This book is not a short textbook of paediatrics but a guide
to the clinical examination of children. The format is specifically designed
to aid revision for the clinical parts of the MRCPCH and DCH and where
possible the requirements for success in these examinations have been
stated. There are, by the constraints of a book that is intended to be a
constant companion, some omissions, but we have tried to cover all the
areas which we consider are important.
We hope that this book will appeal not only to those paediatricians
entering higher medical training but also to doctors in general and
community practice who have a special interest in child health.
T.S.
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!'· H.W.
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Acknowledgements
We thank the following for helpful comments: Louise Bath, Paul Eunson,
-;·.
Peter Gillett, Chris Kelnar, Tom Marshall, Helen Anderson, Gill Wilson
and Sue Waring.