Paediatric Clinical Examination Made Easy

314 Pages·2017·3.18 MB·English

by  Denis Gill

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. .2015v1.0 .
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Paediratric r r
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Clinical
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Examination
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Made Easy
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To our children: Kieron, Daniel, Aisling, Meagan, Michael,
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Slaney,s fEoin, Cliona, Helene and Aisling ands fto our respective sf
wivesk, Margaret and Helene k k
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Foor Elsevier: o o
bContent Strategist: Pauline Graham b b
e Content Development Specialist: Humayrae Rahman Khan e
m Project Manager: Andrew Riley m m
Designer: Margaret Reid
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Marketing Manager: Deborah Watkins
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Paer diatric r r
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Co linical o o
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Examination
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Made Easy
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Denisr Gill MB BSc DCH FRCPI FRCPCrH r
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Professsor of Paediatrics, Royal College of Ssurgeons in s
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Ireoland and The Children’s Universityo Hospital, Dublin, o
Ioreland o o
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e Niall O’Brien e e
MB DCH FRCPI
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Consultant Paediatrician, National Maternity Hospital and
The Children’s University Hospital, Dublin, Ireland
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Illustrated by Des Hickey
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SIXTH EDITIO.N . .
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m Search full text online at StudentConmsult.Com m
EDINBURGH LONDON NEW YORK PHILADELPHIA ST LOUIS
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SYDNEY TORONTO 2018
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© Longman Group UK Limited 1993
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© Pearson Professional Limited 1996
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© Harcourt Health Sciences Limited 1998
©o Elsevier Science Limited 2002 o o
b© 2007 Elsevier Limited. All rights reserved b b
e © 2018 Elsevier Limited. All rights reserved e e
m The right of Denis Gill and Niall O’Brien to bme identified as authors of this work has been m
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, mechanical, photocopying, recording or
otherwise, without the prior permission of the Publishers. Permissions may be sought
directly from Elsevier’s Health Smciences Rights Department, 1600 John F. Kennedy m m
Boulevard, Suite 1800, Philadelphia, PA 19103-2899, USA: phone: [phone]; fax:
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([phone]; or, e-mail: [email protected]. You may also complete
your request on-line via cthe Elsevier homepage (http://www.elsevier.com), by cselecting c
‘Support and contact’. and then ‘Copyright and Permission’. . .
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First edition 1993e e e
Second edition 1996
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Third editiofn 1998 f f
Fourth edsition 2002 s s
Fifth edkition 2007 k k
Sixtoh edition 2018 o o
IoSBN: 978-0-7020-7288-8 o o
bInternational Edition ISBN: 978-0-7020-7289-5 b b
e Note e e
m Neither the Publisher nor the Authors assumem any responsibility for any loss or injury m
and/or damage to persons or property arising out of or related to any use of the material
contained in this book. It is the responsibility of the treating practitioner, relying on
independent expertise and knowledge of the patient, to determine the best treatment and
method of application for the patient.
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f f The f
Wsorking together to grow s publisher’s s
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libraries in developing countries
o o paper manufactured o
owww.elsevier.com | www.bookaid.org | www.sabre.org o from sustainable forests o
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Printed in China
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Prefarce to Sixth Edition r r
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e One of the pleasures of writinge the preface for a book on e
m clinical examination is that them fundamentals don’t change. m
A thorough history, a complete physical examination and a
logical deduction and conclusion from the findings remain
the basis of clinical minteraction. In this edition, we hamve m
responded to critiques by adding extra diagrams, making
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alterations herec and there, and improving the clayout. c
The good docet.or is the good listener, good examein.er, good e.
interpreter eand good problem-solver. We hopee that clinical e
ex aminaftrion will not be supplanted by CTfsr, MRIs, PETs, fr
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and increasingly sophisticated scanning techniques. Scan-
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ninog techniques have improved dramaotically in the past 20 o
yoears for those based in secondary aond tertiary care hospi- o
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tals. This has been especially true of ultrasonic examinations
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m of the acute abdomen in infamnts and children, in cardiac m
echographs, and in MRI examination of the newborn and
infant brain, to cite but a few examples. The primary care
paediatrician working in remote or isolated practice will still
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need to rely on his/her diagnostic wit and clinical skills. We
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trust that clinical findings will continue to direct appropri-
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ate investigatio.ns. Listening and laying on of hand.s remain .
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the cornersetones of clinical contact and contracet. Good chil- e
dren’s clrinicians do more talking and thinkirng, and hope- r
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fully lesss blood testing. Children will like sthem for that. s
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Doenis Gill o o
bNiall O’Brien b b
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Acknorwledgements r r
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e We could not have delivered thee text without the tireless e
m typing of Norma McEneaneym, the photographic shots of m
Thomas Nolan, and the lively illustrations of Des Hickey;
to all of them we are extremely grateful. We thank Profes-
sor Alan Browne for hmis view of the Hippocratic traditionm. m
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D.G.G. c c c
N.O’B e. e. e.
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Internret sites r r
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e There is virtually limitless infoermation available on the e
m internet. Students will learn mof and access their favourite m
sites. The list below is limited and selective, but hopefully
contains appropriate starting points.
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• http://journals.bmj.com BMJ (British Medical Journal)
• www.medicalsotudent.com o o
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• www.aap.org American Academy of Pediatrics
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• www.omim.org Online Mendelian Inheritance in Man
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• http://www.medic8.com/MedicalDictionary.htm
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• wwsw.rarediseases.org s s
• hkttp://www.ncbi.nim.nih.gov/pubmked PubMed k
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• www.rcpch.ac.uk Royal College of Paediatrics and
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b Child Health b b
e • www.cdc.gov Centers for Deisease Control and Preven- e
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tion (CDC)
• http://www.who.int/en/ World Health Organiza-
tion (WHO)
• http://adc.bmj.comm/ Archives of Disease in Childhoodm m
• http://studento.bmj.com/student/student-bmj.htmol o
Student BMJc c c
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