儿科学 原版英文医学教程PDF电子书下载

Part I:The patient Presents With... 1

1.Fever or Rash 3

Fever 3

Preface 3

Acknowledgements 4

Rashes 4

2.Heart, Lung, or ENT Problem 7

Heart 7

Lung 9

Ear, nose, and throat(ENT) 11

Gut 15

3.Gut or Liver Problems 15

Liver 20

4.Haematuria or Proteinuria 23

Haematuria 23

Proteinuria 24

5.Neurological Problems 25

Fits, faints, and funny turns 25

Headache 27

Coma 28

The painful limb 29

6.Musculoskeletal Problems 29

Limp 29

The painful joint 30

Normal postural variants 31

7.Pallor, Bleeding, or Lymphadenopathy 33

Pallor 33

Bleeding disorders 34

Splenomegaly 36

Lymphadenopathy 37

Growth 39

8.Short Stature or Developmental Delay 39

Developmental delay 41

9.Neonatal Problems 43

Feeding difficulties 43

Vomiting 43

Neonatal jaundice 44

Breathing difficulties 44

Neonatal seizures 46

Congenital malformations 47

Ambiguous genitalia 49

Part II:History, Examination, and Investigations 51

Children(1-5 years) 53

10.History and Examination 53

The newborn infant 57

Medical sample clerking 60

11.Developmental Assessment 63

Introduction 63

History 63

Examination 63

Developmental Limit ages 66

Introduction 67

Imaging 67

12.Investigations 67

Blood tests 71

Urine tests 81

Cerebrospinal fluid 81

Part III:Diseases and Disorders 83

13.Infectious Diseases and Immunodeficiency 85

Viral infections 85

Bacterial infections 91

Parasitic infections 95

Kawasaki disease 97

Immunodeficiency 98

Eczema(dermatitis) 101

14.Skin Disorders 101

Infections 103

Infestations 104

Other childhood skin diseases 105

15.Cardiovascular Disorders 107

Congenital heart disease 107

Rheumatic fever 112

Cardiac infections 113

Cardiac arrhythmias 114

16.Disorders of the Respiratory System 115

Upper respiratory tract infections 115

Lower respiratory tract infections 116

Asthma 119

Cystic fibrosis 124

17.Disorders of the Gastrointestinal System 127

Infantile colic 127

Gastro-oesophageal reflux 127

Gastroenteritis 128

Pyloric stenosis 129

Intussusception 130

Meckel s diverticulum 131

Acute appendicitis 131

Coeliac disease 132

Mesenteric adenitis 132

Inflammatory bowel disease 133

Food intolerance 133

Hirschsprung s disease(congenital aganglionic megacolon) 134

Bile duct obstruction 134

18.Renal and Genitourinary System 135

Urinary tract anomalies 135

Genitalia 137

Urinary tract infection 139

Acute nephritis 141

Haemolytic uraemic syndrome 142

Nephrotic syndrome 142

19.Neurological Disorders 143

Malformations of the central nervous system 143

Infections of the CNS 144

Cerebral palsy 146

Epilepsy 147

Febrile seizures 150

Neurocutaneous syndromes 151

Neurodegenerative disorders 151

Neuromuscular disorders 152

Disorders of the hip and knee 155

20.Musculoskeletal Disorders 155

Disorders of the spine and neck 157

Bone and joint infections 158

Rheumatic disorders 159

Genetic skeletal dysplasias 160

21.Haematological Disorders 161

Haematopoiesis 161

Anaemia 161

Haemolytic anaemia 164

Bleeding disorders 166

22.Malignant Disease 171

The leukaemias 173

Lymphomas 174

Brain tumours 175

Neuroblastoma 176

Wilms tumour(nephroblastoma) 177

Soft tissue sarcomas 177

Bone tumours 178

Langerhans cell histiocytosis 178

Disorders of carbohydrate metabolism 178

23.Endocrine and Metabolic Disorders 179

Adrenal disorders 183

Thyroid disorders 183

Disorders of the gonads 185

Inborn errors of metabolism 187

24.Disorders of Emotion and Behaviour 189

Problems of early childhood 189

Problems of middle childhood 191

Problems of adolescence 195

25.Social and Preventative Paediatrics 197

Prevention in child health 197

Child abuse 200

Children and the law 202

The child with a disability 203

26.Genetic Disorders 205

Basic genetics 205

Single gene disorders 205

Autosomal dominant disorders 206

Autosomal recessive disorders 207

X-linked disorders 208

Multifactorial disorders 209

Chromosomal disorders 209

Genetic counselling 212

Maternal and fetal health 213

27.The Newborn 213

The normal newborn--anatomy and physiology 216

Birth 218

Disease of the newborn 219

Disorders of the preterm infant 223

Disorders of the term infant 225

28.Accidents and Emergencies 231

Accidents 231

Emergencies 236

Nutrition 247

29.Nutrition, Fluids, and Prescribing 247

Fluids and electrolytes 253

Paediatric prescribing 255

Paediatric formulary 256

Part IV:Self-Assessment 259

Mutiple-choice Questions 261

Short-answer Questions 265

Case-based Questions 266

MCQ Answers 268

SAQ Answers 269

Index 273