By Bradley S. Marino MD MPP MSCE, Katie S. Fine MD
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This robust evaluate for the pediatrics clerkship presents clinical scholars taking required rotations with a unmarried, concise, high-yield source for excelling at the forums and wards. 1000's of high-yield facts--written by means of scholars and in keeping with the clerkship's middle competencies--review every little thing scholars want to know for the clerkship. Margin notes spotlight universal examination and "pimp" inquiries to relatively aid scholars shine. New to this version, mini-cases are built-in all through to offer a medical "face" to sickness discussions. a bit of "classifieds" contain scholarship and award possibilities. a brand new colour insert comprises four pages of complete colour pictures to enlarge the text.
Features
• High-yield but entire overview for the pediatrics clerkship in accordance with the clerkship's middle competencies
• Written by way of scholars who simply accomplished the clerkship
• NEW: built-in mini-cases upload scientific relevance and get ready scholars for questions they are going to see at the shelf examination and the USMLE Step 2 CK
• examination guidance and wards information within the margins support scholars shine
• Edited via a pediatrician and reviewed by means of best school to make sure relevance and accuracy
The content material you want to excel at the pediatric clerkship:
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Example text
During this period, hemoglobin values as low as 9 mg/dL are considered normal. Shortly thereafter, the hemoglobin begins to rise in response to infant marrow production of cells. INFANT MORTALITY The infant mortality rate is defined as the number of deaths prior to age 1 year per 1,000 live births. 86, statistically unchanged from 2000. Key Points • Ophthalmic antibiotics are administered to newborns on dayof-life 1 to prevent conjunctivitis with Neisseria gonorrhea and particularly Chlamydia trachomatis, which is a leading cause of blindness in the developing world.
Hearing is often normal at birth, with progressive impairment over the first year. Other possible long-term complications include developmental delay, mental retardation, cerebral palsy (motor spasticity), and dental defects (abnormal enamel production). Acquired infections generally free of sequelae Screening/Prevention: Antibody testing before or early in pregnancy to document prior infection Herpes Simplex Virus (HSV) Transmission: Perinatal infection acquired through exposure to organism in maternal genital tract during delivery.
Exchange transfusion is recommended for infants with levels directed in the practice guideline nomograms mentioned above, as well as any infant with a total serum bilirubin 25 mg/dL or clinical manifestations of acute bilirubin encephalopathy. Infants with isoimmune hemolytic disease may respond to early intervention with intravenous gamma globulin therapy and avoid exchange transfusion. As noted, elevated serum conjugated bilirubin levels are never physiologic. Every effort should be made to determine the cause, reverse the underlying process, and limit complications.