Pediatric Examination and Board Review

McGraw-Hill Specialty Board Review

Pediatrics

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McGraw-Hill Specialty Board Review
Pediatrics

Second Edition

Robert S. Daum, MD, CM

Professor of Pediatrics

Professor, Committee on Microbiology

Professor, Committee on Molecular Medicine

Professor, Section of Infectious Diseases

University of Chicago

Chicago, Illinois

Jason J. Canel, MD, FAAP

Instructor of Clinical Pediatrics

Northwestern University Feinberg School of Medicine

Chicago, Illinois

Attending, Pediatrics

Evanston Hospital

Evanston, Illinois

New York Chicago San Francisco Lisbon London Madrid

Mexico City Milan New Delhi San Juan Seoul

Singapore Sydney Toronto

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ISBN  978-0-07-178523-5
MHID 0-07-178523-X

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McGraw-Hill Specialty Board Review Pediatrics

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Loved ones gave up quality time so that a project like this could be completed.

To Susan, my beloved, and Michael, Jeremy, Abigail, Robert, and Shannon, my children,

I thank each for their sacrifice to make this effort possible.

—BOB

With love and thanks to the entire Cadomoff family.

—JASON

CONTENTS

Contributors

Preface

Acknowledgments

Chapter 1

Cardiology

1
A Neonate with a Heart Murmur

2
A 10-Year-Old Boy with Palpitations

3
A 7-Year-Old with a Heart Murmur

4
A 5-Year-Old with a Heart Murmur and Fever

5
A 10-Year-Old Boy with Elevated Blood Pressure Ascertained at a Routine Physical Examination

Chapter 2

Critical Care

6
A 5-Month-Old with Apnea and Cyanosis

7
A 4-Month-Old with Hypotonia and a Weak Cry

8
A 5-Year-Old Boy with Fever, Drooling, and Stridor

9
A 6-Year-Old Boy Found at the Bottom of the Neighbor’s Pool

10
A 2-Year-Old Boy with Sudden Onset of Coughing

11
A 3-Year-Old Girl with Hypoxia and a History of Hoarseness

12
16-Year-Old Boy with Very High Body Temperature

13
A 4-Year-Old Girl with Snoring

14
A 16-Month-Old Boy with Fever and Cough

15
An 8-Month-Old with Generalized Seizures

Chapter 3

Dermatology

16
A Neonate with a Birthmark on the Face

17
A Neonate Girl with Vesicles

18
An 8-Year-Old Boy with an Itchy Rash

19
A 4-Year-Old Girl with an Itchy Rash

20
An 8-Year-Old Girl with Hair Loss

21
A 6-Month-Old Boy with Birthmarks

Chapter 4

Development

22
A 2-Month-Old with Colic and Subsequent Development Delay

23
A 4-Year-Old Boy with Motor Disability Preparing to Transition to Public School Kindergarten

24
A 1-Year-Old with Early Handedness

25
A Child with Spina Bifida

26
A 3-Year-Old with Speech Delay

27
A Neonate Girl with Floppy Tone and Upward-slanting Eyes

28
An 8-Year-Old Boy with Autistic Behaviors that are Difficult to Control

29
A 4-Year-Old who was Born Prematurely

30
An 8-Year-Old Boy with Loss of Milestones

31
A 3-Year-Old Boy with Poor Language and Social Skills