By Victor C. Strasburger
Designed for speedy reference in a hectic place of work, this instruction manual is a concise, functional consultant to daily medical difficulties in adolescent medication. This ready-reference handbook is written via famous specialists to supply instant, authoritative solutions to questions about universal clinical and behavioral difficulties in little ones. various tables, bulleted lists, and charts support practitioners locate details fast, and a formulary bargains advice in prescribing for teenagers.
Coverage contains each vital subject in adolescent gynecology and updated concepts for comparing and treating overweight youngsters. different key issues addressed comprise activities medication, substance abuse, and adolescent violence and suicide.
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Extra info for Adolescent Medicine : A Handbook for Primary Care
Cavanaugh RM, Hastings-Tolsma M, Keenan D, et al. Anticipatory guidance for the adolescent. Parents’ concerns. Clin Pediatr 1993;32:542–545. Ford CA, Millstein SG. Delivery of confidentiality assurances to adolescents by primary care physicians. Arch Pediatr Adolesc Med 1997;151:505–509. Freed GL, Nahra TA, Wheeler JRC. Which physicians are providing health care to America’s children. Trends and changes in the past 20 years. Arch Pediatr Adolesc Med 2004;158:22–16. Ginsburg KR, Slap GB, Cnaan A, et al.
The history should emphasize past head trauma; illnesses that might have caused brain impairment; metabolic problems; history of seizures with fever as a small child; Table 4-3. qxd 7/1/05 6:54 PM Page 35 Seizures 35 III. IV. , drugs of abuse) and unintended; travel history; and family history of epilepsy. B. Physical examination: A thorough physical examination, including a meticulous neurologic examination, is mandatory. If there are positive CNS findings, especially signs of increased intracranial pressure, immediate neuroimaging is mandatory.
The most common clinical syndrome consists of persistent signs and symptoms of an upper respiratory tract (URI) infection beyond 10 days without significant improvement. Although patients with an uncomplicated URI may still be symptomatic by the tenth day, their condition has improved. The respiratory symptoms include nasal discharge and cough. The nasal discharge usually is purulent but may be clear or mucoid. The cough is present during the daytime although it often worsens at night because of the irritation of the pharyngeal wall by the postnasal drip while the patient is in a recumbent position.