The author's main goal in this book is to introduce the beginning student or pediatric resident to a systematic method of medical decision making. This book is divided into three basic sections: history-taking; physical examination; and medical reasoning. It is important to note that the purpose of this book is NOT to teach everything there is to know about every possible medical diagnosis, but rather to establish a framework for reasoning out a problem. The author assumes that as the learners read about and experience many more encounters over their training period they will be able to apply the facts to this basic framework. Thus, it is important to note that the history-taking and physical examination, first and second sections specifically do NOT mention any diagnoses. Their main purpose is to present the full array of data that needs to be gathered. Note the insertion of several clinical tricks of the trade to help gain accurate data. The third section, medical reasoning will take the reader through the thought process of arriving at a diagnosis. It addresses sifting and winnowing through large amounts of data: interpretation of history, what questions to ask, what questions may or may not be pertinent to the situation at hand, making initial hypotheses and testing them with information from a physical examination. We discuss what to examine based on the history, interpreting the remaining data, re-evaluating hypotheses, re-thinking them and narrowing them further, ideally (but not always) into a unifying hypothesis. If necessary, the author discusses the use of laboratory and imaging as further means to test hypotheses. The author then discusses making treatment plans with the idea forefront in the mind that the hypothesis still may indeed be wrong and have to be revised. The narrowing-down process is critical and necessary for the rational practice of medicine and the techniques are often referred to as "heuristics" (short-cuts). They are most helpful, but are certainly not infallible. The author therefore discusses pitfalls in clinical diagnosis in order to keep the reader keenly aware of the fact that hypotheses are in need of constant review and revision if necessary. This book presents two illustrative and simple cases as journeys through the medical reasoning process. As the learner progresses, he/she will learn to navigate through more difficult cases, However, the more simple cases provide the tools to use for the more complex ones. It is the author's hope that early on in medical training the learners will appreciate the importance of good histories and physical examinations and how to interpret them. They will find that much of the information gathered in this manner will serve them well and lead to more judicious and appropriate usage of technology to arrive at diagnoses.

Prepared by residents and attending physicians at Massachusetts General Hospital for Children, Pocket Pediatrics follows the style of Pocket Medicine, one of the best-selling references for medical students, interns, and residents. This pocket-sized looseleaf can be used on the wards and by candidates reviewing for pediatric board exams. In bulleted lists, tables, and algorithms, Pocket Pediatrics provides key clinical information about common pediatric problems in cardiology, pulmonology, gastroenterology, nephrology, hematology-oncology, infectious diseases, endocrinology, rheumatology, and neurology as well as on the well patient and the patient in the ICU. The six-ring binder resembles the familiar "pocket brain" notebook that most students and interns carry and allows users to add notes.

When Dr. Meghan Weir first dons her scrubs and steps onto the floor of Children’s Hospital Boston as a newly minted resident, her head is packed with medical-school-textbook learning. She knows the ins and outs of the human body, has memorized the correct way to perform hundreds of complicated procedures, and can recite the symptoms of any number of diseases by rote. But none of that has truly prepared her for what she is about to experience. From the premature infants Dr. Weir is expected to care for on her very first day of residency to the frustrating teenagers who visit the ER at three in the morning for head colds, each day brings with it new challenges and new lessons. Dr. Weir learns that messiness, fear, and uncertainty live beneath the professional exterior of the doctor’s white coat. Yet, in addition to the hardships, the practice of medicine comes with enormous rewards of joy, camaraderie, and the triumph of healing. The three years of residency—when young doctors who have just graduated from medical school take on their own patients for the first time—are grueling in any specialty. But there is a unique challenge to dealing with patients too young to describe where it hurts, and it is not just having to handle their parents. In Between Expectations: Lessons from a Pediatric Residency, Dr. Weir takes readers into the nurseries, ICUs, and inpatient rooms of one of the country’s busiest hospitals for children, revealing a world many of us never get to see. With candor and humility, she explores the many humbling lessons that all residents must learn: that restraint is sometimes the right treatment option, no matter how much you want to act; that some patients, even young teenagers, aren’t interested in listening to the good advice that will make their lives easier; that parents ultimately know their own children far better than their doctors ever will. Dr. Weir’s thoughtful prose reveals how exhaustion and doubt define the residency experience just as much as confidence and action do. Yet the most important lesson that she learns through the months and years of residency is that having a good day on the floor does not always mean that a patient goes home miraculously healed—more often than not, success is about a steady, gradual discovery of strength. By observing the children, the parents, and other hospital staff who painstakingly provide care each day, Dr. Weir finds herself finally developing into the physician (and the parent) she hopes to become. These stories—sometimes funny, sometimes haunting—expose the humanity that is so often obscured by the doctor’s white coat.

Ideal for medical students, interns and residents, the latest edition of this portable quick-reference—part of the popular Pocket Medicine series, prepared by residents and attending physicians—has been updated with new contributors and information on pediatric disorders and problems encountered in any clinical situation, including the ICU. The book is heavy on bulleted lists, tables, and algorithms, and the small size means it can fit snugly in anyone’s white coat pocket!

Completed revised and updated for 2011, the Tarascon Pediatric Outpatient Pocketbook, Second Edition is the essential quick clinical reference for the busy outpatient pediatrician, family physician, or student/resident on a pediatric clinic rotation. This pocket guide includes the latest and most authoritative clinical practice guidelines and is packed with easy-to-understand algorithms, tables, charts, and lists. Covering newborns through adolescents, the meticulously referenced Tarascon Pediatric Outpatient Pocketbook, Second Edition puts the most important but hardest-to-remember facts, treatment options, prognoses and other critical information at your fingertips. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.

Prepared by residents and attending physicians at Massachusetts General Hospital, this pocket-sized looseleaf is one of the best-selling references for medical students, interns, and residents on the wards and candidates reviewing for internal medicine board exams. In bulleted lists, tables, and algorithms, Pocket Medicine provides key clinical information about common problems in internal medicine, cardiology, pulmonary medicine, gastroenterology, nephrology, hematology-oncology, infectious diseases, endocrinology, and rheumatology. This Fifth Edition is fully updated and includes a sixteen-page color insert with key and classic abnormal images. If you purchased a copy of Sabatine: Pocket Medicine 5e, ISBN 978-1-4511-8237-8, please make note of the following important correction on page 1-36: Oral anticoagulation ( Chest 2012;141: e531S; EHJ 2012;33:2719; Circ 2013;127:1916)- All valvular AF as stroke risk very high- Nonvalv. AF: stroke risk 4.5%/y; anticoag (R) 68% ̄ stroke; use a risk score to guide Rx: CHADS2: CHF (1 point), HTN (1), A ge >= 75 y (1), DM (1), prior Stroke/TIA (2)CHA2DS2-VASc: adds 65-74 y (1) >=75 y (2), vasc dis. [MI, Ao plaque, or PAD (1)]; ? (1)score 32 (R) anticoag; score 1 (R) consider anticoag or ASA (? latter reasonable if risk factor age 65-74 y, vasc dis. or ?); antithrombotic Rx even if rhythm control [SCORE CORRECTED]- Rx options: factor Xa or direct thrombin inhib (non-valv only; no monitoring required) or warfarin (INR 2-3; w/ UFH bridge if high risk of stroke); if Pt refuses anticoag, considerASA + clopi or, even less effective, ASA alone ( NEJM 2009;360:2066)Please make note of this correction in your copy of Sabatine: Pocket Medicine 5e immediately and contact LWW's Customer Service Department at 1.800.638.3030 or 1.301.223.2300 so that you may be issued a corrected page 1-36. You may also download a PDF of page 1-36 by clicking HERE. All copies of Pocket Medicine, 5e with the ISBN: 978-1-4511-9378-7 include this correction.

An innovative new survival guide for the pediatric intensive care unit (PICU) The PICU Handbook is a unique, pocket-sized compilation of the data necessary for residents and fellows to navigate the modern Level 1 and Level 2 pediatric intensive care unit. Enhanced by numerous tables, formulas, algorithms, guidelines, checklists, rapid-sequence medication formularies, troubleshooting guides, and clinical pearls, this is a true must read for all junior clinicians and pediatric critical care nurses. Readers will find wide-ranging coverage of every critical issue they will encounter in the PICU, including airway clearance, respiratory mechanics and respiratory failure, endotracheal intubation, shock, brain death evaluation, and much more. The PICU Handbook is edited by the Associate Medical Director of Children’s Memorial Hospital/Ann & Robert H. Lurie Children’s Hospital of Chicago, and features contributions from current and former pediatric residents and pediatric critical care fellows.

The definitive manual of pediatric medicine - completely updated with 75 new chapters and e-book access.

Trusted by generations of residents and practitioners, The Harriet Lane Handbook from The Johns Hopkins University remains your first choice for fast, accurate information on pediatric diagnosis and treatment. Now even more convenient to carry, it’s your go-to resource for a wealth of practical information, including the latest treatment and management recommendations, immunization schedules, procedures, and therapeutic guidelines, as well as a unique, comprehensive drug formulary. New information on dermatology treatments, eczema complications, lead poisoning, and signs of child abuse keeps you completely up to date. You’ll also have easy access to the entire contents online, with frequent updates to drug information, treatment protocols, vaccination schedules, and downloadable images at www.expertconsult.com. Benefit from time-tested, practical wisdom - from the first book written "by residents, for residents," reviewed by expert faculty at The Johns Hopkins Hospital, and essential for all health care professionals who treat children. Find information quickly and easily, even in the most demanding circumstances, with a modified outline format. Rely on the most dependable drug information available with the thoroughly updated, one-of-a-kind pediatric formulary. Ensure accurate and efficient diagnosis and treatment with all-new coverage of dermatology treatments, eczema complications, and lead poisoning, as well as new CDC immunization schedules, vaccine abbreviations, and full-color images of the signs of child abuse. Access the complete contents online at www.expertconsult.com, including frequent updates to the trusted and comprehensive Pediatric Drug Formulary. Carry it more easily in your pocket with its smaller, more concise format - still delivering the same high-quality information you can refer to with confidence, but in a more convenient size.