Pediatrics Morning Report: Beyond the Pearls is a case-based reference that covers the key material included on the USMLE Step 2 and Step 3, as well as the pediatric clerkship. Focusing on the practical information you need to know, it teaches how to analyze a clinical vignette in the style of a morning report conference, sharpening your clinical decision-making skills and helping you formulate an evidence-based approach to realistic patient scenarios. - Each case has been carefully chosen and covers scenarios and questions frequently encountered on the Pediatrics boards, shelf exams, and clinical practice, integrating both basic science and clinical pearls. - "Beyond the Pearls" tips and secrets (all evidence-based with references) provide deep coverage of core material. - "Morning Report"/"Grand Rounds" format begins with the chief complaints to the labs, relevant images, and includes a "pearl" at the end of the case. Questions are placed throughout the case to mimic practical decision making both in the hospital and on the board exam. - Written and edited by experienced teachers and clinicians; each case has been reviewed by board certified attending/practicing physicians.

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.

A CASE-BASED GUIDE TO PEDIATRIC DIAGNOSIS, CONVENIENTLY ORGANIZED BY PRESENTING SYMPTOMS Symptom-Based Diagnosis in Pediatrics features 19 chapters, each devoted to a common pediatric complaint. Within each chapter, five to eight case presentations teach the diagnostic approach to the symptom. The case presentations follow a consistent outline of History, Physical Examination, and Course of Illness, and are followed by discussion of the Differential Diagnosis, Diagnosis Incidence and Epidemiology, Clinical Manifestations, Diagnostic Approach, and Treatment. Cases are illustrated with vibrant full-color photographs and include numerous tables comparing potential diagnoses. Organized by symptoms--the way patients actually present More than 100 cases teach the diagnostic approach to a symptom Cases illustrate how the same complaint can have a variety of causes Full-color clinical photos and illustrations sharpen your visual diagnosis skills Valuable tables detail the most frequent causes of common symptoms CASE-BASED COVERAGE OF THE SYMPTOMS YOU'RE MOST LIKELY TO ENCOUNTER IN PEDIATRIC PRACTICE Wheezing * Decreased Activity Level * Vomiting * Coughing * Back, Joint, and Extremity Pain * Poor Weight Gain * Abdominal Pain * Altered Mental Status * Rash * Pallor * Fever * Constipation * Neck Swelling * Chest Pain * Jaundice * Abnormal Gait * Diarrhea * Syncope * Seizures Editors Samir S. Shah, MD, MSCE is Director, Division of Hospital Medicine, James M. Ewell Endowed Chair, and Attending Physician in Hospital Medicine & Infectious Diseases at Cincinnati Children’s Hospital Medical Center; and Professor in the Department of Pediatrics at the University of Cincinnati College of Medicine. Stephen Ludwig, MD is Chairman of the Graduate Medical Education Committee and Continuing Medical Education Committee and an attending physician in general pediatrics at The Children's Hospital of Philadelphia; and Emeritus Professor of Pediatrics at the Perelman School of Medicine at the University of Pennsylvania.

Approx. 579 pages

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.

Concise and easy to read, Obstetrics & Gynecology Morning Report: Beyond the Pearls is a case-based reference that covers the key material included on the USMLE Step 2 and Step 3, as well as the OB-GYN clerkship. Focusing on the practical information you need to know, it teaches how to analyze a clinical vignette in the style of a morning report conference, sharpening your clinical decision-making skills and helping you formulate an evidence-based approach to realistic patient scenarios. - Each case has been carefully chosen and covers scenarios and questions frequently encountered on the Obstetrics and Gynecology boards, shelf exams, and clinical practice, integrating both basic science and clinical pearls. - "Beyond the Pearls" tips and secrets (all evidence-based with references) provide deep coverage of core material. - "Morning Report"/"Grand Rounds" format begins with the chief complaints to the labs, relevant images, and includes a "pearl" at the end of the case. Questions are placed throughout the case to mimic practical decision making both in the hospital and on the board exam. - Written and edited by experienced teachers and clinicians; each case has been reviewed by board certified attending/practicing physicians.

The first all-in-one review book for the combined Internal Medicine/Pediatrics curriculum -- filled with evidence-based cases! Internal Medicine/Pediatrics: Case-Based Review is the first book to deliver what medical/pediatric residents truly need: a definitive look at the combined Internal Medicine/Pediatrics residency program. This complete review package brings the Internal Medicine and Pediatrics curricula together, giving you a unified overview of the disciplines that you can't find anywhere else. This one-of-a-kind guide surveys all the clinical topics taught to med/peds residents, making it indispensable for use as a Morning Report resource, for family practice residents, for clerkship students, and for USMLE Step 3 preparation. Features Completely case-based, with over 60 clinical case presentations that feature challenging, instructive, or best-practice scenarios Each case includes case presentation, physical examination, laboratory studies, case resolution, Q&As, and discussion -- and opens a window on the real world of clinical practice The perfect companion to the study guides for the internal medicine and pediatric certification and board exams Authored by a program director for a major Internal Medicine/Pediatrics residency program and a chief resident in a Combined Medicine/Pediatrics Residency Program

Psychiatry Morning Report: Beyond the Pearls is a case-based reference that covers the key material included on the USMLE Step 2 and Step 3, as well as the psychiatry clerkship. Focusing on the practical information you need to know, it teaches how to analyze a clinical vignette in the style of a morning report conference, sharpening your clinical decision-making skills and helping you formulate an evidence-based approach to realistic patient scenarios. - Each case has been carefully chosen and covers scenarios and questions frequently encountered on the USMLE/psychiatry boards, shelf exams, and clinical practice, integrating both basic science and clinical pearls. - "Beyond the Pearls" tips and secrets (all evidence-based with references) provide deep coverage of core material. - "Morning Report"/"Grand Rounds" format begins with the chief complaints to the labs, relevant images, and includes a "pearl" at the end of the case. Questions are placed throughout the case to mimic practical decision making both in the hospital and on the board exam. - Introductory chapters discuss practical psychiatry skills for daily functioning including taking a history, presenting and writing a note, briefly reviewing psychopharmacology, and ethical considerations. - Written and edited by experienced teachers and clinicians; each case has been reviewed by board certified attending/practicing physicians.

v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.