Efnisyfirlit

• 1 Introduction to pediatric nursing
• Role of the pediatric nurse
• Family-centered care
• Power to the people
• Standards of care
• Room for improvement
• Acute isn’t cute
• Risky business
• Solid start
• Building on success
• In kids’ corner
• A closer look at the family
• Nuclear family
• Blended family
• Add two or more children, mix well . . .
• . . . but don’t spread too thin
• Cohabitation family
• Extended family
• Single-parent family
• Bonded . . .
• . . . and ready for a nap
• Communal family
• Foster family
• Sociocultural influences on pediatric health
• Ethnicity
• Father knows best
• Grin and bear it
• Hold the pickles, hold the meat
• Socioeconomic factors
• Planes, trains, and automobiles
• Calling in sick
• Religion
• School
• Peer influences
• Health-related beliefs and practices
• Once bitten
• Quick quiz
• Scoring
• Suggested references
• 2 Concepts in pediatric nursing care
• Principles of growth and development
• Stages of development
• Factors that influence growth and development
• Task master
• Ain’t got no culture
• I could have been a contender
• Normal to me, taboo to you
• Brain food
• Teach your children well
• Theories of development
• Psychosocial development
• He trusts me, he trusts me not
• Weighing the pros . . .
• . . . and the cons
• Hopeful today, caring tomorrow
• Cognitive development
• Some people never grow up!
• No problem too big
• Psychosexual development
• Sexual feelings
• I can’t get no . . . satisfaction
• Moral development
• Born free . . . of morals, that is!
• Can we talk?
• Caring for the hospitalized child
• No place like home
• Minimizing the trauma of hospitalization
• Always be prepared
• Specialist on the job
• Keep it in the family
• Caring for the special needs child
• Chronic illness and disability
• Flexibility required
• On the rise
• Hey, what about me?
• Consult the experts
• Be all that you can be
• A little help, please
• Caring for the terminally ill child
• Dealing with a terminal illness
• To stay or to go—that is the question
• It’s a roller coaster ride
• Tell me no lies
• Maximum control
• Strong like a bull? Not always!
• Pain in the pediatric patient
• My kingdom for a word
• Assessing pain
• Wanna play 20 questions?
• No wonder they call ‘em vital
• Where’s that toolbox?
• Painful measures
• Speaking of pain
• Behavioral responses to pain
• Look at that face!
• Older signs
• Hush-a-bye, why do you cry?
• Silent cry
• Looks can be deceiving
• Translation needed
• Check the mirror
• Managing pain
• Choose your weapon . . .
• . . . and pick a route
• Hip hooray for PCA!
• Acetaminophen anyone?
• Who said NSAIDs?
• Wrap ‘em up
• You’re getting sleepy—very sleepy
• Charms to soothe
• Sucking on sucrose
• Preparing pediatric medications
• Pharmacokinetics and pharmacodynamics
• Acid, protein, and water . . . oh my!
• Dosage calculations
• Shifting weight
• Penicillin problem
• The plot thickens
• Administering pediatric medications
• Oral route
• A spoonful of sugar
• Nasal route
• Drop in the bucket?
• The nose knows
• Up your nose with a . . . sprayer
• Optic route
• The eyes have it
• Otic route
• In one ear . . .
• Rectal route
• How it’s supposed to go
• NG, OG, or gastrostomy route
• Past the lips, past the gums . . .
• Inhalation route
• I.M. and S.C. routes
• S.C. P’s and Q’s
• I.M. formation
• Intraosseous route
• I.V. therapy
• Access granted
• On a short leash
• By foot or by scalp . . . we shall prevail
• Have no fear—no tourniquet here
• Check, check, and check again
• Infiltrate and irritate
• Calculation trio
• Fluid formula for tiny tots . . .
• . . . middleweights . . .
• . . . and bigger kids too
• Maintenance mystery
• Calorie-conscious calculation
• Daily dilemma
• Quick quiz
• Scoring
• Suggested references
• 3 Infancy
• A closer look at the infant
• System development
• Hold your head up!
• Extreme CNS makeover
• Converge, stare, and search
• Cardiopulmonary drama
• Physical development
• Trunk first, legs to follow
• Don’t get a big head
• Palpation and pulsation
• A little drool, a big eruption
• Psychological development
• Cry me a river
• Smile and say “eh”
• Stranger danger
• I’d like to buy a vowel
• Infant of few words
• Mimicking Mommy
• Social butterfly
• On stage with Piaget
• Maintaining health
• Nutrition guidelines
• I demand my 10 to 15!
• No moo cows, please
• Unlocking the secret formula
• Slow and steady to bottle-ready
• Rice is nice
• Allow the allergens
• Fingers before forks
• Sleep and rest guidelines
• To sleep, per chance to . . . wake up and eat!
• Dental hygiene
• Pass the paste
• Injury prevention
• Child passenger safety
• Aspiration
• Falls
• Childproofing
• Accidental ingestions
• Health problems
• Colic
• Failure to thrive/weight faltering
• Regurgitation
• Probing the problem
• Slow stomach
• Sudden infant death syndrome and sleep-related infant deaths
• Quick quiz
• Scoring
• Suggested references
• 4 Early childhood
• Toddlerhood
• Physical development
• Two’s take off
• Three’s relax
• Psychological development
• Now we’re talking
• Talk about progress!
• Putting the “no” in autonomous
• New rules, new game
• Familiar at home, foreign at the store
• That’s using my head
• Sincerest form of flattery
• Keys to health
• You eat what you are
• Good night, sleepyhead
• Timing is everything
• Coping with concerns
• It’s in his head, too
• Ready, set, go potty!
• Step-by-step
• Hush little baby, don’t throw a fit
• Annoying but normal
• No, non, nein!
• Apple or grape?
• Frustration-free zone
• Tackle the triggers
• Anxiety antidote
• Slow, low, small, and clear
• Preschool
• Physical development
• Fabulous 4 and 5
• Psychological development
• Come one; come all
• Ch-, ch-, ch-, ch-, changes!
• It’s all about me!
• Call it children’s intuition
• Friends at the top
• Keys to health
• Make pleasant conversation
• No food fights
• Monsters under the bed
• Coping with concerns
• Who you gonna call? Ghostbusters!
• Injury prevention
• Aspiration
• Burns
• Hot stuff
• Hot potato
• The great escape
• Drowning
• Water, water, everywhere
• Falls
• Movin’ on up
• Motor vehicle and bicycle injuries
• Look both ways
• Poisoning
• Please don’t eat the daisies
• Suffocation
• Health problems
• Child abuse and neglect
• Vicious cycle
• It was an accident
• It’s the law
• Acting it out
• When things don’t add up
• Calling in the cavalry
• The “A” team
• Lead poisoning
• A little snooping
• Casting judgment
• Chelation ‘til completion
• Quick quiz
• Scoring
• Suggested references
• 5 Middle childhood and adolescence
• School age
• Physical development
• Ladies first
• No more excuses
• Jumpin’ in feet first
• Leggy and hippy
• No turning back
• Psychological development
• Pick a clique
• Handle with care: Sensitive to ridicule
• Try to remember
• “Because I said so”
• Mom’s still the bomb
• Earth-bound
• Keys to health
• Things that go bump in the night
• Clicking the remote doesn’t count
• Coping with concerns
• Scary school
• Low on dough
• What’s yours is mine
• Adolescence
• Physical development
• Terrible teens
• It’s a girl thing
• Boys will be boys . . . until they’re men
• Psychological development
• That’s what friends are for
• Rebel with a question
• The young and the tasteless
• When girls no longer have cooties
• I can see clearly now . . .
• One step forward, two steps back
• In with the in-crowd
• At long last—my own person
• What’s the meaning of life?
• Look, Mom, I’m legal!
• Keys to health
• Run a little, eat a lot
• Got milk?
• Use ‘em or lose ‘em
• Running from depression
• Coping with concerns
• No laughing matter
• Dangling the bait
• A slippery slope
• Injury prevention
• Firearms
• Motor vehicle accidents
• Will parallel parking be on the final exam?
• Texting while driving
• Buckled up for safety
• A deadly mix
• Risk-taking behaviors
• Risky business
• Sports injuries
• Injury protection
• Slow down, you move too fast
• Health problems
• Alcohol and drug abuse
• It’s old school
• Psychologically speaking
• Socioculturally speaking
• Ups and downs
• Something smells fishy
• I’ve got a secret
• Symptom support
• Slowly but surely
• When the party’s over
• Anorexia nervosa
• The skinny on being skinny
• Girl power?
• Related risks
• Cold, constipated, weak, and absent
• Guilty, impaired, and needing to please
• Bring out the troops
• Express for success
• Attention deficit hyperactivity disorder
• One in every classroom . . .
• . . . and in the office, too
• So many things to do . . .
• Looking for the label
• Meals matter
• Report and support
• Obesity
• Equality of the sexes
• Vim and vigor
• Sexually transmitted infections
• They’re everywhere
• I.D. the STI
• Privacy is paramount
• Suicide and attempted suicide
• Quick quiz
• Scoring
• Suggested references
• 6 Infectious diseases and immunizations
• Infection
• Chain of infection
• Immature immunity
• Stages of infection
• Cover your mouth, please
• Immune protection
• Methods of obtaining immune protection
• A gift that keeps on giving . . .
• . . . for up to 2 months
• Types of immunizations
• Weak but stimulating
• Measles, mumps, and rubella—itch, ouch
• Inactive but popular
• Immunization schedule
• Baby’s first vaccine
• Positive mom, need an extra vaccine
• Three for PedvaxHIB . . .
• . . . Hiberix, Act get one dose more
• Intact immunity required
• Two for teens and teens for two . . .
• Who gets it?
• Contraindications to vaccine administration
• Bacterial infections
• A class by any other class
• The young and the susceptible
• Diphtheria
• Obstruction production
• It’s a cover-up
• No time to waste
• Too close for comfort
• Diagnose, then act
• Haemophilus influenzae type B
• The invasion begins
• All systems aren’t go
• Not-so-honorable mention
• You’d be irritable too
• Tender to the touch
• Not the time to procrastinate
• Stamp out colonization
• Lyme disease
• Tick tock
• The rash that knows no bounds
• More reasons to treat
• Pertussis
• The cough of the giant crane
• Flushing and draining
• Tetanus
• No room at the inn
• Axon reaction
• Ten-year reunion
• Close encounter with a rusty nail
• Child care essentials
• Viral infections
• Rash of rashes
• Not so rash
• Fifth disease
• The fifth dimension
• A slap in the face
• Spare the hands, spoil the feet
• Pregnant? Watch out!
• Don’t fence me in
• Mumps
• Poliomyelitis
• Oral is ousted
• What’s in a name?
• Roseola infantum
• Don’t be rash
• Rubella
• Not so pretty in pink
• Pregnant women, beware
• Rubeola
• You look acute
• Varicella
• Quick quiz
• Scoring
• Suggested references
• 7 Neurologic problems
• Anatomy and physiology
• Central nervous system
• Central command
• The incredible expanding brain
• Separated at birth
• A mass of nerves in a house of bones
• Other noteworthy figures
• Bridging the hemispheres
• Not the piercing kind
• Passing the baton
• The body’s thermostat
• Delicate and impulsive
• Clear liquid with a protein chaser
• Better than a bubble bath
• Can you hear me now?
• Peripheral nervous system
• It’s rude to interrupt
• Autonomic nervous system
• Neurologic assessment
• Mini-assessment
• Glasgow Coma Scale
• Motor function
• Myelination mastery
• Reflex rules
• How strong are you?
• Pupillary response
• Diagnostic tests
• Minimizing emotional trauma
• Big kids do cry
• A job well done
• Specialist to the rescue
• CT scan
• EEG
• Lumbar puncture
• Maintain, encourage, assess
• MRI
• PET scan
• Ventricular tap
• Going in
• Procedures and treatments
• Intracranial pressure monitoring
• Look closely . . .
• Less invasive
• Sorry, not for everyone
• VP shunt insertion
• A special sleep
• Monitor and measure
• Neurologic disorders
• Bacterial meningitis
• Still strong
• Bigger kids
• No antibiotics needed if culture results come back negative
• Brain tumors
• Common in kids
• Treatment of choice
• Better safe than sorry
• High temp, cool blanket
• Hair today, gone tomorrow
• Cerebral palsy
• In the womb
• A shaky start
• A traumatic legacy
• Correct those contractures
• Skilled labor of love
• Down syndrome
• A special gift
• Amnio alert
• Just the way you are
• Teaching symptoms
• The thrill of success
• Duchenne’s muscular dystrophy
• Rapid changes
• Heels, hips, and knees
• Bring in the troops
• Guillain-Barré syndrome
• What’s myelin is your-e-lin
• Weak from the legs up
• From dysfunction to failure
• Survey the signs
• Squash the stress
• Hydrocephalus
• CSF overload
• The setting sun
• Rigid, noisy, and irritable
• It’s tubular
• Straight to the heart
• Shunt care 101
• Neural tube defects
• What’s in the sac?
• Gone too soon
• Search the sacrum
• Sac on the back
• Poor prognosis
• Latex liability
• Scheduled for surgery
• No pressure, please
• Teach and support
• Reye’s syndrome
• Equal opportunity syndrome
• Nada to ASA
• Respiratory inventory
• Know your neuro
• Seizure disorders
• Consciously electric
• Cellular excitement
• CT, MRI—both can help identify
• Kudos for ketogenic
• Keep it cool
• Out with the noise, in with the calm
• A helping hand
• It takes a village
• Quick quiz
• Scoring
• Suggested references
• 8 Cardiovascular problems
• Anatomy and physiology
• Structures of the heart
• Equal at birth
• Location, leaflets, and muscles
• Lovely leaflets
• Circulation
• A long day’s journey
• Return to sender
• Pulmonary role reversal
• Conduction system
• Bundles and branches
• Cardiac physiology
• Chillin’ with homeostasis
• Cardiac adaptations at birth
• Perfusion only—no exchange
• Farewell placenta, hello lungs!
• Many keys, one lock
• Out with fluid, in with air
• The drama unfolds
• Out of a job
• Murmurs
• Sit, stand, recline
• Diagnostic tests
• Echocardiography
• Ultrasound-endoscopy combo
• Electrocardiography
• Magnetic resonance imaging
• Exercise testing
• Treatments and procedures
• Teach expectations
• Valve replacement
• Heed the signs
• Cardiac catheterization
• Measure for measure
• Cardiac surgery
• Heart-lung vacation
• Keep the heat
• Turn and breathe
• Rx: TLC
• Cardiac transplantation
• One of two
• Who knows UNOS?
• Crucial 6 months
• The hard part is over
• Congenital heart defects that increase pulmonary blood flow
• Atrial septal defect
• ASDs come in threes
• Benign when small
• Enlarge and dilate
• Procrastination preferred
• Patent ductus arteriosus
• Postdated PDA
• Smaller is better
• Back to the aorta
• Reverse to cyanosis
• Explain, prepare, meet, and greet
• Tell one, tell all
• Ventricular septal defect
• Undercover VSD
• Leading with the left
• Congenital obstructive defects
• Coarctation of the aorta
• Under pressure
• A leggy problem
• Resect, patch, ligate
• Bigger and bigger
• Postop checklist
• Stenosis, aortic
• Postsurgical steps
• Stenosis, pulmonic
• Mixed congenital heart defects
• Hypoplastic left heart syndrome
• Close call
• Certain surgery
• Transposition of the great arteries
• Up, up and away
• Go with the flow
• Congenital heart defects that decrease pulmonary blood flow
• Tetralogy of Fallot
• Tricuspid atresia
• Other cardiovascular disorders
• Endocarditis
• The root of the problem
• Postprosthesis predicament
• It’s a cover up
• Murmur by megaphone
• Pinpoint spots
• Osler, Roth, and Janeway
• The right fit
• Monitoring marathon
• The education edge
• Heart failure
• Reverse, reverse!
• Gallops, wheezes, and weight
• Give the heart a break!
• Oxygen as ordered
• Shhhhhh . . . he’s sleeping
• Feed the heart well
• Kawasaki disease
• Soft and soothing
• Hush little baby, don’t you cry
• Come on in—the water’s fine
• Rheumatic fever and rheumatic heart disease
• Millions “served”
• Prognosis
• When carditis gets complicated
• Under the skin
• But wait, there’s more
• Aye, that’s the rub
• It’s in the blood
• Regular or extra-large
• Lullaby and good night
• Surgery for severity
• On second thought
• Pop a pill before the drill
• Be on alert
• Prescription for quality time
• Brush and floss at any cost
• Quick quiz
• Scoring
• Suggested references
• 9 Respiratory problems
• Anatomy and physiology
• Chest and lungs
• Totally lobular
• Roll out the barrel
• Upper respiratory tract
• Nasal for 4 weeks
• No solids or fluids beyond this point
• Lower respiratory tract
• No confusion—it’s diffusion
• Airway resistance
• Child labor
• Pulmonary circulation
• Inspiration and expiration
• Muscles to stabilize, muscles to breathe
• Retractions reveal distress
• Ventriloquist lungs
• Blown away
• Diagnostic tests and monitoring techniques
• Arterial blood gas
• Blood borrowing
• Count and squeeze
• Chest X-ray
• Dem bones, dem bones
• Inspiration, expiration, front and back
• Pulmonary function tests
• Serial testing
• Breathing on cue
• Pulse oximetry
• Sensing saturation
• Treatments and procedures
• Aerosol therapy
• Spaced out
• Underage aerosol
• Liquid to vapor
• Assisted ventilation
• Compress and pressurize
• Inflate and expand
• Nasal fashion statement
• Suction secretions
• Assess for distress
• Chest physiotherapy
• Drain and clear
• Percussion section
• Endotracheal intubation
• Separate but equal
• Silent cry
• Oxygen administration
• Indoor camping
• Tracheostomy
• Respiratory disorders
• Acute otitis media
• The great equalizer
• No escape
• Supine? Not this time
• The trouble with tympany
• But wait, there’s more!
• If drugs don’t do it
• Testing, 1, 2
• Teach your children well
• Asthma
• Overreacting
• Gentleman, choose your triggers
• Outside and sensitive
• A look within
• Genetic messes
• A potent mix
• Ready, set, spasm!
• Repeat and damage
• Working overtime
• Function or obstruction?
• Up to the challenge?
• Cortico-reactions
• Open wide
• Top to bottom, looking for problems
• Please do not disturb
• Smoke provokes
• Bronchiolitis
• Diminishing returns
• Hydrate and humidify
• Drugs to the rescue
• ‘Tis the season
• Head’s up
• Assess and de-stress
• Croup
• If it barks like a seal . . .
• It’s always darkest before the dawn
• Reading the signs
• Epi for edema
• I get misty
• A friend from home
• Cystic fibrosis
• Eye on the GI
• The legacy stops here
• To the heart of it all
• Twice per day keeps infection away
• Dilate and stimulate
• Oil change not included
• The deluxe treatment
• No dieting here
• Infection-free zone
• Epiglottitis
• There’s a frog in my throat
• Hot and toxic
• A job for the experts
• First by vein, then by mouth
• Pneumonia
• Invasion of the cell snatchers
• Fretful and feverish
• Headache and hacking
• What goes in must come out
• Keeping parents in the loop
• Tuberculosis
• Lying in wait
• Once positive, always positive
• Teaming up to treat TB
• Quick quiz
• Scoring
• Suggested references
• 10 Urinary problems
• Anatomy and physiology
• Kidneys
• Multitasking kidneys
• Urinary tract
• A friendly nudge
• Any volunteers?
• Diagnostic tests
• Urinalysis and urine culture
• Culture on a plate
• Catch ‘em while you can
• Lather up, rinse away
• Keep it clean
• Blood urea nitrogen and creatinine
• KUB radiography
• Excretory urography
• Voiding cystourethrogram
• Behind closed doors
• Renal biopsy
• Treatments and procedures
• Bladder catheterization
• Insert and drain
• Insert and inflate
• Generous and gentle
• Hemodialysis
• To stick or not to stick
• Look out for losses
• Kidney transplantation
• You sneeze, you leave
• Peritoneal dialysis
• Urinary disorders
• Acute poststreptococcal glomerulonephritis
• Clumping with the enemy
• Lay low
• Battle the boredom
• Medication education
• Strep alert
• Chronic glomerulonephritis
• Damage, changes, impairment
• Strike a balance
• Follow through on the follow-up
• Congenital anomalies of the ureter, bladder, and urethra
• Neighborhood watch
• Sensitive skin care
• Hemolytic uremic syndrome
• The usual suspects
• In the blood
• I got cultcha
• Nephrotic syndrome
• Preschool predominance
• Highs and lows
• Hold the salt
• A delicate balance
• Protection from infection
• Renal failure, acute
• It’s rude to interrupt
• Damage in the basement
• Totally radical
• System alert
• No fluid shall go unmeasured
• Monitor and maintain
• Renal failure, chronic
• The point of no return
• Toxin takeover
• What’s in urine
• The also-rans
• In with the moisture, out with the itch
• A watchful eye
• Wilms’ tumor
• Life is but a stage
• Keep the kidney
• Quick quiz
• Scoring
• Suggested references
• 11 Musculoskeletal problems
• Anatomy and physiology
• Bones
• The long and short of it
• Universal coverage
• A plate of cartilage
• Salty framework
• Bone bank deposit
• Muscles
• Muscles in opposition
• Taking turns
• Six hundred volunteers
• Joints
• Joints on the move
• Flex or extend
• Diagnostic tests
• Arthroscopy
• Lean on me
• Bone scans
• Electromyography
• A sign of weakness
• SMuscle and bone marrow biopsy
• X-rays
• Invisible bone
• Treatments and procedures
• Prevent and restore
• Casting or splints
• A wash and a blow-dry
• Cast scratch fever
• May I have your autograph?
• The cut stops here—promise!
• Traction
• Just hanging out
• Central location
• Traction in twos
• Don’t fall behind
• Pin and skin
• Surgical repairs
• Amputation
• A loss that lasts
• Something in common
• Quick studies
• Let’s get physical
• Musculoskeletal disorders
• Congenital clubfoot
• Casting call
• Please release me
• From designer wedges . . .
• . . . to designer shoes
• Put up your feet and relax
• The agony of de feet
• Developmental dysplasia of the hip
• Relationship problems
• Frankly breech
• What’s in a name?
• A clunky diagnosis
• A limp or a waddle
• Whoa, Nellie!
• Harness hip hooray!
• Don’t double up
• A temporary setback
• Hold and turn
• You’d be cranky too
• Investigate the itch
• A change of scenery
• Ewing’s sarcoma
• Off to a bad start
• Pelvic prognosis
• When chemo gets complicated
• Nurse in shining armor
• Growing up too fast
• Cultured pearls
• Fractures
• Sticks and stones may bend my bones
• A stressful situation
• The remodeling team
• Sudden and sharp
• From bone to lung
• Permanent hardware
• Prepare on the go
• Cast caution
• Are you shocked?
• Postscript
• Juvenile idiopathic arthritis
• Thrown another curve
• The eyes have it
• NSAIDs first unless pain is worse
• Up and active
• Helpful or harmful?
• Legg-Calvé-Perthes disease
• A job well done
• Keep it simple
• Party at Tommy’s bedside! RSVP
• It’s hard to be a patient patient
• Slipped capital femoral epiphysis
• Osgood-Schlatter disease
• Scoliosis
• Not sure about structure
• Over for obvious
• Something suspicious
• Negotiating the curves
• Brace yourself
• No confusion, it’s spinal fusion
• Stealth brace
• A strange new world
• Quick quiz
• Scoring
• Suggested references
• 12 Gastrointestinal problems
• Anatomy and physiology
• Structures of the GI system
• It’s alimentary, my dear Watson
• Accessories make the system
• Digestion
• The rise and fall of hormones
• The tasteful tongue
• Look out stomach, here it comes!
• A gastric response
• Triple overtime
• Contractions and secretions
• Distribution center
• Downward spiral
• A large job description
• Accessory glands and organs
• Essential storage
• Alpha beta Langerhans
• Diagnostic tests
• Barium enema
• An interesting way to start the day
• Exit the barium
• Barium swallow
• Follow the swallow
• Seeking the ileocecal valve
• Endoscopic retrograde cholangiopancreatography
• It’s all over
• Endoscopy
• The direct approach
• Stool specimen
• Treatments and procedures
• Alternative feeding methods
• Cold coil in a cup
• Recycle the residual
• Clear the clogs
• Pinch and position
• Sucking for satiation
• It wouldn’t work in outer space
• Total parenteral nutrition
• Concentrate on TPN
• Infection inspection
• Not too much, not too little
• GI intubation
• What goes in must come out
• Anchors away
• Ostomy
• Correct the defect
• Location, location, location
• Bad timing
• Been there, done that
• A wash and a pat-dry
• Pouch protector
• Pass the salt
• GI disorders
• Appendicitis
• Much ado about the RLQ
• Calm before the storm
• Seize the day
• A malodorous sign
• Infection detection
• Celiac disease
• Cleft lip and palate
• An early start
• A group effort
• Crohn’s disease
• A string thing
• A toxic outcome
• Give the bowel a rest
• A temporary fix
• Child interrupted
• Nutrition 101
• Hepatitis
• ABCs (and Ds) of hepatitis
• The E and the G
• Tired and irritable
• Itchy and uncomfortable
• A view from the side
• No turning back
• Notice of necrosis
• Interfering with hepatitis
• A boost of prevention
• Come one, come all
• A little here, a little there
• Back to school
• Hirschsprung’s disease
• Suspicious stain
• Out with the bad
• Forced evacuation
• Bowel sounds = dinner bell
• Expert advice
• Patience is a virtue
• Intussusception
• Tender to the touch
• Forceful introduction
• If at first you don’t succeed . . . reduce or resect
• Explain on the go
• Music to soothe
• Better days ahead
• Pyloric stenosis
• Waving and projecting
• Déjà lunch
• No need to say “excuse me”
• Going with the flow
• Tracheoesophageal fistula and esophageal atresia
• An unhealthy relationship
• Combo conditions
• Belly full of air
• A pump in the pouch
• Ligate and lengthen
• Assess for distress
• Sucking permitted
• Ulcerative colitis
• What’s in the stool?
• Down with inflammation!
• Volvulus
• Chain of events
• Quick quiz
• Scoring
• Suggested references
• 13 Endocrine and metabolic problems
• Anatomy and physiology
• Too little, too much
• Glands
• Small but mighty
• Prolific producer
• Hormones in storage
• Thyroid lobe duo
• The calcitonin-calcium connection
• PTH: a parathyroid production
• A leading role
• Clusters of islets
• It’s a girl thing
• Hormones
• Right on target!
• Unsupervised cells
• It’s nice to be recognized
• Diagnostic tests
• Glucose, fasting plasma
• To fast or not to fast
• And the level is . . .
• Glucose tells all
• Backup plan
• Glucose tolerance, oral
• Up to the challenge?
• A little intolerant
• Blood totals
• Growth hormone, human
• The lowdown on levels
• The highs . . .
• . . . and the lows
• Growth hormone suppression
• Failure to suppress
• Rest and repeat
• Guthrie screening
• Metabolic upset
• Three’s a charm
• Danger ahead
• Neonatal galactosemia
• From sea to shining sea
• Where’s the GALT?
• Neonatal T4 and TSH blood-spot test
• The birth surge
• Failure to respond
• Thyroxine test
• Cons, pros, and suspects
• The T4 that binds
• More testing ahead
• Triiodothyronine test (serum)
• A little T3 goes a long way
• It’s all on the level
• A tandem rise
• Treatments and procedures
• 131I therapy
• Expecting a glow
• At home with radioactive iodine
• Thyroidectomy
• Just in case
• Dribbling drainage patrol
• Storm’s a’brewin’
• Endocrine and metabolic disorders
• Congenital hypothyroidism
• The early bird catches the best prognosis
• Mom’s meds
• Cold to the touch
• Constipation consternation
• Whoa, horsey
• Too high, too low
• Plan ahead
• Don’t delay
• Cushing’s syndrome
• Stealth corticotropin
• Cushing’s combo
• Preop prep
• What goes in might not come out!
• Infection prevention
• Diabetes mellitus
• Absolutely insufficient
• Blame it on dad
• Straggler antibodies
• Vulnerable to viruses
• Free the fatty acids!
• Type 1 in a hurry
• The pancreas’ last stand
• Vaguely type 2
• Team diabetes
• Rebel with restrictions
• Like a hawk!
• Fitting in
• Show and tell
• Galactosemia
• Graves’ disease
• Stimulation overload
• Ablation to the rescue
• When in doubt, take it out
• Keep it cool
• Cough with caution
• Long-term commitment
• Maple syrup urine disease
• How sweet it isn’t
• Origin of the odor
• Phenylketonuria
• An error by any other name
• The case for early detection
• Brain on hold
• Got the blues?
• Hyper, irritable, and repetitive
• The lowdown on phenylalanine
• Don’t overdo it!
• Just say “no” to chicken and cheese
• Rebel with a cause
• Quick quiz
• Scoring
• Suggested references
• 14 Hematologic and immunologic problems
• Anatomy and physiology
• Hematologic system
• Did you say organ system?
• Blood formation
• Yellow with age
• Have a blast
• Like a fine wine
• Blood components
• The cycle of life—RBC style
• Great granulocytes, Batman!
• Not a granule to be found
• Hemostasis
• Like a waterfall
• Immune system
• Immune system organs
• Lymphocytes in waiting
• Nodes of concern
• Sounds of silence?
• Immune system cells
• To find and bind
• Gobs of globulins
• There’s definitely a T in team
• Search and destroy
• Complement system
• Hypersensitivity
• Second time around
• Deadly complement
• Attack first, ask questions later
• Release the lymphokines!
• Diagnostic tests
• Allergy skin testing
• RAST to the rescue
• The family tree of allergy
• A song and a wiggle
• Bone marrow aspiration and biopsy
• Bone bank withdrawal
• To aspirate or biopsy—that is the question
• CBC with differential
• Decrease = disorder
• What’s up with the whites?
• Seeing red
• Pediatric and parental platelets
• Treatments and procedures
• Blood transfusion
• Pump up the vascular volume
• Bone marrow transplantation
• Share and share alike
• A harvest of plenty
• Getting ready to receive
• From harvest to seed
• Graft battles host
• Hematologic and immunologic disorders
• HIV/AIDS
• A stranger in friend’s clothing
• Out of control
• It’s different for kids
• Destructive domino effect
• Screen with ELISA, confirm with the blot
• Backup blood tests
• The 076 study (named after research number)
• Do-good drugs
• A listening ear
• Infection detection
• Allergic rhinitis
• Hope for the future
• Sneezing in your sleep
• The nose knows
• Timing is everything
• Up your nose with a nasal spray!
• Atopic dermatitis
• To make matters worse . . .
• From scratching to scarring
• Too clean, too dry
• Wash, then wear—hold the bleach
• Down with itch and inflammation!
• Hemophilia
• A matter of degrees
• The circumcision clue
• Mountain out of a molehill
• Head’s up!
• The incredible expanding spleen
• Everyone in the pool!
• Do try this at home
• Quash the rebellion
• Hodgkin’s lymphoma
• And the good news is . . .
• Bigger isn’t better
• Spreading swelling
• Verify, then confirm
• It’s a hoot!
• When treatment gets complicated
• Long-term legacy
• Mopping the floor with Hodgkin’s
• Iron deficiency anemia
• Some heavy competition
• A gift from mom
• Got milk?
• You are what you eat
• Bleached out bull’s-eye
• In with the iron
• It’s supplementary, my dear Watson!
• Leukemia
• Needed: crowd control
• Fungus alert
• Transplant to the rescue
• Sickle cell anemia
• Hemoglobin S is for sickle
• Capillary traffic jam
• Low on O2
• A telling history
• Isn’t one enough?
• In pursuit of normal
• Systemic lupus erythematosus
• A complex reaction
• Getting involved
• Thalassemia
• Phi beta defective synthesis
• Large but not in charge
• Don’t overdo it!
• Quick quiz
• Scoring
• Suggested references
• 15 Dermatologic problems
• Anatomy and physiology
• The great protector
• Structures of the skin
• Thin-skinned
• Fetal comb-over
• Growth spurt
• Diagnostic tests
• Potassium hydroxide preparation
• Fungus finder
• Skin biopsy
• The closest shave
• Pulled and punched
• Out, out, darn lesion
• Post punch, shave, and excise
• Tzanck test
• Treatments and procedures
• Laser surgery
• After the laser
• Skin grafting
• ‘Tis better to give than receive
• A healthy loan
• Keys to success
• After graft
• Dermatologic disorders
• Acne
• Facing up to acne
• Lasting legacy
• Volcanic eruption
• In full view
• On the skin or in the mouth
• Skin care 101
• The dope on drugs
• A gentle touch
• Myth busters
• Burns
• A tight squeeze
• Constricted and depressed
• Changing spaces
• Fragile: handle with care
• A matter of degree
• TBSA or not TBSA
• 10% of TBSA = a hospital stay
• Inspect to detect
• In the unit
• In general
• In the heat of the moment
• When the fire dies down
• Contact dermatitis
• Allergic annoyances
• Not immune to an immune response
• Oozing, scaling, and itching—oh, my!
• It’s a classic
• How offensive!
• A soak in the tub
• Ditch the itch!
• Replace; don’t recycle
• Leave the judging to Judy
• Scabies
• Loads of lesions
• Fighting the mighty mite
• Hoover Whole House
• Tinea capitis (ringworm of the scalp)
• Tinea corporis (ringworm of the body)
• Quick quiz
• Scoring
• Suggested references
• Glossary
• Index