Examining children presents unique challenges for trainees and new doctors in paediatrics. Paediatric patients vary greatly in age and development, often find it difficult to describe their symptoms, and can behave unpredictably in clinical settings. Clinical Examination Skills in Paediatrics helps MRCPCH candidates and other practitioners learn effective history taking and fundamental examination techniques.
Clear and concise chapters–with contributions from a team of paediatric specialists–demonstrate the clinical examination and questioning techniques used in daily practice. Emphasis on the intellectual processes involved in decision making assists both trainees preparing for a formal examination as well as new clinicians faced with a difficult diagnostic problem. Topics include cardiovascular and respiratory examination, examining a child with a neuromuscular disorder, musculoskeletal examination, and taking history from a child with diabetes and a rheumatological condition.
Includes access to a companion website containing high-quality videos that demonstrate techniques, procedures and approaches
Features commentary by experienced practitioners which offer observations and deductions at each stage of the examination process
Offers tips for communicating effectively with the patients using appropriate lay terms
Helps translate the symptoms and signs experienced by patients into medical-speak
Covers all the skills tested in the MRCPCH Clinical exam
Clinical Examination Skills in Paediatrics is the perfect study and reference guide for paediatrics trainees, MRCPCH candidates, foundation doctors, allied healthcare professionals, and anyone looking to improve their clinical and communication skills in paediatrics.
Author(s): A. Mark Dalzell, Ian Sinha
Edition: 1st
Publisher: Wiley-Blackwell
Year: 2019
Language: English
Pages: 190
Editors......Page 14
Chapter authors......Page 15
How to use this book......Page 19
About the companion website......Page 22
Do......Page 23
Do not......Page 24
Enter the room......Page 26
Let the ‘parent’ ask their questions......Page 27
Highlights......Page 28
Problem 1: Pseudo‐medical‐speak......Page 29
Problem 2: Using both types of speak at once (plain English and medical)......Page 31
Top tip......Page 32
From the end of the bed......Page 33
Important signs to look for (and not miss)......Page 34
Heart sounds and murmurs......Page 35
Questions to prepare......Page 37
Top tips......Page 38
Possible scenarios......Page 39
From the end of the bed......Page 41
Important signs to look for (and not miss)......Page 42
Additional components of the respiratory examination......Page 43
Top tips......Page 44
Possible scenarios......Page 45
Positioning the child......Page 46
From the end of the bed......Page 47
Important signs to look for (and not miss)......Page 48
Additional components of the respiratory examination in a child with underlying neurological problems......Page 49
Questions to prepare......Page 50
Possible scenarios......Page 51
From the end of the bed......Page 52
Important signs to look for (and not miss)......Page 53
Abdominal examination......Page 54
How to summarise your findings......Page 55
Possible scenarios......Page 56
Positioning the child......Page 58
Important signs to look for (and not miss)......Page 59
Top tips......Page 61
From the end of the bed......Page 63
Important signs to look for (and not miss)......Page 65
What scars might you see?......Page 67
Questions to prepare......Page 68
Possible scenarios......Page 69
The Following Should Provide you with all you Need to Know about Examination of the Cranial Nerves......Page 70
From the end of the bed......Page 77
Important signs to look for (and not miss)......Page 78
Additional components of the examination of a child with possible neuromuscular problems......Page 79
Top tips......Page 80
Further reading......Page 85
Possible scenarios......Page 86
Examination......Page 87
References......Page 98
Approach to the examination of a child with short stature......Page 99
Examination of a swelling in the neck......Page 101
Examination of a child with suspected primary adrenal insufficiency (Addison disease)......Page 103
Examination of a child with suspected steroid excess (Cushing syndrome and Cushing disease)......Page 104
Important signs to look for (and not miss)......Page 106
Nervous system......Page 107
Additional components of the diabetes examination......Page 108
Key points to consider while conducting your examination......Page 109
Examination points......Page 110
How to summarise your findings......Page 111
Top tips......Page 112
Key points to consider while conducting your examination......Page 113
Important signs to look for (and not miss)......Page 114
Questions to prepare......Page 115
Top tips......Page 116
Important signs to look for (and not miss)......Page 117
Questions to prepare......Page 118
Top tips......Page 119
Questions to ask about the history of the presenting complaint......Page 120
Medications and vaccination history......Page 121
Family history......Page 122
Questions to prepare......Page 123
Top tips......Page 124
Key points to consider while taking a history......Page 125
Additional history......Page 126
Top tips......Page 127
Key points to consider while taking a history......Page 128
Background......Page 129
Respiratory status......Page 130
Exercise and lifestyle......Page 132
Top tips......Page 134
Key points to consider while taking a history......Page 136
Top tips......Page 137
Key points to consider while taking a history......Page 139
How to summarise your findings......Page 141
How did the child present initially?......Page 144
Past medical history......Page 145
Medicines/immunisations/allergy......Page 146
Social history......Page 147
Reference......Page 148
Background......Page 149
Essential components to the musculoskeletal history......Page 150
Management of rheumatological conditions......Page 155
Index......Page 157
End User License Agreement......Page 190
