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.
EDITORS
A. MARK DALZELL is a retired Consultant in Paediatric Gastroenterology at Alder Hey Children's NHS Foundation Trust, Liverpool, UK.
IAN SINHA is Consultant in Paediatric Respiratory Medicine and Honorary Senior Lecturer in Child Health at Alder Hey Children's NHS Foundation Trust, Liverpool, UK.
List of contributors viii
How to use this book xiii
Ian Sinha and A. Mark Dalzell
About the companion website xvi
Chapter 1 Rules of engagement (with the clinical examination and the examiners) 1
Richard E. Appleton
Chapter 2 Tips for the communication station 4
Andrew Riordan
Chapter 3 Translating into medical-speak 7
Daniel B. Hawcutt and Ian Sinha
Chapter 4 Cardiovascular examination 11
Michael T. Bowes and Caroline B. Jones
Chapter 5 Respiratory examination 18
Anna Shawcross and Sarah J. Mayell
Chapter 6 Respiratory examination in a child with neurodisability 23
Clare P. Halfhide
Chapter 7 Gastrointestinal examination 28
Anastasia Konidari and A. Mark Dalzell
Chapter 8 Examining a child with a renal transplant 33
Dean Wallace
Chapter 9 Examining a child with cerebral palsy 37
Rachel Kneen and Anand S. Iyer
Chapter 10 Cranial nerve and ocular examination 43
Richard E. Appleton
Chapter 11 Examining a child with a neuromuscular disorder (focusing on Duchenne muscular dystrophy) 50
Stefan Spinty and Anand S. Iyer
Chapter 12 Musculoskeletal examination 58
Liza J. McCann
Chapter 13 Examining a child with endocrine problems 76
Poonam Dharmaraj, Urmi Das and Renuka Ramakrishnan
Chapter 14 Examining a child with diabetes 82
Mark Deakin
Chapter 15 Examining a toddler with motor delay 85
Melissa Gladstone and Ruairi Gallagher
Chapter 16 Examining a toddler with speech delay 89
Ruairi Gallagher and Melissa Gladstone
Chapter 17 Examining a child with autism 93
Ruairi Gallagher and Melissa Gladstone
Chapter 18 Taking a history from a child with cardiovascular disease 96
Michael T. Bowes and Caroline B. Jones
Chapter 19 Taking a history from a child with asthma 100
Sarah J. Mayell and Anna Shawcross
Chapter 20 Taking a history from a child with cystic fibrosis 103
Antonia K.S. McBride and Kevin W. Southern
Chapter 21 Taking a history from a child with inflammatory bowel disease (Crohn disease and ulcerative colitis) 110
Anastasia Konidari and A. Mark Dalzell
Chapter 22 Taking a history from a child with renal transplant 113
Dean Wallace
Chapter 23 Taking a history from a child with diabetes 117
Mark Deakin
Chapter 24 Taking a history from a child with a rheumatological condition 122
Gavin Cleary
Index 129
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