Lahoti, MD Margaret C. Mc. Neese, MD Mark Jason Sanders, MD New York Chicago San Francisco Lisbon London Madrid Mexico City Milan New Delhi San Juan Seoul Singapore Sydney Toronto THIRD EDITION CASE FILES . Except as permitted under the United States Copyright Act of 1.
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This limitation of liability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort or otherwise. Dunn, Senior Academic Chair and Program Director The Methodist Hospital Ob/Gyn Residency Program Houston, Texas Vice Chair of Academic Affairs Department of Obstetrics and Gynecology The Methodist Hospital Houston, Texas Associate Clinical Professor and Clerkship Director Department of Obstetrics and Gynecology University of Texas Medical School at Houston Houston, Texas Associate Clinical Professor Weill Cornell College of Medicine Robert J. Yetman, MD Professor of Pediatrics Director, Division of Community and General Pediatrics Department of Pediatrics University of Texas Medical School at Houston Houston, Texas Rebecca G. Girardet, MD Associate Professor of Pediatrics Division of Community and General Pediatrics Department of Pediatrics University of Texas Medical School at Houston Houston, Texas Mark D. Hormann, MD Associate Professor of Pediatrics Director, Medical Student Education Division of Community and General Pediatrics Department of Pediatrics University of Texas Medical School at Houston Houston, Texas AUTHORS iii iv AUTHORS Sheela L. Lahoti, MD Associate Professor of Pediatrics Assistant Dean of Student Affairs Division of Community And General Pediatrics Department of Pediatrics University of Texas Medical School at Houston Houston, Texas Margaret C. Mc. Neese, MD Professor of Pediatrics Associate Dean for Admissions and Student Affairs Division of Community and General Pediatrics Department of Pediatrics University of Texas Medical School at Houston Houston, Texas Mark Jason Sanders, MD Assistant Professor of Pediatrics Division of Community and General Pediatrics Department of Pediatrics University of Texas Medical School at Houston Houston, Texas Authors / iii Preface / vii Acknowledgments / ix Introduction / xi Section I How to Approach Clinical Problems .
Approach to the Patient . Approach to Clinical Problem Solving .
Approach to Reading . Yen (Tommy) Ligh, whose inventive genius and sense of humor are infectious, and in loving memory of Lillie Woo Ligh, my mother- in- law, whose grace and beauty continue to shine. Your positive reception has been an incredible encouragement, especially in light of the short life of the Case Files series. In this third edition of Case Files: Pediatrics, the basic format of the book has been retained. Improvements were made in updating many of the chapters.
New cases include VSD/ASD, foreign body aspirated, lead poisoning, infantile spasm, pernicious anemia, and neuroblastoma. We reviewed the clinical sce- narios with the intent of improving them; however, their “real- life” presenta- tions patterned after actual clinical experience were accurate and instructive. The multiple- choice questions have been carefully reviewed and rewritten to ensure that they comply with the National Board and USMLE format. Through this third edition, we hope that the reader will continue to enjoy learning diagnosis and management through the simulated clinical cases. It certainly is a privilege to be teachers for so many students, and it is with humil- ity that we present this edition. The Authors PREFACE vii This page intentionally left blank The clerkship curriculum that evolved into the ideas for this series was inspired by two talented and forthright students, Philbert Yao and Chuck Rosipal, who have since graduated from medical school.
It has been a tremendous joy to work with the excellent pediatricians at the University of Texas Medical School at Houston. I am greatly indebted to my editor, Catherine Johnson, whose exuberance, experience, and vision helped to shape this series. I appre- ciate Mc.
Does anyone have a direct and efficient way to copy files off H89 hard and soft sectored disks to current technology media?
Graw- Hill’s believing in the concept of teaching through clinical cases. I am also grateful to Catherine Saggese for her excellent production expertise, and Christie Naglieri for her wonderful editing. I cherish the ever- organized and precise Gita Raman, senior project manager, whose friendship and talent I greatly value; she keeps me focused and nurtures each of my books from man- uscript to print. At the University of Texas Medical School at Houston we appreciate Dr Giuseppe N. Colasurdo, MD, Department Chair of Pediatrics, and Dean of the medical school, for his support and dedication to student education.
Without my dear colleagues Drs. Konrad Harms, Jeane Holmes, Priti Schachel, and Christopher Hobday, this book could not have been written. At Methodist Hospital, I appreciate Drs. Marc Boom, Dirk Sostman, Judy Paukert, and Alan Kaplan.
Ayse Mc. Cracken, an excellent administrator, was instrumental to our new home at Methodist. Most of all, I appreciate my ever- loving wife Terri, and my four wonderful children Andy, Michael, Allison, and Christina, for their patience and understanding. Toy ACKNOWLEDGMENTS ix This page intentionally left blank Mastering the cognitive knowledge within a field such as pediatrics is a for- midable task. It is even more difficult to draw on that knowledge, procure and filter through the clinical and laboratory data, develop a differential diagno- sis, and finally form a rational treatment plan. To gain these skills, the student often learns best at the bedside, guided and instructed by experienced teachers, and inspired toward self- directed, diligent reading.
Clearly, there is no replace- ment for education at the bedside. Unfortunately, clinical situations usually do not encompass the breadth of the specialty. Perhaps the best alternative is a carefully crafted patient case designed to stimulate the clinical approach and decision making. In an attempt to achieve that goal, we have constructed a collection of clinical vignettes to teach diagnostic or therapeutic approaches relevant to pediatrics.
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Most importantly, the explanations for the cases empha- size the mechanisms and underlying principles, rather than merely rote ques- tions and answers.