Ready Reckoner for Treatment in Pediatrics Sumitha Nayak
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1READY RECKONER for Treatment in Pediatrics
2READY RECKONER for Treatment in Pediatrics
Sumitha Nayak MD(Ped) DNB(Ped) PGDMLS PGDGC (Consultant Pediatrician) The Children's Clinic Bengaluru (Karnataka), India Foreword Padmaja Aradhya MD
3
Jaypee Brothers Medical Publishers (P) Ltd.
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© 2012, Jaypee Brothers Medical Publishers
All rights reserved. No part of this book may be reproduced in any form or by any means without the prior permission of the publisher.
Inquiries for bulk sales may be solicited at: jaypee@jaypeebrothers.com
This book has been published in good faith that the contents provided by the author contained herein are original, and is intended for educational purposes only. While every effort is made to ensure accuracy of information, the publisher and the author specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this work. If not specifically stated, all figures and tables are courtesy of the author. Where appropriate, the readers should consult with a specialist or contact the manufacturer of the drug or device.
Ready Reckoner For Treatment in Pediatrics
First Edition: 2012
9789350258040
Printed at Ajanta Press
4To
All my little patients, who have helped me through the years, to hone my skills as a pediatrician
To all my teachers, who taught me the intricacies of pediatrics
To my close friends and colleagues who have inspired me to achieve my goals
Above all, to my family, that stood behind me at all times, in all my endeavors, and constantly encouraged me to reach for the stars
5Foreword
“If you hear hoofbeats, look for horses, not zebras.” Common medical conditions are what we need to look for rather than looking for unusual conditions. This is what we were taught, when we were in medical school. When we walk into a crowded hospital emergency room and we are encountering patients, we need to be quick, thorough and accurate, so that treatment is delivered immediately and relief is provided to the suffering patient. This book is about common conditions in children. It is also about opening a chapter and getting to know the signs and symptoms as well as differential diagnosis with a quick treatment guide. This will also enable a physician to be vigilant about mimickers. Being a neurologist, status epilepticus has been my bane of life. A young child seizing in the casualty is something a physician gets to see quite often. It is very distressing for the parent to watch this. Getting this under control is very gratifying not only to the physician but also to the parents. Juvenile rheumatoid arthritis is another condition, which used to have a very catastrophic outcome as there was really not much treatment available for this condition. With the tumor necrosis factor blockers and various immunosuppressant therapies, which are now available, treating this condition is very gratifying. However, to know is one thing and to treat is another. This book will be of great help to physicians all over the world to treat common conditions. On a personal note, Dr Sumitha Nayak has been a childhood friend of mine. Her thoroughness and her obvious brilliance are not unknown to me. I know of no better person, who is suited to be a pediatrician than Dr Nayak. This book is something you can slip into your white coat and it will be a very helpful guide to your day-to-day routine with patients.
Padmaja Aradhya md
Diplomate American Board of Psychiatry and Neurology (Neurology)
Diplomate American Board of Electrodiagnostic Medicine
Diplomate American Board of Psychiatry and Neurology
(Neuromuscular Medicine)
Diplomate American Board of Psychiatry and Neurology (Vascular Neurology)
Island Neuro Care
4230 Hempstead Turnpike, Suite106 Bethpage, New York 11714, USA
Phone (516) 520-5507, Fax (516) 520-5493
6Preface
The Ready Reckoner for the Treatment in Pediatrics is written with the idea of providing a concise handbook for a practitioner who, when confronted with a patient whose diagnosis has been made, will have at his fingertips all that he needs to know to manage his patient. At the galloping rate of science today, it may not be possible for a busy practitioner to keep himself abreast with all the new developments taking place around him. At the same time, due to increase in the medico-legal problems faced by practitioners, one can never be in position of compromise.
This book has attempted to provide easy-to-follow guidelines, including a brief overview of the etiology and pathogenesis, and protocols for management, including the current investigations available for each condition, and the latest treatment modalities to be followed. I have extensively researched the materials available, including online sites to get the latest updates for each chapter, at the time of publication.
Easy-to-follow diagrams, flowcharts and pictures make it convenient for the practitioner to follow his case. I have also included requirements related to immunization, patient education and follow-up requirements that the practitioner needs to address, as related to each disease condition. The chapters are listed in alphabetical order for easy reference.
I recommend a quick look at the chapters of this book, while treating patients in a busy OPD.
Sumitha Nayak
7Acknowledgments
I express my gratitude to Prakash, my dear husband, who has always stood by me through all my trials in life and has always encouraged me to follow my dreams.
My sincere thanks to Nikhil and Nishant, my dearest and loving sons, who have always been my best critics and who have taught me the nitty-gritty of computers and technology.
I am greatly indebted to my darling mom, who has been a source of inspiration and support to us, her children, at all times.
And above all, I am extremely grateful to my beloved dad, who taught me to stand on my own feet and to follow the path of righteousness always.