By Victor C. Strasburger
Designed for speedy reference in a hectic workplace, this guide is a concise, useful consultant to daily scientific difficulties in adolescent drugs. This ready-reference guide is written by way of famous specialists to supply rapid, authoritative solutions to questions on universal clinical and behavioral difficulties in young ones. a variety of tables, bulleted lists, and charts aid practitioners locate info quick, and a formulary deals counsel in prescribing for teenagers.
Coverage comprises each very important subject in adolescent gynecology and updated techniques for comparing and treating overweight children. different key issues addressed contain activities drugs, substance abuse, and adolescent violence and suicide.
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Extra info for Adolescent Medicine : A Handbook for Primary Care
Differential diagnosis: • Seizure • Atypical migraine headache • Narcolepsy • Vertigo C. Physical examination: Any adolescent who has a syncopal episode should undergo a complete physical examination with particular attention to the cardiac and neurologic examination. Vital signs should be obtained with the patient supine and after he or she has stood for 5 to 10 minutes. The results of most physical examinations for adolescents with syncope are entirely normal. qxd 6/30/05 2:19 PM Page 38 38 Chapter 5 Table 5-1.
Generalized seizures begin in both hemispheres whereas partial seizures emanate from one hemisphere. Generalized seizures involve immediate loss of consciousness. Partial seizures are either simple or complex. Simple ones involve no loss of consciousness while complex seizures do involve loss of consciousness. Epilepsy is a condition in which there are recurrent, unprovoked seizures. There are several syndromes, as listed in Table 4-1. , with no discernible cause, or secondary, that is, due to a CNS injury or problem.
In the ethmoid sinuses, the slightest mucosal inflammation may block the narrow caliber drainage openings. This may result in infection of the orbit, especially in younger children because of the thin partition between their ethmoid sinuses and the orbit. Viral upper respiratory tract infections and, less frequently, allergic inflammation, are by far the most common causes of mucosal swelling and lead to ostial obstruction. In general the pathophysiology of bacterial sinusitis is related to poor drainage of secretions in the paranasal sinuses as a result of obstruction of the sinus ostia, reduction in the number or impaired function of the cilia, or increase in the viscosity of secretions.
Adolescent Medicine : A Handbook for Primary Care by Victor C. Strasburger