By Joseph I. Wolfsdorf MB BCh, David S. Greenes MD
Thoroughly up to date for its 7th variation, this functional quick-reference handbook provides authoritative sufferer administration instructions in accordance with the broad medical adventure on the kid's health center in Boston. insurance contains basic child, well-child, and adolescent care, acute care, issues of every organ approach, behavioral issues, and administration of the kid with developmental disabilities and really expert healthiness care wishes. The textual content comprises quite a few easy-to-scan tables and a favored "A to Z" drug formulary.
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Extra resources for Manual of Pediatric Therapeutics
4. Genitalia and rectum a. In boys, observe for presence of both testes, and normal placement and patency of the urethral orifice and anus. The testes should be similar in size and should not appear blue through the scrotum (a sign of torsion). Hydroceles are common. b. In girls, in addition to observing for anal patency, one should search for interlabial masses; mucosal vaginal tags are normal. A mucoid vaginal discharge (occasionally blood streaked) is often noted. 5. Skin a. Observe for pallor, cyanosis, jaundice, rashes, and birthmarks.
3. Abdomen a. Observe for asymmetry (including the musculature), masses, and fullness. b. Bowel sounds may or may not be present. c. 5 cm below the right costal margin) or spleen (generally, at most, a tip may be palpable). Palpate deeply for both kidneys. 4. Genitalia and rectum a. In boys, observe for presence of both testes, and normal placement and patency of the urethral orifice and anus. The testes should be similar in size and should not appear blue through the scrotum (a sign of torsion).
After 6 months of age, supplementation may be required depending on the infant’s ability to ingest water with adequate levels of fluoride (Table 2-2). 2. Formula feeding for full-term infants. A number of commercially available formulas are adequate. , Similac, Enfamil) are the usual formulas for full-term infants under most circumstances. For special circumstances other formulas may be needed (see Table 2-1). a. For most industrialized countries, the practice of boiling water for preparation of powdered or concentrated infant formula is not necessary and may inadvertently concentrate nonbiologic impurities from the cooking vessel itself.