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AAP Textbook of Pediatric Care, 2nd Ed

Edited by Thomas K. McInerny, MD, FAAP, Henry M. Adam, MD, FAAP, Deborah E. Campbell, MD, FAAP, Jane Meschan Foy, MD, FAAP and Deepak M. Kamat, MD, PhD, FAAP
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The landmark guide to pediatric medicine - updated and streamlined for today's clinicians and students

Highlighting the numerous advances and developements in pediatrics, the new second edition provides a complete update of this premier clinical reference including signs and symptoms, behavioral health, care of healthy and high-risk infants, adolescent health, critical situations, practice management, ethical and legal concerns, and much more.

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  1. Page vii
    Foreword
  2. Page ix
    Introduction
  3. Page 1
    Part I. Delivering Pediatric Health Care
    1. Page 3
      1. Health Care Delivery System
    2. Page 17
      2. Practice Organization
    3. Page 21
      3. Information Systems in Pediatric Practice
    4. Page 29
      4. Evidence-Based Medicine
    5. Page 33
      5. Quality Improvement in Practice
    6. Page 39
      6. Medical Home Collaborative Care
    7. Page 43
      7. Planned Coordinated Care to Support the Medical Home
    8. Page 48
      8. Health Literacy
    9. Page 53
      9. Partnering with Families in Hospital and Community Settings
    10. Page 58
      10. Family-Centered Care of Hospitalized Children
    11. Page 61
      11. Ethical and Legal Issues for the Primary Care Physician
    12. Page 72
      12. Emergency Care
  4. Page 77
    Part II. Principles of Care
    1. Page 79
      Pediatric Assessment
      1. Page 79
        13. Pediatric History: Assessing the Child
      2. Page 89
        14. Pediatric History: Assessing the Social Environment
      3. Page 99
        15. Pediatric History: Assessing Functioning and Mental Health
      4. Page 104
        16. Pediatric Physical Examination: Interpretation of Findings
      5. Page 136
        17. Sports Preparticipation Physical Evaluation
      6. Page 145
        18. Pediatric Imaging
    2. Page 153
      Preventive Pediatrics
      1. Page 153
        19. Environmental Health: The Role of the Primary Care Physician
      2. Page 160
        20. Immunizations
    3. Page 168
      Community Health
      1. Page 168
        21. The Essential Role of the Primary Care Pediatrician
      2. Page 171
        22. Promoting the Health of Young Children
      3. Page 179
        23. Promoting the Health of School-Aged Children
      4. Page 187
        24. Promoting the Health of Adolescents
    4. Page 191
      Screening
      1. Page 191
        25. Screening: General Considerations
      2. Page 195
        26. Auditory Screening
      3. Page 203
        27. Screening for Anemia
      4. Page 207
        28. Vision Screening
      5. Page 210
        29. Screening for Genetic-Metabolic Diseases
      6. Page 225
        30. Use of Urinalysis and Urine Culture in Screening
    5. Page 229
      Health Promotion in Practice
      1. Page 229
        31. Applying Behavior Change Science
      2. Page 233
        32. Family Support
      3. Page 237
        33. Healthy Child Development
      4. Page 245
        34. Mental Health
      5. Page 258
        35. Healthy Weight
      6. Page 265
        36. Healthy Nutrition: Infants
      7. Page 270
        37. Healthy Nutrition: Children
      8. Page 273
        38. Healthy Nutrition: Adolescents
      9. Page 277
        39. Physical Activity
      10. Page 281
        40. Oral Health
      11. Page 291
        41. Healthy Sexual Development and Sexuality
      12. Page 302
        42. Safety and Injury Prevention
      13. Page 307
        43. Healthy Use of Media
      14. Page 315
        44. Violence Prevention
      15. Page 321
        45. Conducting the Health Supervision Visit
    6. Page 327
      General Management of Children with Health and Behavioral Problems
      1. Page 327
        46. Effective Communication Strategies
      2. Page 333
        47. Adherence to Pediatric Health Care Recommendations
      3. Page 337
        48. Providing Culturally Effective Care
      4. Page 342
        49. Discussing Serious Symptoms, Results, and Diagnoses with the Patient and Family
      5. Page 346
        50. Care of Children with Mental Health Problems
      6. Page 356
        51. Care of Children with Special Health Care Needs
      7. Page 371
        52. School-Related Issues for Children with Special Health Care Needs
      8. Page 375
        53. Physiology and Management of Fever
      9. Page 379
        54. Managing Acute Pain in Children
      10. Page 390
        55. Managing Chronic Pain in Children
      11. Page 403
        56. Self-Regulation Therapies: Hypnosis and Biofeedback
      12. Page 411
        57. Complementary and Integrative Medical Therapies
      13. Page 419
        58. Fluids, Electrolytes, and Acid-Base Composition
      14. Page 433
        59. Blood Products and Their Uses
      15. Page 441
        60. Antimicrobial Therapy
      16. Page 476
        61. Psychosocial Therapies
      17. Page 481
        62. Psychotropic Medications in Primary Care Pediatrics
      18. Page 502
        63. Preoperative Assessment
      19. Page 521
        64. Postoperative Care
      20. Page 534
        65. Pediatric Rehabilitation
      21. Page 544
        66. Transitions to Adulthood
      22. Page 555
        67. Palliative, End-of-Life, and Bereavement Care
    7. Page 569
      Care of Special Populations
      1. Page 569
        68. Children Exposed to Adverse Childhood Experiences
      2. Page 575
        69. Caring for Families New to the United States
      3. Page 589
        70. Adoption
      4. Page 601
        71. Children of Divorce
      5. Page 605
        72. Children in Foster or Kinship Care
      6. Page 620
        73. Children in the Juvenile Justice System
      7. Page 626
        74. Children in Self-Care
      8. Page 629
        75. Gay- and Lesbian-Parented Families
      9. Page 634
        76. Lesbian, Gay, and Bisexual Youth
      10. Page 642
        77. Children in Military Families
      11. Page 648
        78. Homeless Children
      12. Page 656
        79. Children in Poverty
  5. Page 665
    Part III. Maternal and Fetal Health: Effect On Pregnancy Outcomes and Perinatal Health
    1. Page 667
      80. Perinatal Preventive Care: Fetal Assessment
    2. Page 693
      81. Assisted Reproductive Technologies, Multiple Births, and Pregnancy Outcomes
    3. Page 699
      82. Prenatal Diagnosis
    4. Page 710
      83. Fetal Interventions
    5. Page 720
      84. Maternal Depression
  6. Page 725
    Part IV. Care of Healthy and High-Risk Infants
    1. Page 727
      Routine Care Issues
      1. Page 727
        85. Medical-Legal Considerations in the Care of Newborns
      2. Page 738
        86. Prenatal Pediatric Visit
      3. Page 742
        87. Care of the Newborn After Delivery
      4. Page 749
        88. Breastfeeding the Newborn
      5. Page 765
        89. The Circumcision Decision
      6. Page 769
        90. Care of the Late Preterm Infant
      7. Page 779
        91. Hospital Discharge of the Healthy Term and Late Preterm Infant
      8. Page 790
        92. Follow-Up Care of the Healthy Newborn
    2. Page 797
      Assessment and Physical Examination of the Newborn
      1. Page 797
        93. Maternal Medical History
      2. Page 802
        94. Physical Examination of the Newborn
      3. Page 819
        95. Neonatal Skin
      4. Page 828
        96. Common Congenital Anomalies
      5. Page 837
        97. Postnatal Assessment of Common Prenatal Sonographic Findings
    3. Page 847
      Neonatal Medical Conditions
      1. Page 847
        98. Abnormalities of Fetal Growth
      2. Page 858
        99. Neonatal Jaundice
      3. Page 867
        100. Respiratory Distress and Breathing Disorders in the Newborn
      4. Page 888
        101. The Newborn with a Heart Murmur or Cyanosis
      5. Page 899
        102. The Newborn at Risk for Infection
      6. Page 909
        103. The Newborn with Hematologic Abnormalities
      7. Page 917
        104. Prenatal Drug Use: Neonatal Effects and the Drug Withdrawal Syndrome
      8. Page 929
        105. Transient Metabolic Disturbances in the Newborn
      9. Page 938
        106. Specific Congenital Metabolic Diseases
      10. Page 963
        107. The Newborn with Neurologic Findings
      11. Page 968
        108. Surgical Emergencies of the Chest and Abdomen in the Newborn
    4. Page 987
      Perinatal Care: Caring for the High-Risk Infant
      1. Page 987
        109. Assessment and Stabilization at Delivery
      2. Page 1001
        110. Identifying the Newborn Who Requires Specialized Care
      3. Page 1011
        111. Care of the Sick or Premature Infant Before Transport
      4. Page 1018
        112. Continuing Care of the Infant After Transfer From Neonatal Intensive Care
      5. Page 1050
        113. Discharge Planning for the High-Risk Newborn Requiring Intensive Care
      6. Page 1068
        114. Follow-Up Care of the Graduate From Neonatal Intensive Care
    5. Page 1085
      Neonatal Outcomes
      1. Page 1085
        115. Health and Developmental Outcomes of Very Preterm and Very Low-Birth-Weight Infants
      2. Page 1096
        116. Health and Developmental Outcomes of Selected Medically Complex Neonates
    6. Page 1117
      Supporting Families During Perinatal Illness and Death
      1. Page 1117
        117. Support for Families Whose Infant Is Sick or Dying
  7. Page 1133
    Part V. Adolescence
    1. Page 1135
      118. Challenges of Health Care Delivery to Adolescents
    2. Page 1141
      119. Interviewing Adolescents
    3. Page 1149
      120. Counseling Parents of Adolescents
    4. Page 1152
      121. Adolescent Sexuality
    5. Page 1159
      122. Adolescent Pregnancy and Parenthood
    6. Page 1164
      123. Contraception and Abortion
  8. Page 1173
    Part VI. Presenting Signs and Symptoms
    1. Page 1175
      124. Abdominal Distention
    2. Page 1181
      125. Abdominal Pain
    3. Page 1188
      126. Alopecia and Hair Shaft Anomalies
    4. Page 1194
      127. Amenorrhea
    5. Page 1199
      128. Anemia and Pallor
    6. Page 1209
      129. Anxiety
    7. Page 1217
      130. Ataxia
    8. Page 1221
      131. Back Pain
    9. Page 1227
      132. Cardiac Arrhythmias
    10. Page 1235
      133. Chest Pain
    11. Page 1240
      134. Constipation
    12. Page 1247
      135. Cough
    13. Page 1252
      136. Cyanosis
    14. Page 1259
      137. Depression
    15. Page 1267
      138. Diarrhea and Steatorrhea
    16. Page 1282
      139. Disruptive Behavior and Aggression
    17. Page 1289
      140. Dizziness and Vertigo
    18. Page 1292
      141. Dysmenorrhea
    19. Page 1295
      142. Dysphagia
    20. Page 1299
      143. Dyspnea
    21. Page 1305
      144. Dysuria
    22. Page 1309
      145. Edema
    23. Page 1312
      146. Epistaxis
    24. Page 1319
      147. Extremity Pain
    25. Page 1326
      148. Facial Dysmorphism
    26. Page 1333
      149. Failure to Thrive: Pediatric Undernutrition
    27. Page 1340
      150. Family Dysfunction
    28. Page 1345
      151. Fatigue and Weakness
    29. Page 1351
      152. Fever
    30. Page 1361
      153. Fever of Unknown Origin
    31. Page 1366
      154. Foot and Leg Problems
    32. Page 1379
      155. Gastrointestinal Hemorrhage
    33. Page 1386
      156. Gender Expression and Identity Issues
    34. Page 1404
      157. Headache
    35. Page 1408
      158. Hearing Loss
    36. Page 1412
      159. Heart Murmurs
    37. Page 1417
      160. Hematuria
    38. Page 1422
      161. Hemoptysis
    39. Page 1427
      162. Hepatomegaly
    40. Page 1429
      163. High Blood Pressure
    41. Page 1444
      164. Hirsutism, Hypertrichosis, and Precocious Sexual Hair Development
    42. Page 1452
      165. Hoarseness
    43. Page 1457
      166. Hyperhidrosis
    44. Page 1458
      167. Hypotonia
    45. Page 1462
      168. Inattention and Impulsivity
    46. Page 1467
      169. Irritability and Fussiness
    47. Page 1473
      170. Jaundice
    48. Page 1480
      171. Joint Pain
    49. Page 1484
      172. Learning Difficulty
    50. Page 1490
      173. Limp
    51. Page 1497
      174. Loss of Appetite
    52. Page 1499
      175. Lymphadenopathy
    53. Page 1506
      176. Macrocephaly
    54. Page 1510
      177. Medically Unexplained Symptoms
    55. Page 1514
      178. Microcephaly
    56. Page 1517
      179. Nonconvulsive Periodic Disorders
    57. Page 1520
      180. Odor (Unusual Urine and Body)
    58. Page 1525
      181. Petechiae and Purpura
    59. Page 1528
      182. Polyuria
    60. Page 1533
      183. Proteinuria
    61. Page 1538
      184. Pruritus
    62. Page 1540
      185. Puberty: Normal and Abnormal
    63. Page 1545
      186. Rash
    64. Page 1553
      187. Recurrent Infections
    65. Page 1559
      188. Red Eye/Pink Eye
    66. Page 1567
      189. School Absenteeism and School Refusal
    67. Page 1571
      190. Scrotal Swelling and Pain
    68. Page 1578
      191. Self-Harm
    69. Page 1582
      192. Self-Stimulating Behaviors
    70. Page 1585
      193. Short Stature
    71. Page 1589
      194. Sleep Disturbances (Nonspecific)
    72. Page 1607
      195. Speech and Language Concerns
    73. Page 1612
      196. Splenomegaly
    74. Page 1615
      197. Stridor
    75. Page 1620
      198. Substance Use: Initial Approach in Primary Care
    76. Page 1627
      199. Symptoms of Emotional Disturbance in Young Children
    77. Page 1636
      200. Syncope
    78. Page 1641
      201. Temper Tantrums and Breath-Holding Spells
    79. Page 1644
      202. Tics
    80. Page 1650
      203. Torticollis
    81. Page 1653
      204. Vaginal Bleeding
    82. Page 1657
      205. Vaginal Discharge
    83. Page 1662
      206. Vomiting
    84. Page 1665
      207. Weight Loss
    85. Page 1670
      208. Wheezing
  9. Page 1677
    Part VII. Specific Clinical Problems
    1. Page 1681
      209. Acne
    2. Page 1688
      210. Adjustment Disorder in Children and Adolescents
    3. Page 1692
      211. Adrenal Dysfunction
    4. Page 1701
      212. Allergic Rhinitis
    5. Page 1705
      213. Altitude Sickness
    6. Page 1710
      214. Amblyopia and Strabismus
    7. Page 1716
      215. Animal and Human Bites
    8. Page 1719
      216. Anorexia Nervosa, Bulimia Nervosa, and Other Eating Disorders
    9. Page 1728
      217. Apparent Life-Threatening Events
    10. Page 1736
      218. Asthma
    11. Page 1754
      219. Atopic Dermatitis
    12. Page 1758
      220. Attention-Deficit/Hyperactivity Disorder
    13. Page 1777
      221. Autism Spectrum Disorder
    14. Page 1786
      222. Bacterial Skin Infections
    15. Page 1792
      223. Brain Tumors
    16. Page 1797
      224. Bronchiolitis
    17. Page 1803
      225. Cancers in Childhood
    18. Page 1829
      226. Cerebral Palsy
    19. Page 1835
      227. Chickenpox
    20. Page 1846
      228. Chronic Fatigue Syndrome
    21. Page 1849
      229. Cleft Lip and Cleft Palate
    22. Page 1858
      230. Coagulation Disorders
    23. Page 1868
      231. Colic
    24. Page 1870
      232. Colorectal Disorders
    25. Page 1881
      233. Common Cold
    26. Page 1883
      234. Congenital and Acquired Heart Disease
    27. Page 1917
      235. Contact Dermatitis
    28. Page 1920
      236. Contagious Exanthematous Diseases
    29. Page 1927
      237. Conversion Reactions and Hysteria
    30. Page 1933
      238. Cystic and Solid Masses of the Face and Neck
    31. Page 1936
      239. Cystic Fibrosis
    32. Page 1948
      240. Dental Problems
    33. Page 1952
      241. Diabetes Mellitus
    34. Page 1962
      242. Diaper Rash
    35. Page 1968
      243. Disorders of Sex Development
    36. Page 1976
      244. Down Syndrome: Managing the Child and Family
    37. Page 1984
      245. Drug Eruptions, Erythema Multiforme, Stevens-Johnson Syndrome
    38. Page 1992
      246. Drug Interactions and Adverse Effects
    39. Page 1995
      247. Encopresis
    40. Page 2001
      248. Enterovirus and Evolving Infections
    41. Page 2005
      249. Enuresis
    42. Page 2011
      250. Fetal Alcohol Spectrum Disorders
    43. Page 2021
      251. Foreign Bodies of the Ear, Nose, Airway, and Esophagus
    44. Page 2027
      252. Fractures and Dislocations
    45. Page 2031
      253. Fragile X Syndrome
    46. Page 2036
      254. Fungal Infections (Systemic)
    47. Page 2063
      255. Gastroesophageal Reflux Disease
    48. Page 2076
      256. Gastrointestinal Allergy
    49. Page 2081
      257. Gastrointestinal Obstruction
    50. Page 2094
      258. Giardiasis
    51. Page 2097
      259. Gluten-Sensitive Enteropathy (Celiac Sprue)
    52. Page 2104
      260. Guillain-Barré Syndrome
    53. Page 2110
      261. Hemangiomas
    54. Page 2117
      262. Hemoglobinopathies and Sickle Cell Disease
    55. Page 2125
      263. Hemolytic-Uremic Syndrome
    56. Page 2128
      264. Henoch-Schönlein Purpura
    57. Page 2131
      265. Hepatitis
    58. Page 2144
      266. Herpes Infections
    59. Page 2149
      267. Human Herpesvirus-6 and Human Herpesvirus-7 Infections
    60. Page 2153
      268. Human Immunodeficiency Virus Infection and Acquired Immunodeficiency Syndrome
    61. Page 2162
      269. Hydrocephalus
    62. Page 2167
      270. Hyperthyroidism
    63. Page 2171
      271. Hypocalcemia, Hypercalcemia, and Hypercalciuria
    64. Page 2180
      272. Hypospadias, Epispadias, and Cryptorchidism
    65. Page 2184
      273. Hypothyroidism
    66. Page 2189
      274. Immune (Idiopathic) Thrombocytopenia Purpura
    67. Page 2194
      275. Infectious Mononucleosis and Other Epstein-Barr Viral Infections
    68. Page 2199
      276. Inflammatory Bowel Disease
    69. Page 2203
      277. Insect Bites and Infestations
    70. Page 2208
      278. Intellectual Disability
    71. Page 2217
      279. Iron-Deficiency Anemia
    72. Page 2228
      280. Kawasaki Disease
    73. Page 2235
      281. Klinefelter Syndrome
    74. Page 2240
      282. Labial Adhesions
    75. Page 2242
      283. Lead Poisoning
    76. Page 2246
      284. Learning Disorders
    77. Page 2253
      285. Leukemias
    78. Page 2269
      286. Lipid Abnormalities
    79. Page 2283
      287. Lyme Disease
    80. Page 2287
      288. Medical Errors, Adverse Events, and Patient Safety
    81. Page 2295
      289. Meningitis
    82. Page 2309
      290. Meningoencephalitis
    83. Page 2315
      291. Metabolic Disorders Beyond the Newborn Period
    84. Page 2331
      292. Münchausen Syndrome by Proxy: Medical Child Abuse
    85. Page 2344
      293. Muscular Dystrophy
    86. Page 2358
      294. Nephritis
    87. Page 2368
      295. Nephrotic Syndrome
    88. Page 2374
      296. Neural Tube Defects
    89. Page 2379
      297. Neurocutaneous Syndromes
    90. Page 2396
      298. Obesity and Metabolic Syndrome
    91. Page 2406
      299. Obstructive Uropathy and Vesicoureteral Reflux
    92. Page 2415
      300. Ocular Trauma
    93. Page 2423
      301. Oliguria and Anuria
    94. Page 2427
      302. Oppositional Defiant Disorder
    95. Page 2441
      303. Osteochondroses
    96. Page 2446
      304. Osteomyelitis
    97. Page 2452
      305. Otitis Media and Otitis Externa
    98. Page 2458
      306. Pancreatitis
    99. Page 2466
      307. Papulosquamous Diseases
    100. Page 2470
      308. Parasitic Infections
    101. Page 2490
      309. Pectus Excavatum and Pectus Carinatum
    102. Page 2493
      310. Pertussis (Whooping Cough)
    103. Page 2498
      311. Pharyngitis and Tonsillitis
    104. Page 2502
      312. Phimosis
    105. Page 2505
      313. Pierre Robin Sequence
    106. Page 2509
      314. Pinworm Infestations
    107. Page 2510
      315. Pneumonia
    108. Page 2522
      316. Positional Deformational Plagiocephaly
    109. Page 2526
      317. Post-Traumatic Stress Disorder
    110. Page 2531
      318. Prader-Willi Syndrome
    111. Page 2537
      319. Preseptal and Orbital Cellulitis
    112. Page 2543
      320. Psoriasis
    113. Page 2551
      321. Pyloric Stenosis
    114. Page 2554
      322. Renal Tubular Acidosis
    115. Page 2572
      323. Rheumatic Fever
    116. Page 2578
      324. Rheumatologic Diseases
    117. Page 2592
      325. Rocky Mountain Spotted Fever
    118. Page 2597
      326. Seborrheic Dermatitis
    119. Page 2599
      327. Seizure Disorders
    120. Page 2617
      328. Septic Arthritis
    121. Page 2620
      329. Sexual Abuse of Children
    122. Page 2628
      330. Sexually Transmitted Infections
    123. Page 2652
      331. Sinusitis
    124. Page 2655
      332. Spina Bifida
    125. Page 2663
      333. Spinal Deformities
    126. Page 2675
      334. Sports Musculoskeletal Injuries
    127. Page 2686
      335. Stomatitis
    128. Page 2690
      336. Substance Use Disorders
    129. Page 2695
      337. Sudden Unexpected Infant Death
    130. Page 2698
      338. Tobacco and Nicotine Use
    131. Page 2704
      339. Tonsillectomy and Adenoidectomy
    132. Page 2712
      340. Toxic Shock Syndrome
    133. Page 2718
      341. Tuberculosis
    134. Page 2732
      342. Turner Syndrome and Noonan Syndrome
    135. Page 2745
      343. Umbilical Anomalies
    136. Page 2748
      344. Urinary Tract Infections
    137. Page 2757
      345. Verrucae (Warts)
    138. Page 2763
      346. Vitamin D Inadequacy
  10. Page 2769
    Part VIII. Critical Situations
    1. Page 2771
      347. Acute Surgical Abdomen
    2. Page 2777
      348. Airway Obstruction
    3. Page 2786
      349. Altered Mental Status
    4. Page 2791
      350. Anaphylaxis
    5. Page 2796
      351. Appendicitis
    6. Page 2799
      352. Croup (Acute Laryngotracheobronchitis)
    7. Page 2805
      353. Dehydration
    8. Page 2813
      354. Diabetic Ketoacidosis
    9. Page 2819
      355. Disseminated Intravascular Coagulation
    10. Page 2826
      356. Drowning and Near Drowning (Submersion Injuries)
    11. Page 2831
      357. Drug Overdose
    12. Page 2838
      358. Envenomations
    13. Page 2857
      359. Esophageal Caustic Injury
    14. Page 2862
      360. Head Injuries
    15. Page 2868
      361. Heart Failure
    16. Page 2878
      362. Hypertensive Emergencies
    17. Page 2881
      363. Hypoglycemia
    18. Page 2888
      364. Increased Intracranial Pressure
    19. Page 2895
      365. Acute Kidney Injury
    20. Page 2899
      366. Meningococcemia
    21. Page 2905
      367. Physical Abuse and Neglect
    22. Page 2918
      368. Pneumothorax and Pneumomediastinum
    23. Page 2924
      369. Poisoning
    24. Page 2950
      370. Psychiatric Emergencies: Suicidality, Agitation, Psychosis, and Disaster Exposure
    25. Page 2964
      371. Rape
    26. Page 2971
      372. Severe Acute Asthma (Status Asthmaticus)
    27. Page 2976
      373. Shock
    28. Page 2984
      374. Status Epilepticus
    29. Page 2987
      375. Thermal Injuries
  11. Page 3050
    Appendices
  12. Page 3050
    Appendix A: Pediatric Cardiopulmonary Resuscitation
  13. Page 3027
    Appendix B: Outpatient Procedures
  14. Page 3047
    Appendix C: Formulas and Reference Range Values
  15. Page 3079
    Index

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