By Steven D. Handler, Charles M., III Myer
C. Decker). Univ. of Pennsylvania, Philadelphia. Atlas divided into sections akin to anatomic areas evaluated through the pediatric otolaryngologist. For basic care physicians. large colour images. comprises whole textual content and illustrations on CD-ROM.
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Additional resources for Atlas of Ear Nose and Throat Disorders in Children
If relevant, discuss what to tell other members of the family. Consider which other professionals should be informed. Write a brief summary in the child’s personal child health record. Ensure your notes are dated and signed. Further reading History and examination Gill D, O’Brien N: Paediatric Clinical Examination Made Easy, ed 5, Edinburgh, 2007, Churchill Livingstone. 29 1 2 This page intentionally left blank 3 Normal child development, hearing and vision 1 Influence of heredity and environment Fields of development Developmental milestones Is development normal?
3, in the Appendix). Blood pressure is increased by tall stature and obesity. Charts relating blood pressure to height are available and preferable; however, for convenience, charts relating blood pressure to age are often used. An abnormally high reading must be repeated, with the child relaxed, on at least three separate occasions. Neck Eyes Thyroid • Inspect – swelling uncommon in childhood; Examination occasionally at puberty • Palpate from behind and front for swelling, nodule, thrill • Auscultate if enlarged • Look for signs of hypo/hyperthyroidism.
Is the scrotum well developed? Are the testes palpable? With one hand over the inguinal region, palpate with the other hand. Record if the testis is descended, retractile or impalpable. • Is there any scrotal swelling (hydrocele or hernia)? In females: • Do the external genitalia look normal? Does the anus look normal? Any evidence of a fissure? g. appendicitis) is debatable in children, as they have 1 History and examination Infection 21 2 History and examination 2 a thin abdominal wall and so tenderness and masses can be identified on palpation of the abdomen.