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Ebook The short textbook of pediatrics (11/E): Part 2

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Ebook The short textbook of pediatrics (11/E): Part 2

FOUR PARTPediatric SubspecialtiesINTRODUCTIONDiseases pertaining to the respkatory system are responsible for a large proportion oi pediatric admissio

Ebook The short textbook of pediatrics (11/E): Part 2ons and outpatient attendance. In north India, the highest incidence is recorded in the winter followed by the relatively lower peak during rainy seas

on.Like in other tropical areas. Indian infants and children demonstrate pattern of clinical presentation which is somewhat different from what is rec Ebook The short textbook of pediatrics (11/E): Part 2

orded by the western authorities. This variance is related to factors such as considerable delay in reporting to the hospital and high frequency of in

Ebook The short textbook of pediatrics (11/E): Part 2

festations and associated malnutrition. All these, individually or collectively, result in a rather changed clinical picture.CLNICAL EVALUATION OF ARE

FOUR PARTPediatric SubspecialtiesINTRODUCTIONDiseases pertaining to the respkatory system are responsible for a large proportion oi pediatric admissio

Ebook The short textbook of pediatrics (11/E): Part 2ology/lmalngCltesí X ray, FA and lateral views as a routine, dcrulrilus film tor pleural effusion, oblique film for focus on hilar shadow, and lung po

rtion at the back of heart, lordotic film for apices, lateral neck film for upper airway obstruction round the level of retropharynx, subglottis and s Ebook The short textbook of pediatrics (11/E): Part 2

upraglottis.Barium swallow is useful in excluding tracheoesophageal fistula (TTF) of IT-type, gastroesophageal reflux disease (GLKD) and esophageal in

Ebook The short textbook of pediatrics (11/E): Part 2

dentation with vascular rings.Screening is of value for stridor and movements of diaphragm and mediastinum.JJltrasonography is useful in pleural effus

FOUR PARTPediatric SubspecialtiesINTRODUCTIONDiseases pertaining to the respkatory system are responsible for a large proportion oi pediatric admissio

Ebook The short textbook of pediatrics (11/E): Part 2al (both solid and cystic) lesions, bronchiectasis, vascular structures (provided that IV contrast enhancer is employed). and guiding biopsy’.MRỈ is p

articularly of great value in vascular rings and hilar structures.SerologyImmunoglobulin, IgG, IgA, IgM, IgD and IgE, eosinophilic cationic protein le Ebook The short textbook of pediatrics (11/E): Part 2

vels are elevated in asthma Antibodies to CMV, RSV, chlamydia and mycoplasma can be detected.Microbiologic Examination of Body SecretionsSputum, nasal

Ebook The short textbook of pediatrics (11/E): Part 2

cytology, tracheal secretions, throat swab, bronchial aspiration, gastric lavage can be examined microscopically, at times following special stain li

FOUR PARTPediatric SubspecialtiesINTRODUCTIONDiseases pertaining to the respkatory system are responsible for a large proportion oi pediatric admissio

Ebook The short textbook of pediatrics (11/E): Part 2these include Mantoux test or BCG diagnostic test for tuberculosis, Kveim test for sarcoidosis, Casoni test for hydatid disease, and skin tests (patch

-prick and intradermal tests) for allergens.322 The Short Textbook of PediatricsTable 21.1: Indication of microbiologic examination of body secretions Ebook The short textbook of pediatrics (11/E): Part 2

in diagnosis of respiratory diseaseSecretionsSputum, tracheal, bronchial, gastric mfcroscopy/cultureNasal cytology for eosinophils Special iron stain

Ebook The short textbook of pediatrics (11/E): Part 2

s of bronchial secretionsIndicationsLung abscess, bronchiectasẽ, cystic fibrosis, tuberculosis, Pneumocystis carinii pneumonia Allergic rhinitis, naso

FOUR PARTPediatric SubspecialtiesINTRODUCTIONDiseases pertaining to the respkatory system are responsible for a large proportion oi pediatric admissio

Ebook The short textbook of pediatrics (11/E): Part 2ystic fibrosis establishes thediagnosis. For quick molecular diagnosis of CF, especially for research purposes, polymerase chain reaction (PCR) and DN

A studies are now available.Pulmonary Function TestsThese include: Ebook The short textbook of pediatrics (11/E): Part 2

FOUR PARTPediatric SubspecialtiesINTRODUCTIONDiseases pertaining to the respkatory system are responsible for a large proportion oi pediatric admissio

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