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ویرایش: نویسندگان: Richard M. Schwend, William L. Hennrikus سری: ISBN (شابک) : 9783030507589 ناشر: Springer International Publishing سال نشر: 2021 تعداد صفحات: زبان: English فرمت فایل : EPUB (درصورت درخواست کاربر به PDF، EPUB یا AZW3 تبدیل می شود) حجم فایل: 58 Mb
در صورت تبدیل فایل کتاب Back Pain in the Young Child and Adolescent: A Case-Based Guide به فرمت های PDF، EPUB، AZW3، MOBI و یا DJVU می توانید به پشتیبان اطلاع دهید تا فایل مورد نظر را تبدیل نمایند.
توجه داشته باشید کتاب کمردرد در کودک خردسال و بزرگسال: یک راهنمای مبتنی بر مورد نسخه زبان اصلی می باشد و کتاب ترجمه شده به فارسی نمی باشد. وبسایت اینترنشنال لایبرری ارائه دهنده کتاب های زبان اصلی می باشد و هیچ گونه کتاب ترجمه شده یا نوشته شده به فارسی را ارائه نمی دهد.
کمر درد یک بیماری اسکلتی عضلانی رایج است که در مطب مراقبت های اولیه، مرکز مراقبت های فوری و اورژانس به پزشکان مراجعه می کند. با این حال، تعداد کمی از پزشکان مراقبت های اولیه در مورد انجام کار و ارجاع مناسب برای کودکی که با کمردرد مراجعه می کند، آموزش و آموزش دیده اند. این کتاب برای پر کردن شکاف های موجود در دانش پزشک مراقبت های اولیه و در نهایت بهبود مراقبت از بیمار طراحی شده است. این کتاب به سه بخش عمده تقسیم شده است. بخش اول شامل هفت فصل مقدماتی در مورد اپیدمیولوژی، آناتومی ستون فقرات، مطالعات تصویربرداری، ملاحظات بالینی، سوالات تاریخچه عمومی و مرواریدهای معاینه فیزیکی کودک مبتلا به کمردرد است. این بخش یک نمای کلی از مشکلات رایج کمردرد ارائه میدهد و دستورالعملهایی در مورد نحوه بهترین انجام شرح حال و معاینه بیمار اطفال مبتلا به کمردرد ارائه میدهد. یافته های تاریخی و معاینه کلاسیک برجسته می شود که می تواند منجر به تشخیص افتراقی متمرکز، درمان موفق و ارجاع مناسب شود. تشخیص پرچم قرمز در تاریخچه و فیزیکی، پزشک را از "مشکلات" دور نگه می دارد. این بخش با فصلی خاتمه می یابد که پزشکان را در «کنار هم قرار دادن همه چیز» راهنمایی می کند. بخش دوم بزرگترین بخش کتاب است و شامل 25 فصل مبتنی بر مورد است که با ارائه ویژگی های بالینی اصلی سازماندهی شده است. هر فصل ساختاری مشابه دارد و شامل پرچمهای قرمز تاریخ و نمونههای فیزیکی، نمونههای موردی، مرواریدهای بالینی و نظرات سردبیر است. موارد از تظاهرات رایج کمردرد مانند کمردرد مربوط به کوله پشتی تا تظاهرات نادر کمردرد مانند کمردرد ناشی از سل متفاوت است. بخش سوم و آخر کتاب حاوی منابع اضافی برای پزشک مراقبت های اولیه است، از جمله وب سایت ها، جزوات والدین، و کتابشناسی مقالات کلیدی. این بخش اطلاعات بیشتر و منابع جایگزین را برای پزشک متخصص ارائه می دهد. نوشته شده توسط متخصصان در این زمینه، کمردرد در کودکان و نوجوانان یک منبع "باید" برای پزشکان اطفال، پزشکان مراقبت های اولیه و هر پزشک دیگری است که از بیماران جوانی که کمردرد را تجربه می کنند مراقبت می کنند.
Back pain is a common musculoskeletal condition that presents to physicians in the primary care office, the urgent care facility, and the emergency room. However, few primary care physicians have received education and training about the appropriate workup and referral for a child who presents with back pain. This book is designed to fill the gaps in primary care physician knowledge and ultimately improve patient care. This book is divided into three major sections. The first section contains seven introductory chapters on epidemiology, anatomy of the spine, imaging studies, clinical considerations, general history questions, and physical examination pearls of the child with back pain. This section gives an overview of common back pain problems and provides instructions on how to best perform a history and examination of the pediatric patient with back pain. Classic historical and examination findings are highlighted that can lead to a focused differential diagnosis, successful treatment and appropriate referral. Recognition of the red flags in the history and physical keep the clinician ‘out of trouble‘. This section concludes with a chapter that guides physicians in "putting it all together". The second section is the largest section of the book and contains 25 case based chapters organized by major presenting clinical features. Each chapter has a similar structure and includes red flags of the history and the physical, case examples, clinical pearls, and editor comments. Cases vary from common presentations of back pain such as back pain related to back packs to rare presentations of back pain such as back pain stemming from tuberculosis. The third and final section of the book contains additional resources for the primary care physician, including web sites, parent handouts, and a bibliography of key articles. This section provides further information and alternative resources for the practicing clinician. Written by experts in the field, Back Pain in the Young Child and Adolescent is a ‘must have’ resource for pediatricians, primary care physicians, and any other clinicians caring for younger patients who are experiencing back pain.
Preface Contents Contributor List Part I: Background Chapter 1: Epidemiology of Pediatric Back Pain Introduction Defining Back Pain Prevalence Back Pain Neck and Thoracic Pain Low Back Pain Incidence Pain Frequency, Duration, and Intensity Disability Medical Attention Natural History Risk Factors Physical Domain Trunk Muscles Trunk Mobility Posture Trunk Asymmetry Muscle and Joint Flexibility Trunk Stability Biological Domain Weight and Height Gender Family History Lifestyle Domain Activity Sedentary Activity Physical Activity Sport Occupational Activity Sleep Smoking and Alcohol Backpacks Psychosocial Domain Psychological, Behavioral, and Cognitive Factors Social Factors Approaching Back Pain from a Multidimensional Perspective Prevention Brief Summary Conclusion Editor Discussion References Chapter 2: Anatomy of the Pediatric Spine Cervical Spine (Fig. 2.5) Thoracic Spine (Fig. 2.3) Lumbar Spine (Fig. 2.6) Editor Discussion References Chapter 3: Medical and Non-surgical Conditions That Can Cause or Contribute to Back Pain in a Child or Adolescent Mechanical Back Pain (Non-specific or Muscular Back Pain) Scoliosis Back Pain in Children with Neuromuscular Disease Muscle Strain and Spasm Spondylolysis/Spondylolisthesis Scheuermann Disease Degenerative Disease Bertolotti Syndrome Spinal Dysraphism Benign but Locally Aggressive Tumors of the Spine Osteoid Osteoma/Osteoblastoma Histiocytosis Malignancy Leukemia Ewing Sarcoma Spinal Cord Tumor Infection Discitis Osteomyelitis Systemic Disease Osteoporosis/Metabolic Bone Disease Sickle Cell Disease Spondyloarthropathy Extra-skeletal Causes of Back Pain Editor Discussion References Chapter 4: History Evaluation of the Child or Adolescent with Back Pain Including Ten Red Flags Introduction Summary Editor Discussion References Chapter 5: Physical Examination of the Child or Adolescent with Back Pain Editor Discussion References Chapter 6: Radiologic Imaging and Laboratory Evaluation of Back Pain in Children and Adolescents Introduction Imaging Role of Plain Radiography Radiation Exposure Special Views Role of Computerized Tomography (CT Scan) Spinal Cord Injury Without Radiographic Abnormality (SCIWORA) Technetium Nuclear Bone Scan PET-CT Imaging Findings on Plain Radiography Initial Approach to Reading Plain Radiographs of the Spine Disc Disease and Schmorl’s Nodes Fracture or Dislocation Scheuermann’s Kyphosis Transitional Vertebra Spina Bifida Occulta Spondylolysis and Spondylolisthesis Spinal Deformity Vertebra Plana MRI Examples of Commonly Encountered Pediatric Variations and Abnormalities “Bulging Discs” Infection Tumor Congenital Laboratory Evaluation of Back Pain in Children and Adolescents Rheumatologic Testing Editor Discussion References Chapter 7: Putting It All Together: What to Keep and What to Refer? Practice Gap Change of Practice Epidemiology Risk Factors Natural History Difference Between a Younger and Older Child General Principles of Back Pain in Children Physical Examination Referring Patients Treatment Summary References Resources Part II: Case Studies Chapter 8: Case of an Adolescent Male with Back Pain and Poor Posture: Scheuermann’s Kyphosis Brief Case Presentation Chief Complaint History Physical Examination Imaging and Radiographic Studies (Figs. 8.1 and 8.2) Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral: Emergency, Urgent, or Routine—And to Whom? Brief Summary Editor Discussion References Chapter 9: The Gymnast’s Gripe: A Case of a Teenager with Back Pain and Spondylolysis of L5 Brief Case Presentation Chief Complaint History Physical Examination Physical Exam Tests (Fig. 9.1) Imaging and Radiographic Studies (Fig. 9.2) Discussion How to Approach the Case Final Diagnosis Referral: When and to Whom? Editor Discussion References Chapter 10: Teenage Weightlifter with Back Pain and a Fractured Vertebral End Plate Brief Case Presentation Chief Complaint History Physical Exam Imaging and Radiographic Studies Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral: Emergency, Urgent, or Routine – And to Whom? Brief Summary Editor Discussion References Chapter 11: A Girl with Low Back Pain due to Spondylolisthesis Brief Case Presentation Chief Complaint History Physical Examination Imaging and Radiographic Studies (Figs. 11.1 and 11.2) Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral – Emergency, Urgent, or Routine: And to Whom? Brief Summary Editor Discussion References Chapter 12: A Girl with Low Back Pain due to Deconditioning Brief Case Presentation Chief Complaint History Physical Examination Imaging and Radiographic Studies (Figs. 12.1 and 12.2) Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral—Emergency, Urgent, or Routine: And to Whom? Brief Summary Editor Discussion References Chapter 13: A Case of a Child with “Idiopathic” Scoliosis Brief Case Presentation Chief Complaint History Physical Examination Imaging and Radiographic Studies (Figs. 13.1, 13.2, and 13.3) Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral: Urgent to Orthopedic Surgery Brief Summary Editor Discussion References Chapter 14: Low Back Pain in an Adolescent with Core Weakness, Hamstring Tightness, and Increased Body Mass Index Brief Case Presentation Chief Complaint History Physical Examination Discussion Increased BMI, Sedentary Lifestyle, and Low Back Pain Core Stability and Low Back Pain Measuring Core Stability Core Stability Exercise Programs Hamstring Tightness and Low Back Pain How to Approach the Case Final Diagnosis Referral: When and to Whom? Editor Discussion References Chapter 15: Case of a Young Child Who Refuses to Bear Weight and Has Back Pain due to Leukemia Brief Case Presentation Chief Complaint History Physical Examination Imaging and Radiographic Studies (Figs. 15.1 and 15.2) Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral – Emergency, Urgent, or Routine: And to Whom? Brief Summary Editor Discussion References Chapter 16: Child with Back Pain due to Sickle Cell Crisis Brief Case Presentation Chief Complaint History Physical Examination Imaging and Radiographic Studies (Figs. 16.1, 16.2, 16.3, and 16.4) Discussion Differential Diagnosis for Back Pain in Patients with Sickle Cell Disease Vaso-occlusive Back Pain Acute Chest Syndrome Osteomyelitis Delayed Hemolytic Transfusion Reaction Imaging of the Spine in Sickle Cell Disease Management of Back Pain in Patients with Sickle Cell Disease How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral: When and to Whom? Editor Discussion References Chapter 17: A Teenage Boy with Back Pain due to a Spontaneous Pneumothorax Brief Case Presentation Chief Complaint History Physical Exam Imaging and Radiographic Studies (Figs. 17.1 and 17.2) Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral – Emergency, Urgent, or Routine: And to Whom? Brief Summary Editor Discussion References Chapter 18: Back Pain Associated with Discitis in a 5-Year-Old Boy Brief Case Presentation Chief Complaint History Physical Examination Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations: Pediatric Discitis Referral – Emergency, Urgent, or Routine: And to Whom? Brief Summary Editor Discussion References Chapter 19: Case of Limping – A Symptom of Spondylodiscitis in the Toddler Brief Case Presentation Chief Complaint History Imaging and Radiographic Studies (Figs. 19.1, 19.2, 19.3, and 19.4) Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral – Emergency, Urgent, or Routine: And to Whom? Brief Summary Editor Discussion References Chapter 20: Delayed Osteomyelitis Diagnosis and Treatment in a Teenager Brief Case Presentation Chief Complaint History Physical Examination Imaging and Radiographic Studies (Figs. 20.1, 20.2, and 20.3) Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral – Emergency, Urgent, or Routine: And to Whom? Brief Summary Editor Discussion References Chapter 21: Case of a Child with a Spinal Epidural Abscess Brief Case Presentation Chief Complaint History of Present Illness Physical Examination Laboratory Values Imaging and Radiographic Studies Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral – Emergency, Urgent, or Routine: And to Whom? Summary Editor Discussion References Chapter 22: The Pain Is “Knot” Getting Better: Case of a Girl with a “Knot in the Back”. Back Pain Due to an Aneurysmal Bone Cyst Brief Case Presentation Chief Complaint History Physical Examination Imaging and Radiographic Studies (Figs. 22.1, 22.2, 22.3, and 22.4) Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral – Emergency, Urgent, or Routine: And to Whom? Brief Summary Editor Discussion References Chapter 23: A Girl with Lower Back Pain and Rapidly Progressive Atypical Scoliosis Brief Case Presentation Chief Complaint History Physical Examination Imaging and Radiographic Studies (Figs. 23.1, 23.2, 23.3, and 23.4) Discussion How to Approach the Case Referral – Emergency, Urgent, or Routine: And to Whom? Final Diagnosis Natural History and Treatment Considerations Brief Summary Editor Discussion References Chapter 24: A Hockey Player with Persistent Low Back Pain and Hamstring Inflexibility: Enthesitis-Related JIA Brief Case Presentation Chief Complaint History Physical Examination Imaging Studies (Figs. 24.1, 24.2, 24.3, 24.4, and 24.5) Laboratory Studies Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral – Emergent, Urgent and Routine: And to Whom? Brief Summary Editor Discussion References Chapter 25: A Young Child with Activity-Limiting Back Pain for the Last 3 Months Brief Case Presentation Chief Complaint History Physical Examination Imaging and Radiographic Studies (Figs. 25.1 and 25.2) Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral – Emergency, Urgent, or Routine: And to Whom? Brief Summary Editor Discussion References Chapter 26: A Case of a Boy with Neck Pain at Night Associated with Acute Torticollis and Kyphoscoliosis Brief Case Presentation Chief Complaint History Medical History Physical Examination Imaging and Radiographic Studies (Figs. 26.1, 26.2, 26.3, and 26.4) Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral – When and to Whom? Editor Discussion References Chapter 27: Scoliosis Is Not Always Idiopathic: A Case of a Boy with Back Pain and Scoliosis Brief Case Presentation Chief Complaint History Physical Examination Discussion Differential Diagnosis Procedure Final Diagnosis How to Approach the Case (Fig. 27.9) Natural History and Treatment Considerations Referral: When and to Whom? Discussion by Editors References Chapter 28: A Middle School Student with Back Pain Due to a Heavy Backpack Brief Case Presentation Chief Complaint History Physical Examination Imaging and Radiographic Studies (Fig. 28.1) Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral – Emergency, Urgent, or Routine: And to Whom? Brief Summary Editor Discussion References Additional AAP Resources Chapter 29: Case of an Obese Adolescent with Back Pain: Studies Normal Brief Case Presentation Physical Examination Imaging and Radiographic Studies (Figs. 29.1, 29.2, 29.3, and 29.4) Discussion How to Approach This Case Final Diagnosis Natural History and Treatment Considerations Referral – Emergency, Urgent, or Routine: And to Whom? Brief Summary Editor Discussion References Chapter 30: Case of an Immigrant Child with Back Pain Due to Tuberculosis Case Presentation Chief Complaint History Imaging and Radiographic Studies Laboratory Testing Physical Examination Diagnostic Tests Case Discussion Geography and Epidemiology Pathogenesis Natural History History and Physical Exam Diagnostic Work-Up Laboratory Tests Imaging Tissue Diagnosis Treatment Algorithm Medical Management Surgical Management Outcome How to Approach the Case Final Diagnosis Summary Editor Discussion References Chapter 31: Complementary and Alternative Medicine (CAM) to Back Pain Introduction Case Presentation Case No. 1 Yoga Definition and Theory of Efficacy Epidemiology Data on Efficacy Possible Harm Pilates Definition and Theory of Efficacy Epidemiology Data on Efficacy Possible Harm Case Presentation Case No. 2 Spinal Manipulation/Chiropractic Definition and Theory of Efficacy Epidemiology Data on Efficacy Possible Harm Case Presentation Case No. 3 Acupuncture Definition and Theory Behind Efficacy Epidemiology Data on Efficacy Possible Harm Cupping Definition and Theory of Efficacy Epidemiology Data on Efficacy Possible Harm Kinesio Taping Definition and Theory of Efficacy Epidemiology Data on Efficacy Possible Harm Meditation Definition and Theory of Efficacy Epidemiology Data on Efficacy Possible Harm Brief Summary Editor Discussion References Chapter 32: A Girl with Lower Back Pain at Night and Scoliosis: Osteoblastoma as an Example of an Aggressive Benign Tumor Brief Case Presentation Chief Complaint History Physical Examination Imaging and Radiographic Studies (Figs. 32.1 and 32.2) Discussion How to Approach the Case Final Diagnosis Natural History and Treatment Considerations Referral: When and to Whom? Brief Summary Editor Discussion References Annotated Bibliography Helpful Websites Index