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دسته بندی: اطفال ویرایش: 21st Edition نویسندگان: Robert M. Kliegman, Joseph St. Geme سری: Eğitim Tanrısı ISBN (شابک) : 9780323529501 ناشر: Elsevier سال نشر: 2019 تعداد صفحات: 0 زبان: English فرمت فایل : EPUB (درصورت درخواست کاربر به PDF، EPUB یا AZW3 تبدیل می شود) حجم فایل: 138 مگابایت
در صورت تبدیل فایل کتاب Nelson Textbook of Pediatrics 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 کتاب درسی اطفال نلسون 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.
به نسخه بیست و یکم کتاب درسی اطفال نلسون خوش آمدید - مرجع انتخابی در بین پزشکان اطفال، دستیاران اطفال و سایرین که در مراقبت از بیماران جوان دخیل هستند. این نسخه کاملاً اصلاحشده همچنان وسعت و عمق دانشی را که از نلسون انتظار دارید ارائه میکند و همچنین شما را در جریان پیشرفتهای جدید در علم و هنر طب اطفال قرار میدهد. معتبر و خواننده پسند، اطلاعات مورد نیاز شما را در قالبی مختصر و کاربردی برای مراجعه و مطالعه روزمره ارائه می دهد. از پروتکلهای تشخیصی و درمانی که به سرعت در حال تغییر هستند تا فناوریهای جدید گرفته تا طیف گستردهای از مشکلات بیولوژیکی، روانشناختی و اجتماعی که امروزه کودکان با آن مواجه هستند، این مرجع جامع 2 جلدی، شما را در لبه بهترینها در مراقبتهای کودکان نگه میدارد. شامل بیش از 70 فصل جدید، از جمله سندرم تاکی کاردی ارتواستاتیک وضعیتی (POTS)، بیماری های نادر و تشخیص داده نشده، رویکرد به اختلالات میتوکندری، سیستم های تحویل الکترونیکی نیکوتین، زیکا، به روز رسانی در مورد ابولا، اپی ژنتیک، انسفالیت خودایمنی، بیماری مدیاولانس، سلامت جهانی، استراتژیهایی برای تغییر رفتار سلامت، فرزندپروری مثبت، و بسیاری موارد دیگر. دارای صدها شکل و جداول جدید برای وضوح بصری و مرجع سریع. اطلاعات جدید و گسترده ای در مورد ویرایش ژن CRISPR ارائه می دهد. مراقبت های بهداشتی LGBT؛ خشونت با اسلحه؛ واکسیناسیون؛ درمان ایمنی با سلول های CAR-T؛ فن آوری جدید در تصویربرداری و ژنومیک؛ پروتکل های جدید در سرطان، ژنتیک، ایمونولوژی و پزشکی ریه؛ و خیلی بیشتر. دیدگاههای تازهای را از چهار دستیار جدید ارائه میکند: ناتان جی بلوم از بیمارستان کودکان فیلادلفیا. کارن ویلسون از دانشکده پزشکی کوه سینا در نیویورک. مرکز پزشکی بیمارستان کودکان سمیر اس.شاه سینسیناتی; و رابرت سی تاسکر از بیمارستان کودکان بوستون. بهروزرسانیهای منظم را به صورت آنلاین ارائه میکند، که منحصراً برای نلسون نوشته شده است. منبع ضروری شما برای پاسخ های قطعی و مبتنی بر شواهد در مورد هر جنبه ای از مراقبت های کودکان است. نسخه کتاب الکترونیکی پیشرفته همراه با خرید. کتاب الکترونیکی پیشرفته شما به شما امکان می دهد به تمام متن ها، شکل ها و مراجع کتاب در دستگاه های مختلف دسترسی داشته باشید.
Welcome to the 21st Edition of Nelson Textbook of Pediatrics - the reference of choice among pediatricians, pediatric residents, and others involved in the care of young patients. This fully revised edition continues to provide the breadth and depth of knowledge you expect from Nelson, while also keeping you up to date with new advances in the science and art of pediatric practice. Authoritative and reader-friendly, it delivers the information you need in a concise, easy-to-use format for everyday reference and study. From rapidly changing diagnostic and treatment protocols to new technologies to the wide range of biologic, psychologic, and social problems faced by children today, this comprehensive 2-volume reference keeps you on the cutting edge of the very best in pediatric care. Includes more than 70 new chapters, including Postural Orthostatic Tachycardia Syndrome (POTS), Rare and Undiagnosed Diseases, Approach to Mitochondrial Disorders, Electronic Nicotine Delivery Systems, Zika, update on Ebola, Epigenetics, Autoimmune Encephalitis, Global Health, Racism, Media Violence, Strategies for Health Behavior Change, Positive Parenting, and many more. Features hundreds of new figures and tables throughout for visual clarity and quick reference. Offers new and expanded information on CRISPR gene editing; LGBT health care; gun violence; vaccinations; immune treatment with CAR-T cells; new technology in imaging and genomics; new protocols in cancer, genetics, immunology, and pulmonary medicine; and much more. Provides fresh perspectives from four new associate editors: Nathan J. Blum of The Children's Hospital of Philadelphia; Karen Wilson of Mt. Sinai School of Medicine in New York; Samir S. Shah of Cincinnati Children's Hospital Medical Center; and Robert C. Tasker of Boston Children's Hospital. Provides regular updates online, written exclusively for Nelson. Remains your indispensable source for definitive, evidence-based answers on every aspect of pediatric care. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Volume 1 - Nelson Textbook of Pediatrics 21th ed 2020 Original PDF.pdf (p.1-1908) Cover Contents Front Matter Nelson Textbook of Pediatrics, 2-Volume Set Copyright Copyright Page Dedication Dedication Contributors Contributors Preface Preface Videos Videos 1- I The Field of Pediatrics Chapter 1 - Overview of Pediatrics I The Field of Pediatrics 1 Overview of Pediatrics Keywords Vital Statistics About Children’s Health Globally The Changing Pediatric World The New Morbidities The “New” New Morbidities Adverse Childhood Experiences Toxic Stress and Allostatic Load Ecobiodevelopmental Framework Chronic Illness and Children With Special Health Care Needs Systems of Care Population Health Approach Medical Home Medical and Health Neighborhood Bibliography Chapter 2 - Child Health Disparities 2 Child Health Disparities Keywords Determinants of Health and Health Disparities Psychosocial Stress and Allostatic Load The Hispanic Paradox Disparities in Child Health and Healthcare: Child Health Disparities Asthma Obesity Infant Mortality Prematurity and Low Birthweight Oral Health Hearing Care Vision Problems Immunization Adolescent Suicide Child Maltreatment Behavioral Health Disparities Attention-Deficit/Hyperactivity Disorder (ADHD) Depression and Anxiety Disorders Autism Spectrum Disorder (ASD) Behavioral or Conduct Problems Developmental Delay Disparities in Healthcare Approaches to Eradicating Disparities: Interventions 2.1 Racism and Child Health Keywords Racism as Social Determinant Explaining Racial Disparities: A Taxonomy of Racism Defining Racism Internalized Racism Interpersonal Racism Institutional Racism Structural Racism Opportunities to Address Racism Clinical Settings Institutional Settings Pediatricians as Advocates for Antiracist Practices and Systems Bibliography Bibliography Chapter 3 - Global Child Health 3 Global Child Health Keywords Global Burden and Trends in Child Health Social Determinants of Child Health Socioeconomic and Political Roots of Disparities in Global Health Sustainable Development Goals Evidence-Based Interventions and Innovations to Address Child Health Inequities Vaccine-Preventable Diseases Reaching Every Child, Everywhere Effective Delivery Strategies: Integrated Management of Childhood Illness Social Protection Programs: Conditional and Unconditional Cash Transfers Challenges in Global Health Adolescent Health Global Climate Change Conflict, Emergency Situations, and Migration Information and Communications Technology Bibliography Chapter 4 - Quality and Value in Healthcare for Children 4 Quality and Value in Healthcare for Children Keywords The Need for Improvement in Quality and Value What Is Quality? Framework for Quality Developing Guidelines to Establish the Standard for Quality Improving Quality Model for Improvement Six Sigma Lean Methodology Management Sciences Tools for Organizing Quality Improvement Theory and Execution Measuring Quality Analyzing Quality Data Comparing and Reporting Quality Implications of the U.S. Healthcare Reform for Quality Information Technology and Quality Improvement Expanding Individual Quality Improvement Initiatives to Scale Bibliography Chapter 5 - Safety in Healthcare for Children 5 Safety in Healthcare for Children Keywords Error vs Harm Safety Frameworks Identifying and Analyzing Harm, Errors, and Latent Threats Incident Reporting Systems Simulation Event Analysis Safety Culture Reliability Science and High-Reliability Organizations Serious Harm Events and Healthcare-Associated Conditions Safety Opportunities and Gaps Clinical Deterioration Handoffs/I-PASS Surgical Safety Ambulatory Safety Occupational Safety Emerging Areas of Safety Research and Improvement Bibliography Chapter 6 - Ethics in Pediatric Care 6 Ethics in Pediatric Care Keywords Assent and Parental Permission Treatment of Critically Ill Children Transitioning the Goals of Care Withholding and Withdrawing Life-Sustaining Treatment Advance Directives Artificial Hydration and Nutrition The Doctrine of Double Effect Neonatal Ethics Declaring Death and Organ Donation Death by Neurologic Criteria Circulatory Death Religious or Cultural Objections to Treatment Pediatric Ethics Committees and Ethics Consultation Newborn Screening Genetics, Genomics, and Precision Medicine Adolescent Healthcare Adolescent Assent and Consent Chronic Illness Decisions in Terminally Ill Adolescents Research Balancing Maternal and Fetal Interests Justice and Pediatric Ethics Emerging Issues Bibliography Chapter 7 - Pediatric Palliative Care 7 Pediatric Palliative Care Keywords Care Settings Communication, Advance Care Planning, and Anticipatory Guidance The Parents The Child The Siblings The Staff Goals of Care and Decision-Making Resuscitation Status Symptom Management Intensive Symptom Management Approaching End of Life The Pediatrician Bibliography Chapter 8 - Domestic and International Adoption 8 Domestic and International Adoption Keywords Domestic Adoption Intercountry Adoption Role of Pediatricians Preadoption Medical Record Reviews Postadoption Medical Care Arrival Visit–International Adoption Growth Delays Developmental Delays Language Development Eating Concerns Sleep Concerns Social and Emotional Development Racial Identity Development Toxic Stress Family Support Adoption Narrative Bibliography Chapter 9 - Foster and Kinship Care 9 Foster and Kinship Care Keywords Epidemiology Legislation in the United States Early Childhood Trauma Leads to Poor Health Outcomes Health Issues Healthcare for Children and Adolescents in Foster Care Bibliography Chapter 10 - Medical Evaluation of the Foreign-Born Child 10 Medical Evaluation of the Foreign-Born Child Keywords Commonly Encountered Infections Hepatitis B Hepatitis A Hepatitis C Intestinal Pathogens Tuberculosis Congenital Syphilis HIV Infection Immunizations Bibliography Chapter 11 - Cultural Issues in Pediatric Care 11 Cultural Issues in Pediatric Care Keywords What Is Culture? Culture and Identity Intracultural Variability Culturally Informed Care Understanding Culture in the Context of Healthcare Awareness-Assessment-Negotiation Model 11.1 Culture-Specific Beliefs Bibliography Chapter 12 - Maximizing Children’s Health, Screening, Anticipatory Guidance, and Counseling 12 Maximizing Children’s Health Keywords Periodicity Schedule and Guidelines Tasks of Well-Child Care Infancy and Early Childhood Middle Childhood and Adolescence Office Intervention for Behavioral and Mental Health Issues Strength-Based Approaches and Framework Office System Change for Quality Improvement Evidence Caring for the Child and Youth in the Context of the Family and Community Bibliography Chapter 13 - Injury Control 13 Injury Control Keywords Scope of the Problem Mortality Nonfatal Injuries Global Child Injuries Principles of Injury Control Risk Factors for Childhood Injuries Age Gender Race and Ethnicity Socioeconomic Status Rural-Urban Location Environment Mechanisms of Injury Motor Vehicle Injuries Occupants Teenage Drivers All-Terrain Vehicles Bicycle Injuries Pedestrian Injuries Ski- and Snowboard-Related Head Injuries Fire- and Burn-Related Injuries Poisoning Drowning Traumatic Brain Injury Firearm Injuries Falls Violent Behavior and Aggression Psychosocial Consequences of Injuries Bibliography Chapter 14 - Impact of Violence on Children 14 Impact of Violence on Children Keywords Impacts of Violence Diagnosis and Follow-Up 14.1 Bullying, Cyberbullying, and School Violence Keywords Bullying and Cyberbullying Bullying Roles and Nomenclature Epidemiology Risk Factors Consequences of Bullying School Violence Epidemiology Risk Factors Treatment and Prevention of Bullying and School Violence Signs and Symptoms Screening for Bullying Prevention Bibliography Resources 14.2 Media Violence Keywords Screening Recommendations (see Table 14.1) Bibliography Resources 14.3 Effects of War on Children Keywords Susceptibility of Children in Times of War Psychological Impact of War Efforts to Protect Children From the Effects of War International Conventions Humanitarian Efforts Role of Pediatricians and Allied Health Professionals Bibliography Bibliography Chapter 15 - Child Trafficking for Sex and Labor 15 Child Trafficking for Sex and Labor Keywords Clinical Presentation Approach to the Potentially Trafficked Child Examination and Diagnostic Testing Referrals and Resources Bibliography Chapter 16 - Abused and Neglected Children 16 Abused and Neglected Children Keywords Definitions Incidence and Prevalence Global United States Etiology Clinical Manifestations Neglect General Principles for Assessing Possible Abuse and Neglect General Principles for Addressing Child Maltreatment Outcomes of Child Maltreatment Prevention of Child Abuse and Neglect Advocacy 16.1 Sexual Abuse Keywords Definition Presentation of Sexual Abuse Role of General Pediatrician in Assessment and Management of Possible Sexual Abuse Physical Examination of the Child With Suspected Sexual Abuse Additional Management Sexual Abuse Prevention Bibliography 16.2 Medical Child Abuse (Factitious Disorder by Proxy, Munchausen Syndrome by Proxy) Keywords Clinical Manifestations Diagnosis Treatment Bibliography Bibliography General References Physical Abuse Neglect Prevention Professional Issues Outcomes American Academy of Pediatrics Policy Statements Chapter 17 - Strategies for Health Behavior Change 17 Strategies for Health Behavior Change Keywords Unified Theory of Behavior Change Transtheoretical Model of Health Behavior Change Common Factors Approach Interpersonal Skills: HEL2P3 Elicit Concerns: Set the Agenda and Agree on the Problem Establish a Plan Respond to Anger and Demoralization and Emphasize Hope Motivational Interviewing Shared Decision-Making Bibliography 2- II Growth, Development, and Behavior Chapter 18 - Developmental and Behavioral Theories II Growth, Development, and Behavior 18 Developmental and Behavioral Theories Keywords Biopsychosocial Model and Ecobiodevelopmental Framework: Models of Development Biologic Influences Psychologic Influences: Attachment and Contingency Social Factors: Family Systems and the Ecologic Model Unifying Concepts: The Transactional Model, Risk, and Resilience Developmental Domains and Theories of Emotion and Cognition Psychoanalytic Theories Cognitive Theories Behavioral Theory Theories Used in Behavioral Interventions Statistics Used in Describing Growth and Development Bibliography Chapter 19 - Positive Parenting and Support 19 Positive Parenting and Support Keywords The Importance of Parenting The Role of the Family Parenting Styles Child Temperament Child Behavioral Problems Defining Positive Parenting Parenting as an Intervention The Role of the Pediatrician Bibliography Chapter 20 - Assessment of Fetal Growth and Development 20 Assessment of Fetal Growth and Development Keywords Somatic Development Embryonic Period Fetal Period Neurologic Development Behavioral Development Psychologic Changes in Parents Threats to Fetal Development Bibliography Chapter 21 - The Newborn 21 The Newborn Keywords Parental Role in Mother–Infant Attachment Prenatal Factors Peripartum and Postpartum Influences The Infant’s Role in Mother–Infant Attachment Physical Examination Interactional Abilities Modulation of Arousal Behavioral States Mutual Regulation Implications for the Pediatrician Optimal Practices Assessing Parent–Infant Interactions Teaching About Individual Competencies Bibliography Chapter 22 - The First Year 22 The First Year Keywords Keywords Age 0-2 Months Physical Development Cognitive Development Emotional Development Implications for Parents and Pediatricians Age 2-6 Months Physical Development Cognitive Development Emotional Development and Communication Implications for Parents and Pediatricians Age 6-12 Months Physical Development Cognitive Development Emotional Development Communication Implications for Parents and Pediatricians 22.1 Infant Crying and Colic Bibliography Infant Crying and Colic Chapter 23 - The Second Year 23 The Second Year Keywords Age 12-18 Months Physical Development Cognitive Development Emotional Development Linguistic Development Implications for Parents and Pediatricians Age 18-24 Months Physical Development Cognitive Development Emotional Development Linguistic Development Implications for Parents and Pediatricians Bibliography Chapter 24 - The Preschool Years 24 The Preschool Years Keywords Structural Development of the Brain Physical Development Implications for Parents and Pediatricians Language, Cognition, and Play Language Cognition Play Implications for Parents and Pediatricians Emotional and Moral Development Implications for Parents and Pediatricians Bibliography Chapter 25 - Middle Childhood 25 Middle Childhood Keywords Physical Development Implications for Parents and Pediatricians Cognitive Development Implications for Parents and Pediatricians Social, Emotional, and Moral Development Social and Emotional Development Moral Development Implications for Parents and Pediatricians Bibliography Chapter 26 - Adolescence 26 Adolescence Chapter 27 - Assessment of Growth 27 Assessment of Growth Keywords Techniques to Measure Growth Growth Curves Normal Growth Abnormal Growth Evaluation of Abnormal Growth Other Growth Considerations Obesity Dental Development Bibliography Chapter 28 - Developmental and Behavioral Surveillance and Screening 28 Developmental and Behavioral Surveillance and Screening Keywords Developmental and Behavioral Surveillance The Developmental and Behavioral Histories Observation Developmental and Behavioral Screening Evidence-Based Tools Screening Test Properties Beyond Surveillance and Screening Comprehensive Evaluation Referral and Intervention Ongoing Management Implementation Bibliography Resources Chapter 29 - Childcare 29 Childcare Keywords Provision, Regulation, and Use of Childcare in America Childcare Settings Childcare Licensing, Regulation, and Accreditation Childcare’s Role in Child Health and Development Characteristics of Childcare and Associations With Child Developmental Outcomes Sick Children Childcare and Child Health Childcare and Children With Special Needs Role of Pediatric Providers in Childcare Advising Parents on Childcare Selection Advising Parents on Childcare Health Issues Helping Children With Special Needs Consulting and Partnering With Childcare Providers Bibliography Chapter 30 - Loss, Separation, and Bereavement 30 Loss, Separation, and Bereavement Keywords Separation and Loss Divorce Move/Family Relocation Separation Because of Hospitalization Military Families Parental/Sibling Death Grief and Bereavement Developmental Perspective Role of the Pediatrician in Grief Treatment Spiritual Issues Bibliography Chapter 31 - Sleep Medicine 31 Sleep Medicine Keywords Basics of Sleep and Chronobiology Developmental Changes in Sleep Common Sleep Disorders Insomnia of Childhood Obstructive Sleep Apnea Syndrome Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Parasomnias Etiology Epidemiology Clinical Manifestations Treatment Sleep-Related Movement Disorders: Restless Legs Syndrome/Periodic Limb Movement Disorder and Rhythmic Movements Etiology Epidemiology Clinical Manifestations Treatment Narcolepsy Etiology Epidemiology Clinical Manifestations and Diagnosis Treatment Delayed Sleep–Wake Phase Disorder Etiology Epidemiology Clinical Manifestations Treatment Health Supervision Evaluation of Pediatric Sleep Problems Bibliography 3- III Behavioral and Psychiatric Disorders Chapter 32 - Psychosocial Assessment and Interviewing III Behavioral and Psychiatric Disorders 32 Psychosocial Assessment and Interviewing Keywords Aims of Assessment Presenting Problems General Principles of the Psychosocial Interview Indications for Referral Psychiatric Diagnostic Evaluation Special Considerations in the Diagnostic Evaluation of Infants and Young Children Bibliography Chapter 33 - Psychopharmacology 33 Psychopharmacology Keywords Stimulants and Other ADHD Medications Antidepressants Antipsychotics Mood Stabilizers Medication Use in Physical Illness Hepatic Disease Gastrointestinal Disease Renal Disease Cardiac Disease Respiratory Disease Neurologic Disease Principles for Psychotropic Prescribing in Primary Care Bibliography Chapter 34 - Psychotherapy and Psychiatric Hospitalization 34 Psychotherapy and Psychiatric Hospitalization Keywords Psychotherapy Behavior Therapy Cognitive-Behavioral Therapy Interpersonal Psychotherapy Psychodynamic Psychotherapy Supportive Psychotherapy Family Therapy Parenting Interventions Common Elements of Evidence-Based Psychotherapies Modular Therapy Packages Common Elements of Treatment Engagement Interventions Psychotherapy in the Medical Home Psychiatric Hospitalization Bibliography Chapter 35 - Somatic Symptom and Related Disorders 35 Somatic Symptom and Related Disorders Keywords Epidemiology Risk Factors Individual Temperament/Coping Styles Learned Behavior Psychiatric Comorbidity Childhood Physical Illness Family and Environmental Symptom Modeling Parental Responses School and Family Stressors Trauma Genetic and Biologic Vulnerabilities Assessment Medical Psychosocial Differential Diagnoses Management Treatment Treatment Setting Bibliography Chapter 36 - Rumination and Pica 36 Rumination and Pica Keywords 36.1 Rumination Disorder Epidemiology Etiology and Differential Diagnosis Treatment Bibliography 36.2 Pica Epidemiology Etiology and Differential Diagnosis Treatment Bibliography Chapter 37 - Motor Disorders and Habits 37 Motor Disorders and Habits Keywords 37.1 Tic Disorders Description Clinical Course Epidemiology Differential Diagnosis Comorbidities Etiology Sequelae Screening Assessment Treatment 37.2 Stereotypic Movement Disorder Description Clinical Course Epidemiology Comorbidity Differential Diagnosis Etiology Treatment Habits Thumb Sucking Bruxism Bibliography Chapter 38 - Anxiety Disorders 38 Anxiety Disorders Keywords Anxiety Associated With Medical Conditions Safety and Efficacy Concerns About SSRIs Bibliography Chapter 39 - Mood Disorders 39 Mood Disorders Keywords 39.1 Major and Other Depressive Disorders Description Epidemiology Clinical Course Differential Diagnosis Comorbidity Sequelae Etiology and Risk Factors Prevention Screening/Case Finding Early Intervention Treatment Level of Care Bibliography 39.2 Bipolar and Related Disorders Description Epidemiology Clinical Course Differential Diagnosis Comorbidity Sequelae Etiology and Risk Factors Prevention Case Finding Treatment Level of Care Bibliography Chapter 40 - Suicide and Attempted Suicide 40 Suicide and Attempted Suicide Keywords Epidemiology Suicidal Ideation and Attempts Suicide Completions Risk Factors Preexisting Mental Disorder Cognitive Distortions Biologic Factors Social, Environmental, and Cultural Factors Protective Factors Assessment and Intervention Prevention Bibliography Chapter 41 - Eating Disorders 41 Eating Disorders Keywords Definitions Epidemiology Pathology and Pathogenesis Clinical Manifestations Differential Diagnosis Laboratory Findings Complications Treatment Principles Guiding Primary Care Treatment Nutrition and Physical Activity Primary Care Treatment Referral to Mental Health Services Referral to an Interdisciplinary Eating Disorder Team Supportive Care Prognosis Prevention Bibliography Chapter 42 - Disruptive, Impulse-Control, and Conduct Disorders 42 Disruptive, Impulse-Control, and Conduct Disorders Keywords Description Epidemiology Clinical Course Differential Diagnosis Comorbidity Sequelae Etiology and Risk Factors Prevention Screening/Case Finding Early Intervention Treatment Level of Care Bibliography Chapter 43 - Tantrums and Breath-Holding Spells 43 Tantrums and Breath-Holding Spells Keywords Bibliography Chapter 44 - Lying, Stealing, and Truancy 44 Lying, Stealing, and Truancy Keywords Lying Stealing Truancy Bibliography Chapter 45 - Aggression 45 Aggression Keywords Bibliography Chapter 46 - Self-Injurious Behavior 46 Self-Injurious Behavior Keywords Bibliography Chapter 47 - Childhood Psychoses 47 Childhood Psychoses Keywords 47.1 Schizophrenia Spectrum and Other Psychotic Disorders Description Epidemiology Clinical Course Differential Diagnosis Comorbidity Sequelae Etiology and Risk Factors Genetic Factors Environmental Factors Neuroanatomic Abnormalities Prevention Screening/Case Finding Assessment Treatment Pharmacotherapy Bibliography 47.2 Psychosis Associated With Epilepsy Bibliography 47.3 Catatonia in Children and Adolescents Diagnosis and Treatment Bibliography 47.4 Acute Phobic Hallucinations of Childhood Clinical Manifestations Diagnosis and Differential Diagnosis Treatment Bibliography 4- IV Learning and Developmental Disorders Chapter 48 - Neurodevelopmental and Executive Function and Dysfunction IV Learning and Developmental Disorders 48 Neurodevelopmental and Executive Function and Dysfunction Keywords Terminology and Epidemiology Etiology and Pathogenesis Core Neurodevelopmental Functions Sensory and Motor Function Language Visual-Spatial/Visual-Perceptual Function Intellectual Function Memory Social Cognition Executive Function Clinical Manifestations Academic Problems Nonacademic Problems Assessment and Diagnosis Treatment Demystification Bypass Strategies (Accommodations) Treatment of Neurodevelopmental Dysfunctions Treatment of Executive Dysfunction Developmental Therapy Curriculum Modifications Strengthening of Strengths Individual and Family Counseling Nonstandard Therapies Medication Bibliography Chapter 49 - Attention-Deficit-Hyperactivity Disorder 49 Attention-Deficit/Hyperactivity Disorder Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis and Differential Diagnosis Clinical Interview and History Behavior Rating Scales Physical Examination and Laboratory Findings Differential Diagnosis Treatment Psychosocial Treatments Behaviorally Oriented Treatments Medications Prognosis Prevention Bibliography Chapter 50 - Dyslexia 50 Dyslexia Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Management Prognosis Bibliography Chapter 51 - Math and Writing Disabilities 51 Math and Writing Disabilities 51.1 Math Disabilities Keywords Math Learning Disability Defined Terminology Epidemiology Prevalence Risk Factors Genetics Medical/Genetic Conditions Comorbidities Causes of Math Learning Disability Broad Cognitive Processes Intelligence Working Memory Processing Speed Math-Specific Processes Procedural Errors Memory for Math Facts Treatment and Interventions Bibliography 51.2 Writing Disabilities Keywords Epidemiology Skill Deficits Associated With Impaired Writing Transcription Oral Language Executive Functions Working Memory Treatment Educational Resources Bibliography Chapter 52 - Language Development and Communication Disorders 52 Language Development and Communication Disorders Keywords Normal Language Development Receptive Language Development Expressive Language Development Variations of Normal Language and Communication Disorders Epidemiology Etiology Pathogenesis Clinical Manifestations Classification Language Disorder or Specific Language Impairment Higher-Level Language Disorder Intellectual Disability Autism Spectrum Disorder Asperger Syndrome Selective Mutism Isolated Expressive Language Disorder Motor Speech Disorders Dysarthria Childhood Apraxia of Speech Speech Sound Disorder Hearing Impairment Hydrocephalus Rare Causes of Language Impairment Hyperlexia Landau-Kleffner Syndrome (Verbal Auditory Agnosia) Metabolic and Neurodegenerative Disorders Screening Noncauses of Language Delay Diagnostic Evaluation Psychologic Evaluation Cognitive Assessment Evaluation of Social Behaviors Relationship of Language and Social Behaviors to Mental Age Speech and Language Evaluation Medical Evaluation Treatment Prognosis Academic Disorders Comorbid Disorders Emotional and Behavioral Difficulty Motor and Coordination Delays 52.1 Childhood-Onset Fluency Disorder Keywords Epidemiology Genetics Etiology Comorbidities Developmental Progression Treatment Bibliography Bibliography Chapter 53 - Developmental Delay and Intellectual Disability 53 Developmental Delay and Intellectual Disability Keywords Definition Etiology Epidemiology Pathology and Pathogenesis Clinical Manifestations Diagnostic Evaluation Differential Diagnosis Diagnostic Psychologic Testing Complications Prevention Treatment Supportive Care and Management Primary Care Interdisciplinary Management Periodic Reevaluation Federal and Education Services Leisure and Recreational Activities Family Counseling Transition to Adulthood Prognosis 53.1 Intellectual Disability With Regression Bibliography Chapter 54 - Autism Spectrum Disorder 54 Autism Spectrum Disorder Keywords Definition Diagnostic Criteria and Symptoms Social Communication and Social Interaction Social-Emotional Reciprocity Nonverbal Communicative Behavior Developing, Maintaining, and Understanding Relationships Restrictive and Repetitive Behavior Stereotyped Motor Movements or Speech Insistence on Sameness Restricted Interests Hypo- or Hyperreactivity to Sensory Input Severity Levels Defined in DSM-5 Specifiers Defined in DSM-5 Epidemiology Etiology Differential Diagnosis Comorbid Conditions Screening Assessment First Tier Second Tier Treatment and Management Educational Co-occurring Conditions Pharmacology Complementary and Alternative Medicine Transition Outcome Bibliography 5- V Nutrition Chapter 55 - Nutritional Requirements V Nutrition 55 Nutritional Requirements Keywords Dietary Reference Intakes Energy Fat Protein Carbohydrates Fiber Micronutrients Iron Vitamin D Calcium Vitamin K Electrolytes Water Measuring Nutritional Adequacy Bibliography Chapter 56 - Feeding Healthy Infants, Children, and Adolescents 56 Feeding Healthy Infants, Children, and Adolescents Keywords Feeding During the First Year of Life Breastfeeding Nipple Pain Engorgement Mastitis Inadequate Milk Intake Jaundice Breast Milk Collection Growth of the Breastfed Infant Formula Feeding (Fig. 56.1) Cow’s Milk Protein–Based Formulas Soy Formulas Protein Hydrolysate Formulas Amino Acid Formulas Milk and Other Fluids in Infants and Toddlers Complementary Feeding Feeding Toddlers and Preschool-Age Children Feeding Practices Eating in the Daycare Setting Feeding School-Age Children and Adolescents MyPlate Eating at Home Eating at School Eating Out Nutrition Issues of Importance Across Pediatric Ages Food Environment Using Food as Reward Cultural Considerations in Nutrition and Feeding Vegetarianism Organic Foods Nutrition as Part of Complementary and Alternative Medicine, Functional Foods, Dietary Supplements, Vitamin Supplements, and Botanical and Herbal Products Food Safety Preventive Nutrition Counseling in Pediatric Primary Care U.S. Food Assistance Programs Bibliography Chapter 57 - Nutrition, Food Security, and Health 57 Nutrition, Food Security, and Health Keywords Malnutrition as the Intersection of Food Insecurity and Health Insecurity Food Security Measuring Food Insecurity Nutrition, Food Security, and Poverty Food Security and Nutrition Targets Future Food Security Undernutrition Measurement of Undernutrition Prevalence of Undernutrition Consequences of Undernutrition Key Interventions Clinical Manifestations and Treatment of Undernutrition Severe Acute Malnutrition Clinical Manifestations of Severe Acute Malnutrition (Table 57.6) Pathophysiology Principles of Treatment Emergency Treatment Stabilization Rehabilitation Community-Based Treatment Bibliography Chapter 58 - Refeeding Syndrome 58 Refeeding Syndrome Keywords Bibliography Chapter 59 - Malnutrition 59 Malnutrition Keywords Clinical Manifestations Etiology and Diagnosis Treatment Prognosis Bibliography Chapter 60 - Overweight and Obesity 60 Overweight and Obesity Keywords Epidemiology Body Mass Index Etiology Environmental Changes Genetics Microbiome Endocrine and Neural Physiology Comorbidities Identification Evaluation Intervention Prevention 60.1 Rapid-Onset Obesity With Hypothalamic Dysfunction, Hypoventilation, and Autonomic Dysregulation (ROHHAD) Keywords Clinical Manifestations Diagnosis Management Etiology: Studies and Hypotheses Genetic Studies Paraneoplastic/Autoimmune Hypothesis Neurocristopathy Differential Diagnosis Bibliography Bibliography Chapter 61 - Vitamin A Deficiencies and Excess 61 Vitamin A Deficiencies and Excess Keywords Overview of Vitamin A Metabolism of Vitamin A Vitamin A Status in Neonates Inflammation Causing Low Plasma Retinol Functions of Vitamin A and Mechanisms of Action Vitamin A Deficiency Clinical Manifestations of Vitamin A Deficiency Diagnosis Epidemiology and Public Health Issues Dietary Reference Intakes for the Healthy Population Vitamin A for Treatment of Deficiency Hypervitaminosis A Bibliography Chapter 62 - Vitamin B Complex Deficiencies and Excess 62 Vitamin B Complex Deficiencies and Excess 62.1 Thiamine (Vitamin B1) Keywords Thiamine Deficiency Clinical Manifestations Diagnosis Prevention Treatment Thiamine Toxicity Bibliography 62.2 Riboflavin (Vitamin B2) Keywords Riboflavin Deficiency Clinical Manifestations Diagnosis Prevention Treatment Riboflavin Toxicity Bibliography 62.3 Niacin (Vitamin B3) Keywords Niacin Deficiency Clinical Manifestations Diagnosis Prevention Treatment Niacin Toxicity Bibliography 62.4 Vitamin B6 (Pyridoxine) Keywords Vitamin B6 Deficiency Clinical Manifestations Diagnosis Prevention Treatment Vitamin B6 Toxicity Bibliography 62.5 Biotin Keywords Bibliography 62.6 Folate Keywords Folate Deficiency Clinical Manifestations Diagnosis Prevention Treatment Folate Toxicity Bibliography 62.7 Vitamin B12 (Cobalamin) Keywords Vitamin B12 Deficiency Clinical Manifestations Diagnosis Treatment Prevention Bibliography Chapter 63 - Vitamin C (Ascorbic Acid) Deficiency and Excess 63 Vitamin C (Ascorbic Acid) Deficiency and Excess Keywords Dietary Needs and Sources of Vitamin C Vitamin C Deficiency Clinical Features Laboratory Findings and Diagnosis Differential Diagnosis Treatment Prevention Vitamin C Toxicity Bibliography Chapter 64 - Vitamin D Deficiency (Rickets) and Excess 64 Vitamin D Deficiency (Rickets) and Excess Keywords Rickets Etiology Clinical Manifestations Radiology Diagnosis Clinical Evaluation Vitamin D Disorders Vitamin D Physiology Nutritional Vitamin D Deficiency Etiology Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Treatment Prognosis Prevention Congenital Vitamin D Deficiency Secondary Vitamin D Deficiency Etiology Treatment Vitamin D–Dependent Rickets, Type 1 Treatment Vitamin D–Dependent Rickets, Type 2 Treatment Chronic Kidney Disease Treatment Calcium Deficiency Pathophysiology Clinical Manifestations Diagnosis Treatment Phosphorus Deficiency Inadequate Intake Fibroblast Growth Factor-23 X-Linked Hypophosphatemic Rickets Pathophysiology Clinical Manifestations Laboratory Findings Treatment Prognosis Autosomal Dominant Hypophosphatemic Rickets Autosomal Recessive Hypophosphatemic Rickets Hereditary Hypophosphatemic Rickets With Hypercalciuria Pathophysiology Clinical Manifestations Laboratory Findings Treatment Overproduction of FGF-23 Fanconi Syndrome Dent Disease Rickets of Prematurity Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis Prevention Treatment Distal Renal Tubular Acidosis Hypervitaminosis D Etiology Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Treatment Prognosis Bibliography Chapter 65 - Vitamin E Deficiency 65 Vitamin E Deficiency Keywords Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Treatment Prognosis Prevention Bibliography Chapter 66 - Vitamin K Deficiency 66 Vitamin K Deficiency Keywords Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Treatment Prevention Bibliography Chapter 67 - Micronutrient Mineral Deficiencies 67 Micronutrient Mineral Deficiencies Keywords Bibliography 6- VI Fluid and Electrolyte Disorders Chapter 68 - Electrolyte and Acid-Base Disorders VI Fluid and Electrolyte Disorders 68 Electrolyte and Acid-Base Disorders 68.1 Composition of Body Fluids Keywords Total Body Water Fluid Compartments Electrolyte Composition Osmolality Point-of-Care Testing Bibliography Composition of Body Fluids 68.2 Regulation of Osmolality and Volume Keywords Regulation of Osmolality Regulation of Volume Bibliography Regulation of Osmolality and Volume 68.3 Sodium Keywords Sodium Metabolism Body Content and Physiologic Function Sodium Intake Sodium Excretion Hypernatremia Etiology and Pathophysiology Clinical Manifestations Diagnosis Treatment Hyponatremia Etiology and Pathophysiology Clinical Manifestations Diagnosis Treatment Bibliography Sodium 68.4 Potassium Keywords Potassium Metabolism Body Content and Physiologic Function Potassium Intake Potassium Excretion Hyperkalemia Etiology and Pathophysiology Clinical Manifestations Diagnosis Treatment Hypokalemia Etiology and Pathophysiology Clinical Manifestations Diagnosis Treatment Bibliography Potassium 68.5 Magnesium Keywords Magnesium Metabolism Body Content and Physiologic Function Magnesium Intake Magnesium Excretion Hypomagnesemia Etiology and Pathophysiology Clinical Manifestations Diagnosis Treatment Hypermagnesemia Etiology and Pathophysiology Clinical Manifestations Diagnosis Treatment Bibliography Magnesium 68.6 Phosphorus Keywords Phosphorus Metabolism Body Content and Physiologic Function Phosphorus Intake Phosphorus Excretion Hypophosphatemia Etiology and Pathophysiology Clinical Manifestations Diagnosis Treatment Hyperphosphatemia Etiology and Pathophysiology Clinical Manifestations Diagnosis Treatment Bibliography Phosphorus 68.7 Acid-Base Balance Keywords Acid-Base Physiology Terminology Physiologic Buffers Normal Acid-Base Balance Renal Mechanisms Clinical Assessment of Acid-Base Disorders Terminology Diagnosis Metabolic Acidosis Etiology and Pathophysiology Clinical Manifestations Diagnosis Treatment Metabolic Alkalosis Etiology and Pathophysiology Clinical Manifestations Diagnosis Treatment Respiratory Acidosis Etiology and Pathophysiology Clinical Manifestations Diagnosis Treatment Respiratory Alkalosis Etiology and Pathophysiology Clinical Manifestations Diagnosis Treatment Bibliography Acid-Base Balance Chapter 69 - Maintenance and Replacement Therapy 69 Maintenance and Replacement Therapy Keywords Maintenance Therapy Maintenance Water Intravenous Solutions Glucose Selection of Maintenance Fluids Variations in Maintenance Water and Electrolytes Replacement Fluids Bibliography Chapter 70 - Deficit Therapy 70 Deficit Therapy Keywords Clinical Manifestations Laboratory Findings Calculation of the Fluid Deficit Approach to Severe Dehydration Monitoring and Adjusting Therapy Hyponatremic Dehydration Hypernatremic Dehydration Bibliography Chapter 71 - Fluid and Electrolyte Treatment of Specific Disorders 71 Fluid and Electrolyte Treatment of Specific Disorders Acute Diarrhea Pyloric Stenosis Perioperative Fluids 7- VII Pediatric Drug Therapy Chapter 72 - Pediatric Pharmacogenetics, Pharmacogenomics, and Pharmacoproteomics VII Pediatric Drug Therapy 72 Pediatric Pharmacogenetics, Pharmacogenomics, and Pharmacoproteomics Keywords Definition of Terms Developmental or Pediatric Pharmacogenetics and Pharmacogenomics Pharmacoproteomic and Metabolomic Tools Drug Biotransformation: Applications to Pediatric Therapy CYP2D6 CYP2C9 CYP2C19 CYP3A4, CYP3A5, and CYP3A7 Glucuronosyl Transferases (UGTs) Thiopurine S-Methyltransferase Pharmacogenetics of Drug Transporters Adenosine Triphosphate–Binding Cassette Superfamily Organic Anion–Transporting Polypeptides Organic Cation Transporters Polymorphisms in Drug Receptors Current and Future Applications in Pediatrics Bibliography Chapter 73 - Principles of Drug Therapy 73 Principles of Drug Therapy Keywords General Pharmacokinetic and Pharmacodynamic Principles Impact of Ontogeny on Drug Disposition Drug Absorption Peroral Absorption Extravascular Drug Absorption Drug Distribution Drug Metabolism Renal Drug Elimination Impact of Ontogeny on Pharmacodynamics Surrogate Endpoints Additional Considerations in Pediatric Therapeutics Pediatric Dose and Regimen Selection Therapeutic Drug Monitoring Drug Formulation and Administration Peroral Drug Administration Parenteral Drug Administration Other Routes for Drug Administration Adherence and Compliance Drug-Drug Interactions Adverse Drug Reactions Personalized Medicine Bibliography Chapter 74 - Anesthesia and Perioperative Care 74 Anesthesia and Perioperative Care Keywords Preanesthetic Evaluation Respiratory System Airway Evaluation Cardiovascular System Hematologic System Neurologic System Psychological Assessment Genetic Evaluation Preoperative Preparation Preoperative Fasting The Full Stomach Parental Presence During Induction of Anesthesia General Anesthesia Analgesia Hypnosis and Amnesia Akinesia (Immobility or Muscular Relaxation) Monitoring Specific Medications Inhalational Anesthetics Respiratory Effects. Cardiovascular Effects. Sevoflurane Isoflurane Desflurane Nitrous Oxide Intravenous Anesthetic Agents Propofol Etomidate Ketamine Opioids Benzodiazepines Dexmedetomidine Barbiturates Neuromuscular Blocking Agents Induction of General Anesthesia Complications During Induction Maintenance of Anesthesia Temperature Management Fluid Management Postanesthesia Care Unit Postanesthetic Complications Awareness During Anesthesia Postoperative Nausea and Vomiting Thermoregulation and Malignant Hyperthermia Mediastinal Masses Postoperative Apnea Postoperative Pain Management Regional Anesthesia 74.1 Anesthetic Neurotoxicity Keywords Bibliography Bibliography Chapter 75 - Procedural Sedation 75 Procedural Sedation Keywords Bibliography Chapter 76 - Pediatric Pain Management 76 Pediatric Pain Management Keywords Definition and Categories of Pain Assessment and Measurement of Pain in Children Age-Specific and Developmentally Specific Measures The Newborn and Infant The Older Child The Cognitively Impaired Child Conceptual Framework for Treatment of Pediatric Pain Pharmacologic Treatment of Pain Acetaminophen, Aspirin, Nonsteroidal Antiinflammatory, and Coxib Drugs Opioids Local Anesthetics Unconventional Medications in Pediatric Pain Antidepressant Medications Antiepileptic Drugs Benzodiazepines Antipsychotics and Major Sedatives Other Pain Control Medications Nonpharmacologic Treatment of Pain Invasive Interventions for Treating Pain Head and Neck Blocks Upper-Extremity Blocks Trunk and Abdominal Visceral Blocks Lower-Extremity Blocks Sympathetic Blocks Epidural Anesthesia (Thoracic, Lumbar, and Caudal) Intrathecal Analgesia Nerve Ablation and Destruction Considerations for Special Pediatric Populations Pain Perception and Effects of Pain on Newborns and Infants Children With Cancer Pain Children With Pain Associated With Advanced Disease Chronic and Recurrent Pain Syndromes Neuropathic Pain Syndromes Myofascial Pain Disorders and Fibromyalgia Erythromelalgia Other Chronic Pain Conditions in Children Managing Complex Chronic Pain Problems Bibliography Chapter 77 - Poisoning 77 Poisoning Keywords Prevention Approach to the Poisoned Patient History Symptoms Past Medical and Developmental History Social History Physical Examination Laboratory Evaluation Additional Diagnostic Testing Principles of Management Supportive Care Decontamination Syrup of Ipecac Gastric Lavage Single-Dose Activated Charcoal Whole-Bowel Irrigation Directed Therapy Antidotal Therapy Intralipid Emulsion Therapy Enhanced Elimination Urinary Alkalinization Hemodialysis Multidose Activated Charcoal Select Compounds in Pediatric Poisoning Pharmaceuticals Analgesics Acetaminophen. Pathophysiology. Clinical and Laboratory Manifestations. Treatment. 1. Prophylactic. 2. Hepatic Injury. 3. Acute Liver Failure. 4. Repeated Supratherapeutic Ingestion. Salicylates. Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Ibuprofen and Other Nonsteroidal Antiinflammatory Drugs (NSAIDs). Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Prescription Opioids. Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Cardiovascular Medications β-Adrenergic Receptor Blockers. Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Calcium Channel Blockers. Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Clonidine. Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Digoxin. Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Iron. Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Oral Hypoglycemics Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Psychiatric Medications: Antidepressants Tricyclic Antidepressants. Pathophysiology. Clinical and Laboratory Manifestations. Treatment. 1. Altered Mental State. 2. Widened QRS on ECG. 3. Hypotension. 4. Seizures. Selective Serotonin Reuptake Inhibitors. Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Atypical Antidepressants. Clinical and Laboratory Manifestations. Treatment. Monoamine Oxidase Inhibitors. Psychiatric Medications: Antipsychotics Pathophysiology. Clinical and Laboratory Manifestations. Management. Household Products Caustics Pathophysiology. Clinical Manifestations. Treatment. Pesticides Cholinesterase-Inhibiting Insecticides. Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Pyrethrins and Pyrethroids. Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Hydrocarbons Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Toxic Alcohols Methanol Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Ethylene Glycol Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Plants Toxic Gases Carbon Monoxide Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Hydrogen Cyanide Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Miscellaneous Toxic Agents Found in the Home Nicotine-Containing Products Pathophysiology. Clinical and Laboratory Manifestations. Treatment. Single-Use Detergent Sacs Electric Dishwasher Detergent Magnets Batteries Bibliography Chapter 78 - Complementary Therapies and Integrative Medicine 78 Complementary Therapies and Integrative Medicine Keywords Dietary Supplements Dietary Supplement Safety Dietary Supplement Efficacy Massage and Chiropractic Mind-Body Therapies Acupuncture Cannabis Internet Resources Bibliography 8- VIII Emergency Medicine and Critical Care Chapter 79 - Emergency Medical Services for Children VIII Emergency Medicine and Critical Care 79 Emergency Medical Services for Children Keywords Primary Care Physician and Office Preparedness Staff Training and Continuing Education Protocols Resuscitation Equipment Transport Pediatric Prehospital Care Access to the EMS System Provider Capability Destination Determination The Emergency Department Disaster Preparedness 79.1 Interfacility Transport of the Seriously Ill or Injured Pediatric Patient Keywords Communications and Dispatch Center Medical Control Physician Transport Team Ground vs Air Ambulance Transport Physiology Safety Family-Centered Care Referring Hospital Responsibilities Educational Outreach Bibliography 79.2 Outcomes and Risk Adjustment of Pediatric Emergency Medical Services Keywords Outcome Measures in Emergency Medical Services for Children Risk Adjustment Risk Adjustment Tools in the ED Pediatric Risk of Admission II Revised Pediatric Emergency Assessment Tool Bibliography 79.3 Principles Applicable to the Developing World Keywords Continuum-of-Care Model Prevention Infectious Diseases Injuries Out-of-Hospital Care Access to Care Prehospital Care Methods of Transport Hospital-Based Care Triage Pediatric-Specific Emergency Centers Practitioners Clinical Guidelines Trauma Equipment Inpatient Services Humanitarian Disasters Exchange and Dissemination of Information Bibliography Bibliography Chapter 80 - Triage of the Acutely Ill Child 80 Triage of the Acutely Ill Child Keywords Assessment of Vital Signs History Physical Examination Management Disposition Bibliography Chapter 81 - Pediatric Emergencies and Resuscitation 81 Pediatric Emergencies and Resuscitation Keywords Approach to the Emergency Evaluation of a Child General Assessment Primary Assessment Airway and Breathing Circulation Disability Alert, Verbal, Pain, Unresponsive Pediatric Response Scale. Glasgow Coma Scale. Exposure Secondary Assessment Tertiary Assessment Recognition and Treatment of Respiratory Distress and Failure Airway Obstruction Airway Narrowing Parenchymal Lung Disease Advanced Airway Management Techniques Bag-Valve-Mask Positive Pressure Ventilation Endotracheal Intubation Recognition and Management of Shock Recognition of Bradyarrhythmias and Tachyarrhythmias Bradyarrhythmias Tachyarrhythmias Recognition and Management of Cardiac Arrest Vascular Access Venous Access Intraosseous Access Arterial Access Nonvascular Emergency Procedures Thoracentesis and Chest Tube Placement Pericardiocentesis Postresuscitation Care Bibliography Chapter 82 - Acute Care of Multiple Trauma 82 Acute Care of Multiple Trauma Keywords Epidemiology Regionalization and Trauma Teams Primary Survey Airway/Cervical Spine Breathing Circulation Neurologic Deficit Exposure and Environmental Control Secondary Survey Head Trauma Cervical Spine Trauma Thoracic Trauma Abdominal Trauma Pelvic Trauma Lower Genitourinary Trauma Extremity Trauma Radiologic and Laboratory Evaluation Psychological and Social Support Bibliography Chapter 83 - Spinal Cord Injuries in Children 83 Spinal Cord Injuries in Children Keywords Clinical Manifestations Clearing the Cervical Spine in Children Treatment Prevention Bibliography Chapter 84 - Care of Abrasions and Minor Lacerations 84 Care of Abrasions and Minor Lacerations Keywords Lacerations and Cuts Epidemiology Evaluation Treatment Abrasions Treatment Bibliography Chapter 85 - Neurologic Emergencies and Stabilization 85 Neurologic Emergencies and Stabilization Keywords Neurocritical Care Principles Traumatic Brain Injury Etiology and Epidemiology Pathology Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Treatment Supportive Care Prognosis Bibliography Chapter 86 - Brain Death 86 Brain Death Keywords Epidemiology Clinical Manifestations and Diagnosis Coma Brainstem Reflexes Apnea Observation Periods Ancillary Studies Documentation Supportive Care Objections to the Idea of Brain Death Bibliography Chapter 87 - Syncope 87 Syncope Keywords Mechanisms Evaluation Treatment 87.1 Postural Tachycardia Syndrome Keywords Clinical Presentation Diagnosis Management Bibliography Bibliography Chapter 88 - Shock 88 Shock Keywords Epidemiology Types of Shock Pathophysiology Clinical Manifestations Diagnosis Laboratory Findings Treatment Initial Management Additional Early Considerations Considerations for Continued Therapy Prognosis Bibliography Chapter 89 - Respiratory Distress and Failure 89 Respiratory Distress and Failure Keywords Respiratory Distress Respiratory Disease Manifesting as Respiratory Distress Respiratory Distress Without Respiratory Disease Cardiovascular Disease Manifesting as Respiratory Distress Neurologic Disease Manifesting as Respiratory Distress Toxic Metabolic States Manifesting as Respiratory Distress Other Nonpulmonary Entities Manifesting as Respiratory Distress Respiratory Failure Pathophysiology Ventilation-Perfusion Mismatch Diffusion Monitoring a Child in Respiratory Distress and Respiratory Failure Clinical Examination Blood Gas Abnormalities Acid-Base Abnormalities Metabolic Acidosis With Respiratory Compensation Respiratory Acidosis With Metabolic Compensation Assessment of Oxygenation and Ventilation Deficits Management Oxygen Administration Airway Adjuncts Inhaled Gases Positive Pressure Respiratory Support Endotracheal Intubation and Mechanical Ventilation Transient Manual Ventilation in Immediate Preintubation and Postintubation Periods 89.1 Mechanical Ventilation Keywords Basic Concepts of Ventilator Management Equation of Motion Functional Residual Capacity Time Constant Critical Opening Pressure Noninvasive Mechanical Ventilation Invasive Mechanical Ventilation Initiation of Inspiration and the Control Variable (Mode) Control Modes Intermittent Mandatory Ventilation Mode. Assist-Control Mode. Control Variable Support Modes Inspiratory Phase Characteristics Termination of Inspiration (Cycle) Expiratory Phase Maneuvers Additional Ventilatory Modalities Airway Pressure Release Ventilation High-Frequency Ventilation Conventional Ventilator Settings Fraction of Inspired Oxygen Mode Tidal Volume and Rate Inspiratory Time and Expiratory Time Positive End-Expiratory Pressure Patient-Ventilator Asynchrony Triggering the Ventilator Selection of Appropriate Inspiratory Time Selection of Inspiratory Flow Pattern Use of Support Modes Use of Sedation and Pharmacologic Neuromuscular Blockade Cardiopulmonary Interactions Monitoring Respiratory Mechanics Exhaled Tidal Volume Peak Inspiratory Pressure Respiratory System Dynamic Compliance and Static Compliance Assessment of Auto-PEEP Assessment of Dead Space Ventilation Ventilator-Induced Lung Injury Ventilator-Associated Pneumonia Weaning 89.2 Long-Term Mechanical Ventilation Bibliography Bibliography Chapter 90 - Altitude-Associated Illness in Children (Acute Mountain Sickness) 90 Altitude-Associated Illness in Children (Acute Mountain Sickness) Keywords Etiology General Effects of Hypobaric Hypoxia Acclimatization Acute Mountain Sickness Epidemiology and Risk Factors Pathophysiology Prevention Diagnosis Periodic Breathing Management High-Altitude Cerebral Edema High-Altitude Pulmonary Edema Epidemiology and Risk Factors Pathophysiology Diagnosis Management Special Considerations Reentry HAPE Travel With Young Infants Sickle Trait and Sickle Cell Disease Bibliography Chapter 91 - Drowning and Submersion Injury 91 Drowning and Submersion Injury Keywords Etiology Epidemiology Children <1 Yr Old Children 1-4 Yr Old School-Age Children Adolescents Underlying Conditions Alcohol Use Sports and Recreation Global Impact of Drowning Pathophysiology Anoxic-Ischemic Injury Pulmonary Injury Cold Water Injury Management Initial Evaluation and Resuscitation Hospital-Based Evaluation and Treatment Cardiorespiratory Management Neurologic Management Other Management Issues Hypothermia Management Prognosis Prevention Bibliography Chapter 92 - Burn Injuries 92 Burn Injuries Keywords Epidemiology Prevention Acute Care, Resuscitation, and Assessment Indications for Admission First Aid Measures Emergency Care Classification of Burns Estimation of Body Surface Area for a Burn Treatment Outpatient Management of Minor Burns Fluid Resuscitation Prevention of Infection and Surgical Management of the Burn Wound Nutritional Support Topical Therapy Inhalational Injury Pain Relief and Psychologic Adjustment Reconstruction and Rehabilitation School Reentry and Long-Term Outcome Electrical Burns Bibliography Useful Links Chapter 93 - Cold Injuries 93 Cold Injuries Keywords Pathophysiology Etiology Clinical Manifestations Frostnip Immersion Foot (Trench Foot) Frostbite Hypothermia Chilblain (Pernio) Cold-Induced Fat Necrosis (Panniculitis) Bibliography 9- IX Human Genetics Chapter 94 - Integration of Genetics Into Pediatric Practice IX Human Genetics 94 Integration of Genetics Into Pediatric Practice Keywords Diagnostic Testing Predictive Testing Predispositional Testing Pharmacogenetic Testing 94.1 Genetic Counseling Talking to Families Genetic Counseling Specific Condition or Conditions Knowledge of the Diagnosis of the Particular Condition Natural History of the Condition Genetic Aspects of the Condition and Recurrence Risk Prenatal Diagnosis and Prevention Therapies and Referral Support Groups Follow-up Nondirective Counseling 94.2 Management and Treatment of Genetic Disorders Physiologic Therapies Replacement Therapies Enzyme Replacement Transplantation Bibliography Chapter 95 - The Genetic Approach in Pediatric Medicine 95 The Genetic Approach in Pediatric Medicine Keywords The Burden of Genetic Disorders in Childhood The Changing Paradigm of Genetics in Medicine Ethics Issues Bibliography Chapter 96 - The Human Genome 96 The Human Genome Keywords Fundamentals of Molecular Genetics Genetic Variation Genotype-Phenotype Correlations in Genetic Disease Human Genome Project Bibliography Chapter 97 - Patterns of Genetic Transmission 97 Patterns of Genetic Transmission Keywords Family History and Pedigree Notation Mendelian Inheritance Autosomal Dominant Inheritance Autosomal Recessive Inheritance Pseudodominant Inheritance X-Linked Inheritance Y-Linked Inheritance Inheritance Associated With Pseudoautosomal Regions Digenic Inheritance Pseudogenetic Inheritance and Familial Clustering Nontraditional Inheritance Mitochondrial Inheritance Triplet Repeat Expansion Disorders Genetic Imprinting Multifactorial and Polygenic Inheritance Bibliography Chapter 98 - Cytogenetics 98 Cytogenetics Keywords 98.1 Methods of Chromosome Analysis Bibliography Methods of Chromosome Analysis 98.2 Down Syndrome and Other Abnormalities of Chromosome Number Aneuploidy and Polyploidy Down Syndrome Bibliography Down Syndrome and Other Abnormalities of Chromosome Number 98.3 Abnormalities of Chromosome Structure Translocations Inversions Deletions and Duplications Insertions Isochromosomes Marker and Ring Chromosomes Bibliography Abnormalities of Chromosome Structure 98.4 Sex Chromosome Aneuploidy Turner Syndrome Klinefelter Syndrome 47,XYY Bibliography Sex Chromosome Aneuploidy 98.5 Fragile Chromosome Sites Bibliography Fragile Chromosome Sites 98.6 Mosaicism Pallister-Killian Syndrome Hypomelanosis of Ito 98.7 Chromosome Instability Syndromes 98.8 Uniparental Disomy and Imprinting Uniparental Disomy Imprinting Bibliography Uniparental Disomy and Imprinting Chapter 99 - Genetics of Common Disorders 99 Genetics of Common Disorders Keywords 99.1 Major Genetic Approaches to the Study of Common Pediatric Disorders Linkage Mapping Genetic Association Bibliography Chapter 100 - Epigenome-Wide Association Studies and Disease 100 Epigenome-Wide Association Studies and Disease Keywords Epigenetic Mechanisms of Disease: Viable Yellow Mouse Model Epigenetics and Regulation of Gene Expression Evolution of the Term “Epigenetics” Pediatric Diseases Involving Epigenetic Processes Epigenome-Wide Association Studies: DNA Methylation Cell Fate Variability as Model for Epigenetics and Disease Epigenetic Disease and Therapeutic Interventions Bibliography Chapter 101 - Genetic Approaches to Rare and Undiagnosed Diseases 101 Genetic Approaches to Rare and Undiagnosed Diseases Keywords Scope of Genetic Disease NIH Undiagnosed Diseases Program Clinical Evaluation Commercial Genetic Studies Single Nucleotide Polymorphism Arrays Exome Sequencing Gene Function Studies Pediatric Issues Considerations for Families of Undiagnosed Children The Diagnostic Spectrum Bibliography 10- X Metabolic Disorders Chapter 102 - An Approach to Inborn Errors of Metabolism X Metabolic Disorders 102 An Approach to Inborn Errors of Metabolism Keywords Newborn Screening Clinical Manifestations of Genetic Metabolic Diseases Treatment Bibliography Chapter 103 - Defects in Metabolism of Amino Acids 103 Defects in Metabolism of Amino Acids 103.1 Phenylalanine Keywords Severe Phenylalanine Hydroxylase Deficiency (Classic Phenylketonuria) Clinical Manifestations Non-PKU Hyperphenylalaninemia Diagnosis Neonatal Screening for Hyperphenylalaninemia Treatment Pregnancy in Women With PAH Deficiency (Maternal Phenylketonuria) Hyperphenylalaninemia Caused by Deficiency of the Cofactor Tetrahydrobiopterin Clinical Manifestations Diagnosis Measurement of Neopterin and Biopterin. Cerebrospinal Fluid Studies. BH4 Loading Test. Molecular Testing. Enzyme Assay. Treatment Genetics and Prevalence Tetrahydrobiopterin Defects Without Hyperphenylalaninemia Bibliography 103.2 Tyrosine Keywords Tyrosinemia Type I (Fumarylacetoacetate Hydrolase Deficiency, Hepatorenal Tyrosinemia) Clinical Manifestations and Natural History Laboratory Findings Treatment and Outcome Genetics and Prevalence Tyrosinemia Type II (Tyrosine Aminotransferase Deficiency, Richner-Hanhart Syndrome, Oculocutaneous Tyrosinemia) Tyrosinemia Type III (Primary Deficiency of 4-Hydroxyphenylpyruvate Dioxygenase) Hawkinsinuria Transient Tyrosinemia of the Newborn Alkaptonuria Tyrosine Hydroxylase Deficiency Albinism Oculocutaneous (Generalized) Albinism OCA1 (Tyrosinase-Deficient Albinism) OCA1 A (Tyrosinase-Negative OCA) OCA1 B OCA2 (Tyrosinase-Positive OCA) OCA3 (Rufous Albinism) OCA4 Ocular Albinism Ocular Albinism Type 1 (Nettleship-Falls Ocular Albinism) Syndromic Forms of Generalized Albinism Hermansky-Pudlak Syndrome Chédiak-Higashi Syndrome Other Disorders Featuring Generalized Albinism Localized Albinism Piebaldism Waardenburg Syndrome Bibliography 103.3 Methionine Keywords Homocystinuria (Homocystinemia) Homocystinuria Caused by Cystathionine β-Synthase Deficiency (Classic Homocystinuria) Homocystinuria Caused by Defects in Methylcobalamin Formation Homocystinuria Caused by Deficiency of Methylenetetrahydrofolate Reductase (MTHFR Deficiency) Hypermethioninemia Primary (Genetic) Hypermethioninemia Classic Homocystinuria. Hepatic Methionine Adenosyltransferase (MAT I/MAT III) Deficiency (Mudd Disease). Glycine N-Methyltransferase Deficiency. S-Adenosylhomocysteine Hydrolase (SAHH) Deficiency. Tyrosinemia Type I. Citrin Deficiency. Acquired (Nongenetic) Hypermethioninemia Primary Cystathioninemia (Cystathioninuria) Bibliography 103.4 Cysteine and Cystine Keywords Sulfite Oxidase Deficiency and Molybdenum Cofactor Deficiency Bibliography 103.5 Tryptophan Keywords Hartnup Disorder Bibliography 103.6 Isoleucine, Leucine, Valine, and Related Organic Acidemias Keywords Maple Syrup Urine Disease Classic Maple Syrup Urine Disease Intermediate (Mild) Maple Syrup Urine Disease Intermittent Maple Syrup Urine Disease Thiamine-Responsive Maple Syrup Urine Disease Maple Syrup Urine Disease Caused by Deficiency of E3 Subunit (MSUD Type 3) Genetics and Prevalence of Maple Syrup Urine Disease Branched-Chain α-Ketoacid Dehydrogenase Kinase Deficiency Branched-Chain Amino Acid Transporter Deficiency Isovaleric Acidemia Multiple Carboxylase Deficiencies (Defects of Biotin Cycle) Holocarboxylase Synthetase Deficiency Biotinidase Deficiency Multiple Carboxylase Deficiency Caused by Acquired Biotin Deficiency 3-Methylcrotonyl-CoA Carboxylase Deficiency 3-Methylglutaconic Acidurias 3-Methylglutaconyl-CoA Hydratase Deficiency Barth Syndrome (TAZ-Related Disorder) OPA3-Related 3-Methylglutaconic Aciduria (Costeff Syndrome) Disorders Formerly Described as 3-Methylglutaconic Aciduria Type IV DCMA Syndrome (DNAJC19-Related Syndrome, 3-Methylglutaconic Aciduria Type V) β-Ketothiolase (3-Oxothiolase) Deficiency (Mitochondrial Acetoacetyl-CoA Thiolase [T2] Deficiency) Cytosolic Acetoacetyl-CoA Thiolase Deficiency Mitochondrial 3-Hydroxy-3-Methylglutaryl-CoA Synthase Deficiency 3-Hydroxy-3-Methylglutaryl-CoA Lyase Deficiency (3-Hydroxy-3-Methylglutaric Aciduria) Succinyl-CoA:3-Oxoacid-CoA Transferase Deficiency Mevalonate Kinase Deficiency Mevalonic Aciduria Hyperimmunoglobulinemia D Syndrome (Hyperimmunoglobulinemia D and Periodic Fever Syndrome) Propionic Acidemia (Propionyl-CoA Carboxylase Deficiency) Isolated Methylmalonic Acidemias Combined Methylmalonic Aciduria and Homocystinuria (cblC, cblD, cblF, cblJ, and cblX Defects) Isolated Homocystinuria Combined Malonic and Methylmalonic Aciduria (ACSF3-Related Disorder) Bibliography 103.7 Glycine Hypoglycinemia Hyperglycinemia Nonketotic Hyperglycinemia (Glycine Encephalopathy) Neonatal Nonketotic Hyperglycinemia Infantile Nonketotic Hyperglycinemia Late-Onset Nonketotic Hyperglycinemia Transient Nonketotic Hyperglycinemia Diagnosis and Treatment Sarcosinemia Primary Trimethylaminuria Hyperoxaluria and Oxalosis Primary Hyperoxaluria Type 1 Primary Hyperoxaluria Type 2 (l-Glyceric Aciduria) Primary Hyperoxaluria Type 3 Creatine Deficiency Disorders Bibliography 103.8 Serine Deficiency Disorders (Serine Biosynthesis and Transport Defects) Keywords 3-Phosphoglycerate Dehydrogenase Deficiency Phosphoserine Aminotransferase Deficiency 3-Phosphoserine Phosphatase Deficiency Bibliography 103.9 Proline Keywords Hyperprolinemia Type I Hyperprolinemia Type II Prolidase Deficiency Disorders of De Novo Proline Synthesis Bibliography 103.10 Glutamic Acid Keywords Glutathione Synthetase Deficiency Glutathione Synthetase Deficiency, Severe and Moderate Forms Glutathione Synthetase Deficiency, Mild Form 5-Oxoprolinase Deficiency γ-Glutamylcysteine Synthetase Deficiency (Glutamate-Cysteine Ligase Deficiency) γ-Glutamyl Transpeptidase Deficiency (Glutathionemia) Genetic Disorders of Metabolism of γ-Aminobutyric Acid Bibliography 103.11 Genetic Disorders of Neurotransmitters Keywords Tyrosine Hydroxylase Deficiency (Infantile Parkinsonism, Autosomal Recessive Dopa-Responsive Dystonia, Autosomal Recessive Segawa Syndrome) Aromatic l-Amino Acid Decarboxylase Deficiency Tetrahydrobiopterin Deficiency Tetrahydrobiopterin Deficiency With Hyperphenylalaninemia Tetrahydrobiopterin Deficiency Without Hyperphenylalaninemia GTP Cyclohydrolase 1 Deficiency (Hereditary Progressive Dystonia, Autosomal Dominant Dopa-Responsive Dystonia, Autosomal Dominant Segawa Syndrome) Sepiapterin Reductase Deficiency Dopamine β-Hydroxylase Deficiency Monoamine Oxidase a Deficiency Disorders of γ-Aminobutyric Acid (GABA) Metabolism γ-Aminobutyric Acid Transaminase Deficiency Succinic Semialdehyde Dehydrogenase Deficiency (γ-Hydroxybutyric Aciduria) Defects in Neurotransmitter Transporter Proteins Dopamine Transporter Protein Deficiency Dopamine-Serotonin Vesicular Transporter Disease (Vesicular Monoamine Transporter Deficiency) Histidine Decarboxylase Deficiency Hyperprolinemia 3-Phosphoglycerate Dehydrogenase Deficiency Phosphoserine Aminotransferase Deficiency Nonketotic Hyperglycinemia Bibliography 103.12 Urea Cycle and Hyperammonemia (Arginine, Citrulline, Ornithine) Keywords Genetic Causes of Hyperammonemia Clinical Manifestations of Hyperammonemia Diagnosis Treatment of Acute Hyperammonemia Long-Term Therapy Carbamoyl Phosphate Synthetase 1 and N-Acetylglutamate Synthase Deficiencies Ornithine Transcarbamylase Deficiency Citrullinemia Citrullinemia Type I (Argininosuccinate Synthetase Deficiency, Classic Citrullinemia) Citrin Deficiency (Citrullinemia Type II) Neonatal Intrahepatic Cholestasis (Citrullinemia Type II, Neonatal Form) Citrullinemia Type II, Adult Form (Adult-Onset Citrullinemia; Citrullinemia Type II, Mild Form) Argininosuccinate Lyase Deficiency (Argininosuccinic Aciduria) Arginase 1 Deficiency (Hyperargininemia) Transient Hyperammonemia of the Newborn Disorders of Ornithine Metabolism Gyrate Atrophy of the Retina and Choroid Hyperammonemia-Hyperornithinemia-Homocitrullinemia Syndrome Congenital Glutamine Deficiency Bibliography 103.13 Histidine Keywords Bibliography 103.14 Lysine Keywords Pyridoxine (Vitamin B6)–Dependent Epilepsy Antiquitin (α-Aminoadipic Semialdehyde Dehydrogenase) Deficiency Pyridox(am)ine 5′-Phosphate Oxidase (PNPO) Deficiency Sulfite Oxidase Deficiency and Molybdenum Cofactor Deficiency Hyperprolinemia Type II Hypophosphatasia Glutaric Aciduria Type 1 (Glutaryl-CoA Dehydrogenase Deficiency) Clinical Manifestations Laboratory Findings Treatment Lysinuric Protein Intolerance (Familial Protein Intolerance) Bibliography 103.15 N-Acetylaspartic Acid (Canavan Disease) Keywords Etiology and Pathology Clinical Manifestations Atypical Canavan Disease Diagnosis Treatment and Prevention Bibliography Chapter 104 - Defects in Metabolism of Lipids 104 Defects in Metabolism of Lipids 104.1 Disorders of Mitochondrial Fatty Acid β-Oxidation Keywords Defects in the β-Oxidation Cycle Medium-Chain Acyl-CoA Dehydrogenase Deficiency Clinical Manifestations Laboratory Findings Treatment Prognosis Very-Long-Chain Acyl-CoA Dehydrogenase Deficiency Short-Chain Acyl-CoA Dehydrogenase Deficiency Long-Chain 3-Hydroxyacyl-CoA Dehydrogenase/Mitochondrial Trifunctional Protein Deficiency Short-Chain 3-Hydroxyacyl-CoA Dehydrogenase Deficiency Short-Chain 2,3-Enoyl-CoA Hydratase Deficiency Defects in the Carnitine Cycle Plasma Membrane Carnitine Transport Defect (Primary Carnitine Deficiency) Carnitine Palmitoyltransferase-IA Deficiency Carnitine:Acylcarnitine Translocase Deficiency Carnitine Palmitoyltransferase-II Deficiency Defects in the Electron Transfer Pathway Electron Transfer Flavoprotein and Electron Transfer Flavoprotein Dehydrogenase Deficiencies (Glutaric Acidemia Type 2, Multiple Acyl-CoA Dehydrogenation Defects) Defects in the Ketone Synthesis Pathway β-Hydroxy-β-Methylglutaryl-CoA Synthase Deficiency β-Hydroxy-β-Methylglutaryl-CoA Lyase Deficiency (3 Hydroxy-3-Methylgutaric Aciduria) Defects in Ketone Body Utilization Monocarboxylate Transporter-1 Deficiency Succinyl-CoA:3-Ketoacid-CoA Transferase Deficiency β-Ketothiolase Deficiency Bibliography 104.2 Disorders of Very-Long-Chain Fatty Acids and Other Peroxisomal Functions Keywords Peroxisomal Disorders Etiology Epidemiology Pathology Pathogenesis Zellweger Spectrum Disorder Rhizomelic Chondrodysplasia Punctata Isolated Defects of Peroxisomal Fatty Acid Oxidation Isolated Defects of Plasmalogen Synthesis Adult (Classic) Refsum Disease 2-Methylacyl-CoA Racemase Deficiency (AMACR) Laboratory Findings Diagnosis Complications Treatment Genetic Counseling Adrenoleukodystrophy Etiology Epidemiology Pathology Pathogenesis Clinical Manifestations Laboratory and Radiographic Findings Neuroimaging Impaired Adrenal Function Diagnosis and Differential Diagnosis Complications Treatment Bone Marrow Transplantation Lorenzo’s Oil Therapy Supportive Therapy Genetic Counseling and Prevention Bibliography Peroxisomal Disorders Adrenoleukodystrophy 104.3 Disorders of Lipoprotein Metabolism and Transport Keywords Epidemiology of Blood Lipids and Cardiovascular Disease Blood Lipids and Atherogenesis Plasma Lipoprotein Metabolism and Transport Transport of Exogenous (Dietary) Lipids Transport of Endogenous Lipids From the Liver High-Density Lipoprotein and Reverse Cholesterol Transport Hyperlipoproteinemias Hypercholesterolemia Familial Hypercholesterolemia Homozygous Familial Hypercholesterolemia Heterozygous Familial Hypercholesterolemia Familial Defective ApoB-100 Autosomal Recessive Hypercholesterolemia Sitosterolemia Polygenic Hypercholesterolemia Hypercholesterolemia With Hypertriglyceridemia Familial Combined Hyperlipidemia Familial Dysbetalipoproteinemia (Type III Hyperlipoproteinemia) Hypertriglyceridemias Familial Chylomicronemia (Type I Hyperlipidemia) Familial Hypertriglyceridemia (Type IV Hyperlipidemia) Hepatic Lipase Deficiency Disorders of High-Density Lipoprotein Metabolism Primary Hypoalphalipoproteinemia Familial Hyperalphalipoproteinemia Familial Apolipoprotein A-I Deficiency Tangier Disease Familial Lecithin–Cholesterol Acyltransferase (LCAT) Deficiency Cholesteryl Ester Transfer Protein Deficiency Conditions Associated With Low Cholesterol Abetalipoproteinemia Familial Hypobetalipoproteinemia Smith-Lemli-Opitz Syndrome Disorders of Intracellular Cholesterol Metabolism Cerebrotendinous Xanthomatosis Wolman Disease and Cholesterol Ester Storage Disease Niemann-Pick Disease Type C Lipoprotein Patterns in Children and Adolescents Blood Cholesterol Screening Risk Assessment and Treatment of Hyperlipidemia Pharmacologic Therapy. Bibliography 104.4 Lipidoses (Lysosomal Storage Disorders) Keywords GM1 Gangliosidosis The GM2 Gangliosidoses Gaucher Disease Niemann-Pick Disease Fabry Disease Fucosidosis Schindler Disease Metachromatic Leukodystrophy Multiple-Sulfatase Deficiency Krabbe Disease Farber Disease Wolman Disease and Cholesterol Ester Storage Disease Bibliography 104.5 Mucolipidoses Keywords I-Cell Disease Pseudo-Hurler Polydystrophy Bibliography Chapter 105 - Defects in Metabolism of Carbohydrates 105 Defects in Metabolism of Carbohydrates 105.1 Glycogen Storage Diseases Keywords Liver Glycogenoses Type I Glycogen Storage Disease (Glucose-6-Phosphatase or Translocase Deficiency, Von Gierke Disease) Clinical Manifestations Diagnosis Treatment Prognosis Type III Glycogen Storage Disease (Debrancher Deficiency, Limit Dextrinosis) Clinical Manifestations Diagnosis Treatment Type IV Glycogen Storage Disease (Branching Enzyme Deficiency, Amylopectinosis, Polyglucosan Disease, or Andersen Disease) Clinical Manifestations Diagnosis Treatment Type VI Glycogen Storage Disease (Liver Phosphorylase Deficiency, Hers Disease) Type IX Glycogen Storage Disease (Phosphorylase Kinase Deficiency) X-Linked Liver Phosphorylase Kinase Deficiency (From PHKA2 Variants) Autosomal Liver and Muscle Phosphorylase Kinase Deficiency (From PHKB Variants) Autosomal Liver Phosphorylase Kinase Deficiency (From PHKG2 Variants) Phosphorylase Kinase Deficiency Limited to Heart Diagnosis Treatment and Prognosis Liver Glycogen Synthase Deficiency Hepatic Glycogenosis With Renal Fanconi Syndrome (Fanconi-Bickel Syndrome) Muscle Glycogenoses Type II Glycogen Storage Disease (Lysosomal Acid α-1,4-Glucosidase Deficiency, Pompe Disease) Clinical Manifestations Laboratory Findings Diagnosis Treatment Glycogen Storage Diseases Mimicking Hypertrophic Cardiomyopathy (Danon Disease) Adenosine Monophosphate–Activated Protein Kinase γ2 Deficiency (PRKAG2 Deficiency) Muscle Glycogen Synthase Deficiency Late-Onset Polyglucosan Body Myopathy (From GYG1 Variants) Type V Glycogen Storage Disease (Muscle Phosphorylase Deficiency, McArdle Disease) Clinical Manifestations Diagnosis Treatment Type VII Glycogen Storage Disease (Muscle Phosphofructokinase Deficiency, Tarui Disease) Clinical Manifestations Diagnosis Treatment Muscle-Specific Phosphorylase Kinase Deficiency (From PHKA1 Variants) Other Muscle Glycogenoses With Muscle Energy Impairment Bibliography 105.2 Defects in Galactose Metabolism Keywords Galactose-1-Phosphate Uridyl Transferase Deficiency Galactosemia Clinical Manifestations Diagnosis Genetics Treatment and Prognosis Galactokinase Deficiency Uridine Diphosphate Galactose-4-Epimerase Deficiency Bibliography 105.3 Defects in Fructose Metabolism Keywords Deficiency of Fructokinase (Essential or Benign Fructosuria) Deficiency of Fructose-1,6-Bisphosphate Aldolase (Aldolase B, Hereditary Fructose Intolerance) Epidemiology and Genetics Clinical Manifestations Diagnosis Treatment Bibliography 105.4 Defects in Intermediary Carbohydrate Metabolism Associated With Lactic Acidosis Keywords Disorders of Gluconeogenesis Deficiency of Glucose-6-Phosphatase (Type I Glycogen Storage Disease) Fructose-1,6-Diphosphatase Deficiency Phosphoenolpyruvate Carboxykinase Deficiency Disorders of Pyruvate Metabolism Pyruvate Dehydrogenase Complex Deficiency Clinical Manifestations Treatment Deficiency of Pyruvate Carboxylase Deficiency of Pyruvate Carboxylase Secondary to Deficiency of Holocarboxylase Synthase or Biotinidase Mitochondrial Respiratory Chain Defects (Oxidative Phosphorylation Disease) Leigh Disease (Subacute Necrotizing Encephalomyelopathy) Bibliography 105.5 Defects in Pentose Metabolism Keywords Essential Pentosuria Transaldolase Deficiency Ribose-5-Phosphate Isomerase Deficiency Bibliography 105.6 Disorders of Glycoprotein Degradation and Structure Sialidosis and Galactosialidosis Aspartylglucosaminuria α-Mannosidosis Bibliography 105.7 Congenital Disorders of Glycosylation Keywords Congenital Disorders of Protein N-Glycosylation Phosphomannomutase-2 Deficiency (PMM2-CDG) Clinical Manifestations Pathophysiology Diagnosis Treatment Mannosephosphoisomerase Deficiency (MPI-CDG) Clinical Manifestations Pathophysiology Diagnosis Treatment Glucosyltransferase-1 Deficiency (ALG6-CDG) Clinical Manifestations Pathophysiology Diagnosis Treatment UDP-GlcNAc:Dol-P-GlcNAc-P Transferase Deficiency (DPAGT1-CDG) Clinical Manifestations Pathophysiology Diagnosis Treatment Congenital Disorders of Protein O-Glycosylation Cerebro-Ocular Dysplasia–Muscular Dystrophy and Muscle-Eye-Brain Disease Spectrum (POMT1-CDG, POMT2-CDG, POMGNT1-CDG) Defects in Lipid Glycosylation and in Glycosylphosphatidylinositol Anchor Biosynthesis Hyperphosphatasia–Intellectual Disability Syndromes: PIGA Deficiency (PIGA-CDG) Defects in Multiple Glycosylation Pathways and in Other Pathways, Including Dolicholphosphate Biosynthesis Defects Steroid 5α-Reductase Deficiency (SRD5A3-CDG) Clinical Manifestations Pathophysiology Diagnosis Treatment Autosomal Recessive Cutis Laxa Type 2 (ARCL-2A or ATP6V0A2-CDG, ATP6V1A-CDG and ATP6V1E1-CDG) Clinical Manifestations Pathophysiology Diagnosis Treatment Golgi-α1-2 Mannosidase-1 Deficiency (MAN1B1-CDG) Clinical Manifestations Pathophysiology Diagnosis Treatment Phosphoglucomutase-1 Deficiency (PGM1-CDG) Clinical Manifestations Pathophysiology Diagnosis Treatment Disorders of Golgi Homeostasis: TMEM199-, CCDC115-, ATP6AP2-CDG, and ATP6AP1-CDG Clinical Manifestations Pathophysiology Diagnosis Treatment Manganese Transporter Defect: SLC39A8-CDG Clinical Manifestations Pathophysiology Diagnosis Treatment Congenital Disorders of Deglycosylation N-Glycanase 1 Deficiency (NGLY1 Defect) Clinical Manifestations Pathophysiology Diagnosis Treatment Therapeutic Summary Bibliography Chapter 106 - Mitochondrial Disease Diagnosis 106 Mitochondrial Disease Diagnosis Keywords Overview of Mitochondrial Disease When to Suspect Mitochondrial Disease Mitochondrial Disease Inheritance Diagnostic Testing for Mitochondrial Disease Treatment Principles for Mitochondrial Disease Bibliography Chapter 107 - Mucopolysaccharidoses 107 Mucopolysaccharidoses Keywords Disease Entities Mucopolysaccharidosis I Hurler Syndrome Hurler-Scheie Syndrome Scheie Syndrome Mucopolysaccharidosis II Mucopolysaccharidosis III Mucopolysaccharidosis IV Mucopolysaccharidosis VI Mucopolysaccharidosis VII Mucopolysaccharidosis IX Mucopolysaccharidosis Plus Syndrome Diagnosis and Differential Diagnosis Treatment Bibliography Chapter 108 - Disorders of Purine and Pyrimidine Metabolism 108 Disorders of Purine and Pyrimidine Metabolism Keywords Gout Genetics Treatment Abnormalities in Purine Salvage Hypoxanthine-Guanine Phosphoribosyltransferase (HPRT) Deficiency Genetics Pathology Clinical Manifestations Diagnosis Treatment Adenine Phosphoribosyltransferase Deficiency (Dihydroxyadeninuria) Genetics Clinical Manifestations Laboratory Findings Treatment Disorders Linked to Purine Nucleotide Synthesis Phosphoribosylpyrophosphate Synthetase Superactivity and Deficiency Genetics Clinical Manifestations Laboratory Findings Treatment Adenylosuccinase Lyase Deficiency (Succinylpurinuria) Genetics Clinical Manifestations Pathology Treatment Aminoimidazole Carboxamide Ribotide (AICAR) Transformylase/Inosine Monophosphate (IMP) Cyclohydrolase Deficiency Genetics Clinical Features Laboratory Findings Treatment Disorders Resulting From Abnormalities in Purine Catabolism Myoadenylate Deaminase Deficiency (Muscle Adenosine Monophosphate Deaminase Deficiency) Clinical Manifestations Genetics Laboratory Findings Treatment Adenosine Deaminase Deficiency Purine Nucleoside Phosphorylase Deficiency Xanthine Oxidoreductase Deficiency (Hereditary Xanthinuria/Molybdenum Cofactor Deficiency) Genetics Laboratory Findings Treatment Disorders of Pyrimidine Metabolism Uridine Monophosphate Synthase Type 1 Deficiency (Hereditary Orotic Aciduria) Genetics Clinical Manifestations Laboratory Findings Treatment Dihydroorotate Dehydrogenase Deficiency (Miller Syndrome) Clinical Manifestations Laboratory Findings Treatment Dihydropyrimidine Dehydrogenase Deficiency (Thymine-Uraciluria, Pyrimidinuria) Genetics Clinical Manifestations Laboratory Findings Treatment Dihydropyrimidinase Deficiency (Dihydropyrimidinuria) Genetics Clinical Manifestations Laboratory Findings Deficiency of β-Ureidopropionase (N-Carbamyl-β-Amino Aciduria) Genetics Clinical Manifestations Laboratory Findings Treatment Pyrimidine 5′-Nucleotidase Deficiency Genetics Clinical Manifestations Laboratory Findings Treatment Overactive Cytosolic 5′-Nucleotidase (Pyrimidine Nucleotide Depletion) Clinical Manifestations Treatment Thymidine Phosphorylase Deficiency (Mitochondrial Neurogastrointestinal Encephalomyopathy) Genetics Clinical Manifestations Laboratory Findings Treatment Thymidine Kinase 2 Deficiency Genetics Clinical Manifestations Treatment Bibliography Gout Abnormalities in Purine Salvage Adenine Phosphoribosyltransferase Deficiency (Dihydroxyadeninuria) Disorders Linked to Purine Nucleotide Synthesis Adenylosuccinate Lyase Deficiency (Succinylpurinuria) Adenylosuccinate Lyase Deficiency (Succinylpurinuria) AICAR Transformylase/IMP Cyclohydrolase (ATIC) Deficiency (AICA-Ribosiduria) Disorders Resulting From Abnormalities in Purine Catabolism Xanthine Oxidoreductase Deficiency (Hereditary Xanthinuria/Molybdenum Cofactor Deficiency) Orotic Aciduria Dihydroorotate Dehydrogenase Deficiency (Miller Syndrome) Dihydropyrimidine Dehydrogenase Deficiency (Thymine-Uraciluria, Pyrimidinuria) Dihydropyrimidinase Deficiency (Dihydropyrimidinuria) Deficiency of β-Ureidopropionase (N-Carbamyl-β-Amino Aciduria) Pyrimidine 5′-Nucleotidase Deficiency Overactive Cytosolic 5′ Nucleotidase (Pyrimidine Nucleotide Depletion) Thymidine Phosphorylase Deficiency (Mitochondrial Neurogastrointestinal Encephalomyopathy, MNGIE) Thymidine Kinase 2 (TK2) Deficiency Chapter 109 - Hutchinson-Gilford Progeria Syndrome (Progeria) 109 Hutchinson-Gilford Progeria Syndrome (Progeria) Keywords Clinical Manifestations Dermatologic Changes Failure to Thrive Ocular Abnormalities Craniofacial and Dental Phenotypes Bone and Cartilaginous Abnormalities Hearing Cardiovascular Disease Cerebrovascular Arteriopathy and Stroke Sexual Development Normally Functioning Systems Laboratory Findings Molecular Pathogenesis Diagnosis and Differential Diagnosis Treatment and Prognosis Patient Resources Bibliography Chapter 110 - The Porphyrias 110 The Porphyrias Keywords The Heme Biosynthetic Pathway Classification and Diagnosis of Porphyrias First-Line Laboratory Diagnostic Testing Blistering Cutaneous Porphyrias Nonblistering Cutaneous Porphyria Second-Line Testing Testing for Subclinical Porphyria δ-Aminolevulinic Acid Dehydratase Deficient Porphyria Etiology Pathology and Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Treatment Prognosis Prevention and Genetic Counseling Acute Intermittent Porphyria Etiology Pathology and Pathogenesis Neurologic Mechanisms Epidemiology Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Complications Treatment Hemin General and Supportive Measures Carbohydrate Loading Other Therapies Seizures and Other Complications Safe and Unsafe Drugs Other Situations Prognosis Prevention Genetic Counseling Congenital Erythropoietic Porphyria Etiology Pathology and Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Treatment Prognosis Prevention and Genetic Counseling Porphyria Cutanea Tarda Etiology Epidemiology Pathology and Pathogenesis Susceptibility Factors Iron Hepatitis C Human Immunodeficiency Virus Ethanol Smoking and Cytochrome P450 Enzymes Antioxidant Status Estrogens Clinical Manifestations Cutaneous Manifestations Liver Abnormalities Other Features and Associations Laboratory Findings Diagnosis and Differential Diagnosis Complications Treatment Prognosis Prevention and Genetic Counseling Hepatoerythropoietic Porphyria Etiology Pathology and Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Treatment and Prognosis Prevention and Genetic Counseling Hereditary Coproporphyria Etiology Epidemiology Pathology and Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Treatment and Prognosis Variegate Porphyria Etiology Epidemiology Pathology and Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Treatment Prognosis and Prevention Erythropoietic Protoporphyria and X-Linked Protoporphyria Etiology Epidemiology Pathology and Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Complications Treatment Prognosis Prevention and Genetic Counseling Dual Porphyria Porphyria Resulting From Tumors Bibliography Acute Porphyrias Congenital Erythropoietic Porphyria Porphyria Cutanea Tarda Erythropoietic Protoporphyria and X-Linked Protoporphyria Chapter 111 - Hypoglycemia 111 Hypoglycemia Keywords Definition Significance and Sequelae Substrate, Enzyme, and Hormonal Integration of Glucose Homeostasis In the Newborn In Older Infants and Children Clinical Manifestations Classification of Hypoglycemia in Infants and Children Neonatal, Transient, Small-for-Gestational-Age, and Premature Infants Infants Born to Diabetic Mothers Persistent or Recurrent Hypoglycemia in Infants and Children Hyperinsulinism Endocrine Deficiencies Substrate-Limited Etiologies Ketotic Hypoglycemia Branched-Chain Ketonuria (Maple Syrup Urine Disease) Glycogen Storage Disease Glucose-6-Phosphatase Deficiency (Type I Glycogen Storage Disease) Amylo-1,6-Glucosidase Deficiency (Debrancher Enzyme Deficiency; Type III Glycogen Storage Disease) Liver Phosphorylase Deficiency (Type VI Glycogen Storage Disease) Glycogen Synthetase Deficiency Disorders of Gluconeogenesis Fructose-1,6-Diphosphatase Deficiency Defects in Fatty Acid Oxidation Acute Alcohol Intoxication Salicylate Intoxication Phosphoenolpyruvate Carboxykinase Deficiency Pyruvate Carboxylase Deficiency Other Enzyme Defects Galactosemia (Galactose-1-Phosphate Uridyl Transferase Deficiency) Fructose Intolerance (Fructose-1-Phosphate Aldolase Deficiency) Defects in Glucose Transporters GLUT-1 Deficiency GLUT-2 Deficiency Systemic Disorders Diagnosis and Differential Diagnosis Treatment Prognosis Bibliography 11- XI The Fetus and the Neonatal Infant Chapter 112 - Overview of Morbidity and Mortality XI The Fetus and the Neonatal Infant 112 Overview of Morbidity and Mortality Keywords Infant Mortality Rankings and Trends Major Causes of Infant Death Racial Disparity and Infant Mortality Congenital Malformations Sleep-Related Deaths (SUID, SIDS) Infant Mortality Reduction Preterm Birth The Late Preterm Neonate The Moderate and Early Preterm Neonate Low Birthweight, Intrauterine Growth Restriction, and Small for Gestational Age Bibliography Chapter 113 - The Newborn Infant 113 The Newborn Infant Keywords 113.1 History in Neonatal Pediatrics 113.2 Physical Examination of the Newborn Infant General Appearance Skin Skull Face Eyes Ears Nose Mouth Neck Chest Lungs Heart Abdomen Genitals Anus Extremities Neurologic Examination Bibliography 113.3 Routine Newborn Care Maintenance of Body Heat Antiseptic Skin and Cord Care Newborn Prophylaxis and Screening Bibliography 113.4 Circumcision Bibliography 113.5 Parent–Infant Bonding Rooming-in and Breastfeeding Drugs and Breastfeeding Contraindications to Breastfeeding Bibliography Chapter 114 - High-Risk Pregnancies 114 High-Risk Pregnancies Keywords Genetic Factors Maternal Factors Bibliography Chapter 115 - The Fetus 115 The Fetus Keywords 115.1 Fetal Growth and Maturity Bibliography 115.2 Fetal Distress Bibliography 115.3 Maternal Disease and the Fetus Infectious Diseases Noninfectious Diseases (see Table 114.2) Bibliography 115.4 Medication and Teratogen Exposure Bibliography 115.5 Radiation Bibliography 115.6 Intrauterine Diagnosis of Fetal Disease Bibliography 115.7 Treatment and Prevention of Fetal Disease Bibliography Chapter 116 - Fetal Intervention and Surgery 116 Fetal Intervention and Surgery Keywords Fetal Therapy Ethics Obstructive Uropathy Nonobstructive Renal Disease Congenital Diaphragmatic Hernia Congenital Pulmonary Airway Malformation Myelomeningocele Other Indications Fetal Centers Bibliography Chapter 117 - The High-Risk Infant 117 The High-Risk Infant 117.1 Multiple-Gestation Pregnancies Keywords Monozygotic vs Dizygotic Twins Examination of the Placenta Incidence Etiology Atypical Twinning Complications Twin Syndromes (TRAP, TTTS) Diagnosis Prognosis Treatment Bibliography 117.2 Extremely and Very Preterm Infants Keywords Incidence Etiology Assessment of Gestational Age Nursery Care Thermal Control Oxygen Administration Nutrition for the High-Risk Infant Early Parenteral Nutrition Benefits of Human Milk Enteral Nutrition Standardized Feeding Guidelines Transitioning to Discharge Nutrition Prevention of Infection Immaturity of Drug Metabolism Morbidity and Mortality Bibliography 117.3 Moderate and Late Preterm Infants Keywords Moderate Preterm Infant Late Preterm Infant Bibliography 117.4 Term and Postterm Infants Keywords Small for Gestational Age and IUGR Large-for-Gestational-Age Infants Postterm Infants Bibliography 117.5 Follow-Up of High-Risk Infants After Discharge Keywords Discharge From the Hospital Postdischarge Follow-Up Medical Follow-Up Developmental Follow-Up Bibliography Chapter 118 - Transport of the Critically Ill Newborn 118 Transport of the Critically Ill Newborn Keywords Regionalized Care of Newborns Levels of Neonatal Care Transport of the Critically Ill Neonate Bibliography Chapter 119 - Clinical Manifestations of Diseases in the Newborn Period 119 Clinical Manifestations of Diseases in the Newborn Period Keywords Abnormal Movements Altered Mental Status Apnea Congenital Anomalies Cyanosis Gastrointestinal Disturbances Hypotension Jaundice Pain 119.1 Hyperthermia Bibliography 119.2 Hypothermia and Cold Stress Bibliography 119.3 Edema Bibliography 119.4 Hypocalcemia Bibliography 119.5 Hypermagnesemia Bibliography Chapter 120 - Nervous System Disorders 120 Nervous System Disorders Keywords 120.1 The Cranium 120.2 Traumatic, Epidural, Subdural, and Subarachnoid Hemorrhage 120.3 Intracranial-Intraventricular Hemorrhage and Periventricular Leukomalacia Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Prognosis Prevention Treatment Bibliography 120.4 Hypoxic-Ischemic Encephalopathy Etiology Pathophysiology and Pathology Clinical Manifestations Diagnosis Treatment Prognosis Bibliography 120.5 Spine and Spinal Cord Bibliography 120.6 Peripheral Nerve Injuries Brachial Palsy Phrenic Nerve Paralysis Facial Nerve Palsy Bibliography Chapter 121 - Neonatal Resuscitation and Delivery Room Emergencies 121 Neonatal Resuscitation and Delivery Room Emergencies Keywords Neonatal Resuscitation Resuscitation of the Preterm Infant Special Circumstances in the Delivery Room Meconium Placental Abruption Neonatal Encephalopathy Airway Obstruction Respiratory Distress Abdominal Wall and Neural Tube Defects Injury During Delivery Central Nervous System Fractures Brachial Plexus Injuries Ongoing Care After Resuscitation Bibliography Chapter 122 - Respiratory Tract Disorders 122 Respiratory Tract Disorders 122.1 Transition to Pulmonary Respiration Keywords The First Breath Breathing Patterns in Newborns 122.2 Apnea Keywords Apnea of Prematurity Treatment Prognosis Apnea of Prematurity and Sudden Infant Death Syndrome Bibliography 122.3 Respiratory Distress Syndrome (Hyaline Membrane Disease) Keywords Incidence Etiology and Pathophysiology Clinical Manifestations Diagnosis Prevention Treatment Nasal Continuous Positive Airway Pressure Mechanical Ventilation Modes of Mechanical Ventilation Permissive Hypercapnia and Avoidance of Hyperoxia Discontinuation of Mechanical Ventilation Surfactant Replacement Therapy Other Pharmacologic Therapies Complications Bibliography 122.4 Bronchopulmonary Dysplasia Keywords Incidence Etiology and Pathophysiology Clinical Manifestations Diagnosis Prevention Treatment Diuretics and Fluid Restriction Bronchodilators Corticosteroids Pulmonary Vasodilators Chronic Respiratory Support Prognosis Bibliography 122.5 Patent Ductus Arteriosus Keywords Incidence and Pathophysiology Clinical Manifestations Treatment Pharmacologic Closure Surgical Ligation Bibliography 122.6 Transient Tachypnea of the Newborn Keywords Bibliography 122.7 Aspiration of Foreign Material (Fetal Aspiration Syndrome, Aspiration Pneumonia) Keywords 122.8 Meconium Aspiration Keywords Clinical Manifestations Prevention Treatment Prognosis Bibliography 122.9 Persistent Pulmonary Hypertension of the Newborn (Persistent Fetal Circulation) Keywords Pathophysiology Clinical Manifestations Diagnosis Treatment Prognosis Bibliography 122.10 Diaphragmatic Hernia Keywords Congenital Diaphragmatic Hernia (Bochdalek) Pathology and Etiology Epidemiology Diagnosis and Clinical Presentation Treatment Initial Management Ventilation Strategies Extracorporeal Membrane Oxygenation Novel Strategies for Infants With Congenital Diaphragmatic Hernia Surgical Repair Outcome and Long-Term Survival Bibliography 122.11 Foramen of Morgagni Hernia 122.12 Paraesophageal Hernia 122.13 Eventration Bibliography 122.14 Extrapulmonary Air Leaks: Pneumothorax, Pneumomediastinum, Pulmonary Interstitial Emphysema, Pneumopericardium Keywords Etiology and Pathophysiology Clinical Manifestations Diagnosis Treatment Bibliography 122.15 Pulmonary Hemorrhage Keywords Bibliography Chapter 123 - Digestive System Disorders 123 Digestive System Disorders 123.1 Meconium Ileus, Peritonitis, and Intestinal Obstruction Keywords Meconium Plugs Meconium Ileus Meconium Peritonitis Bibliography 123.2 Necrotizing Enterocolitis Keywords Pathology and Pathogenesis Clinical Manifestations Diagnosis Treatment Prognosis Prevention Bibliography 123.3 Jaundice and Hyperbilirubinemia in the Newborn Keywords Etiology Clinical Manifestations Differential Diagnosis Physiologic Jaundice (Icterus Neonatorum) Pathologic Hyperbilirubinemia Jaundice Associated With Breastfeeding Neonatal Cholestasis Congenital Atresia of the Bile Ducts Bibliography 123.4 Kernicterus Keywords Clinical Manifestations Incidence and Prognosis Prevention Treatment of Hyperbilirubinemia Phototherapy Intravenous Immune Globulin Metalloporphyrins Exchange Transfusion Bibliography Chapter 124 - Blood Disorders 124 Blood Disorders 124.1 Anemia in the Newborn Infant Keywords Normal Hematocrit and Hemoglobin Concentrations in Newborn Infants Classification of Anemia and Diagnostic Evaluation Red Blood Cell Loss Red Blood Cell Destruction Red Blood Cell Production Treatment Options for Neonatal Anemia Packed Red Blood Cell Transfusions Erythropoietin Bibliography 124.2 Hemolytic Disease of the Fetus and Newborn Keywords Hemolytic Disease Caused by Rh Incompatibility Pathogenesis Clinical Manifestations Laboratory Data Diagnosis Antenatal Diagnosis Postnatal Diagnosis Treatment Treatment of the Unborn Fetus Treatment of the Liveborn Infant Exchange Transfusion Procedure Intravenous Immune Globulin Late Complications Prevention of Rh Sensitization Hemolytic Disease Caused by Blood Group A and B Incompatibility Clinical Manifestations Diagnosis Treatment Other Forms of Hemolytic Disease Bibliography 124.3 Neonatal Polycythemia Keywords Bibliography 124.4 Hemorrhage in the Newborn Infant Keywords Vitamin K Deficiency Bleeding Disseminated Intravascular Coagulopathy Neonatal Thrombocytopenia Bibliography 124.5 Nonimmune Hydrops Keywords Bibliography Chapter 125 - The Umbilicus 125 The Umbilicus Keywords Umbilical Cord Hemorrhage Granuloma Infections Umbilical Hernia Congenital Omphalocele Tumors Bibliography Chapter 126 - Abstinence Syndromes 126 Abstinence Syndromes 126.1 Neonatal Abstinence (Withdrawal) Keywords Treatment Bibliography 126.2 Maternal Selective Serotonin Reuptake Inhibitors and Neonatal Behavioral Syndromes Keywords Bibliography 126.3 Fetal Alcohol Exposure Keywords Epidemiology Diagnostic Criteria Clinical Features Interventions and Treatment Outcomes The Pediatrician’s Role Bibliography Chapter 127 - The Endocrine System 127 The Endocrine System Keywords 127.1 Infants of Diabetic Mothers Keywords Pathophysiology Clinical Manifestations Treatment Prognosis Bibliography Bibliography Chapter 128 - Dysmorphology 128 Dysmorphology Keywords Classification of Birth Defects Malformations and Dysplasias Deformations Disruptions Multiple Anomalies: Syndromes and Sequences Molecular Mechanisms of Malformations Inborn Errors of Development Sonic Hedgehog Pathway As Model Cytogenetic Aberrations and Chromosomal Imbalance Approach to the Dysmorphic Child Medical History Physical Examination Imaging Studies Diagnosis Laboratory Studies and Genetic Testing Management and Counseling Bibliography Chapter 129 - Epidemiology of Infections 129 Epidemiology of Infections Keywords Incidence and Epidemiology Early- and Late-Onset Neonatal Infections Pathogenesis Early-Onset Infections Late-Onset Infections Infection in Premature Infants Clinical Manifestations Bacterial Sepsis Systemic Inflammatory Response Syndrome Temperature Instability Respiratory and Cardiovascular Symptoms Conjunctivitis Skin and Soft Tissue Infection Omphalitis Tetanus Laboratory Findings General Approach to Management Prevention Bibliography Chapter 130 - Healthcare-Acquired Infections 130 Healthcare-Acquired Infections Keywords Incidence Epidemiology Pathogenesis Types of Infection Central Line–Associated Bloodstream Infection Healthcare-Associated Pneumonia Skin and Soft Tissue Infection Invasive Fungal Infection Viral Infection Prevention Hand Hygiene Central Line–Associated Bloodstream Infection Ventilator-Associated Pneumonia Early Feeding and Human Milk Antifungal Prophylaxis Nasal Decolonization Bibliography Chapter 131 - Congenital and Perinatal Infections 131 Congenital and Perinatal Infections Keywords 131.1 Congenital Infections General Approach Pathogenesis Clinical Manifestations Diagnosis During Pregnancy Newborn Infant Specific Infectious Agents Bacteria Viruses Parasite 131.2 Perinatal Infections General Approach Pathogenesis Clinical Manifestations Specific Infectious Agents Bacteria Viruses Fungi Diagnosis Bibliography 12- XII Adolescent Medicine Chapter 132 - Adolescent Physical and Social Development XII Adolescent Medicine 132 Adolescent Physical and Social Development Keywords Physical Development Sexual Development Somatic Growth Neurologic, Cognitive, and Moral Development Psychosocial Development Implications for Providers, Parents, and Policymakers Bibliography Chapter 133 - Gender and Sexual Identity 133 Gender and Sexual Identity Keywords Terms and Definitions Sex and Sexual Identity Sex Assigned at Birth Gender Terms Sexual Orientation and Behavior Transgender Factors That Influence Sexual Identity Development Nonconformity in Gender Expression Among Children and Adolescents Prevalence Etiology of Gender-Nonconforming Behavior Stigma, Stigma Management, and Advocacy Transgender and Gender-Nonconforming Identities Among Children and Adolescents Prevalence Etiology of Transgender or Gender-Nonconforming Identities Clinical Presentation The Diagnosis of Gender Dysphoria: Criteria and Critique Transgender Identity Development Interventions and Treatment Bibliography Chapter 134 - Gay, Lesbian, and Bisexual Adolescents 134 Gay, Lesbian, and Bisexual Adolescents Keywords Prevalence of Homosexuality and Bisexuality in Youth Development of Sexual Orientation in Childhood and Adolescence Stigma, Risk, and Resilience Health Depression and Suicidality Sexually Transmitted Infections Substance Abuse Obesity and Disordered Eating Psychosocial Problems Recommendations for Care Evaluation Medical and Sexual Health Mental Health Bibliography Chapter 135 - Transgender Care 135 Transgender Care Keywords Cultural and Clinical Competence Gender Literacy Assessment Treatment Families Bibliography Chapter 136 - The Epidemiology of Adolescent Health Problems 136 The Epidemiology of Adolescent Health Problems Keywords Access to Healthcare Bibliography Chapter 137 - Delivery of Healthcare to Adolescents 137 Delivery of Healthcare to Adolescents Keywords 137.1 Legal Issues Bibliography 137.2 Screening Procedures Interviewing the Adolescent Psychosocial Assessment Physical Examination Vision Testing Audiometry Blood Pressure Determination Scoliosis Breast Examination Scrotum Examination Pelvic Examination Laboratory Testing Bibliography Bibliography Chapter 138 - Transitioning to Adult Care 138 Transitioning to Adult Care Keywords Bibliography Chapter 139 - Violent Behavior 139 Violent Behavior Keywords Epidemiology Etiology Clinical Manifestations Diagnosis Treatment Prevention Bibliography Chapter 140 - Substance Abuse 140 Substance Abuse Keywords Etiology Epidemiology Clinical Manifestations Screening for Substance Abuse Disorders Diagnosis Complications Treatment Prognosis Prevention 140.1 Alcohol Pharmacology and Pathophysiology Clinical Manifestations Diagnosis Treatment Bibliography 140.2 Tobacco and Electronic Nicotine Delivery Systems Keywords Cigarettes Pharmacology Clinical Manifestations Electronic Cigarettes (E-Cigarettes) Hookah Treatment Bibliography 140.3 Marijuana Keywords Clinical Manifestations Synthetic Marijuana Bibliography 140.4 Inhalants Keywords Clinical Manifestations Complications Diagnosis Treatment Bibliography 140.5 Hallucinogens Keywords Lysergic Acid Diethylamide Clinical Manifestations Treatment Methylenedioxymethamphetamine Clinical Manifestations Phencyclidine Clinical Manifestations Treatment Bibliography 140.6 Cocaine Clinical Manifestations Treatment Bibliography 140.7 Amphetamines Clinical Manifestations Treatment Bibliography 140.8 Stimulant Abuse and Diversion Clinical Manifestations Treatment Bibliography 140.9 Opiates Clinical Manifestations Withdrawal Overdose Syndrome Treatment Bibliography 140.10 Bath Salts Clinical Manifestations Treatment Bibliography Bibliography Chapter 141 - The Breast 141 The Breast Keywords Female Disorders Male Disorders Bibliography Chapter 142 - Menstrual Problems 142 Menstrual Problems Keywords Normal Menstruation Menstrual Irregularities 142.1 Amenorrhea Keywords History and Physical Examination Laboratory Studies Treatment Bibliography 142.2 Abnormal Uterine Bleeding Keywords Irregular Menstrual Bleeding Heavy and Prolonged Menstrual Bleeding Laboratory Findings Treatment Bibliography 142.3 Dysmenorrhea Keywords Bibliography 142.4 Premenstrual Syndrome and Premenstrual Dysphoric Disorder Keywords Bibliography Bibliography Chapter 143 - Contraception 143 Contraception Keywords Contraceptive Effectiveness 143.1 Contraceptive Use Keywords Sexual Activity Use of Contraception Among Teens Bibliography 143.2 Contraceptive Counseling Keywords Bibliography 143.3 Long-Acting Reversible Contraception Keywords Intrauterine Devices Implants Bibliography 143.4 Other Progestin-Only Methods Keywords Depo-Provera Progestin-Only Pills Bibliography 143.5 Combined Hormonal Contraceptives Keywords Combined Oral Contraceptives Transdermal Patch Vaginal Ring Contraindications Bibliography 143.6 Emergency Contraception Keywords Copper IUD Ulipristal Acetate Levonorgestrel Bibliography 143.7 Dual Protection Keywords Condoms Bibliography 143.8 Other Barrier Methods Keywords Diaphragm, Cervical Cap, and Sponge 143.9 Other Contraceptive Methods Keywords Spermicides Withdrawal Fertility Awareness–Based Methods Lactational Amenorrhea Method Bibliography Chapter 144 - Adolescent Pregnancy 144 Adolescent Pregnancy Keywords Epidemiology Etiology Clinical Manifestations Diagnosis Pregnancy Counseling and Initial Management The Importance of Prevention Adolescent Fathers Medical Complications of Mothers and Babies Psychosocial Outcomes/Risks for Mother and Child Educational Issues Substance Use Repeat Pregnancy Children Born to Teen Mothers Prevention of Teen Pregnancies Bibliography Chapter 145 - Adolescent Sexual Assault 145 Adolescent Sexual Assault Keywords Epidemiology Types of Rape Clinical Manifestations Interview and Physical Examination Laboratory Data Treatment Prevention Bibliography Chapter 146 - Sexually Transmitted Infections 146 Sexually Transmitted Infections Keywords Etiology Epidemiology Pathogenesis Screening Common Infections and Clinical Manifestations Urethritis Epididymitis Vaginitis Cervicitis Pelvic Inflammatory Disease Genital Ulcer Syndromes Genital Lesions and Ectoparasites HIV Disease and Hepatitis B Diagnosis Treatment Prevention Bibliography Chapter 147 - Chronic Overlapping Pain Conditions 147 Chronic Overlapping Pain Conditions Keywords Prevalence Symptom/Disorder Overlap Psychiatric Comorbidities Predisposing Factors Natural History Proposed Pathophysiology Treatment 147.1 Chronic Fatigue Syndrome Keywords Epidemiology Pathogenesis Clinical Manifestations Diagnosis Management Prognosis Bibliography Bibliography 13- XIII Immunology Chapter 148 - Evaluation of Suspected Immunodeficiency XIII Immunology 1 Evaluation of the Immune System 148 Evaluation of Suspected Immunodeficiency Keywords Advanced Testing Bibliography Chapter 149 - Lymphocyte Development and Function 2 The T-, B-, and NK-Cell Systems 149 Lymphocyte Development and Function Keywords Lymphopoiesis in the Fetus T-Cell Development and Differentiation B-Cell Development and Differentiation Natural Killer–Cell Development Lymphocyte Choreography Postnatal Lymphocyte Behavior Lymphoid Organ Development Inheritance of Abnormalities in T-, B-, and NK-Cell Development Bibliography Chapter 150 - Primary Defects of Antibody Production 150 Primary Defects of Antibody Production Keywords X-Linked Agammaglobulinemia Genetics and Pathogenesis Clinical Manifestations Diagnosis Common Variable Immunodeficiency Genetics and Pathogenesis Clinical Manifestations Selective IgA Deficiency Clinical Manifestations IgG Subclass Deficiencies Immunoglobulin Heavy- and Light-Chain Deletions Transient Hypogammaglobulinemia of Infancy Class Switch Defects X-Linked Hyper-IgM Caused by Mutations in CD40 Ligand Gene Genetics and Pathogenesis Clinical Manifestations Treatment Autosomal Recessive Hyper-IgM Genetics and Pathogenesis Clinical Manifestations Treatment and Prognosis X-Linked Lymphoproliferative Disease Genetics and Pathogenesis Clinical Manifestations 150.1 Treatment of B-Cell Defects Bibliography Bibliography Chapter 151 - Primary Defects of Cellular Immunity 151 Primary Defects of Cellular Immunity Keywords Chromosome 22Q11.2 Deletion Syndrome Genetics and Pathogenesis Clinical Manifestations Treatment T-Cell Activation Defects Chronic Mucocutaneous Candidiasis Autoimmune Polyendocrinopathy- Candidiasis–Ectodermal Dysplasia Bibliography Chapter 152 - Immunodeficiencies Affecting Multiple Cell Types 152 Immunodeficiencies Affecting Multiple Cell Types 152.1 Severe Combined Immunodeficiency Keywords Pathogenesis Clinical Manifestations Treatment Genetics Bibliography 152.2 Combined Immunodeficiency Keywords Cartilage-Hair Hypoplasia Genetics and Pathogenesis Clinical Manifestations Wiskott-Aldrich Syndrome Genetics and Pathogenesis Clinical Manifestations Treatment Ataxia-Telangiectasia Genetics and Pathogenesis Clinical Manifestations Autosomal Dominant Hyper-IgE Syndrome Genetics and Pathogenesis Clinical Manifestations DOCK8 Deficiency Bibliography 152.3 Defects of Innate Immunity Keywords Interferon-γ Receptors 1 and 2, IL-12 Receptor β1, and IL-12P40 Defects Pathogenesis Clinical Manifestations IL-1R–Associated Kinase 4 Deficiency and Myeloid Differentiation Factor 88 Pathogenesis Clinical Manifestations Natural Killer Cell Deficiency Defects in Innate Responses to Viral Infection Defects in Innate Responses to Fungi Bibliography 152.4 Treatment of Cellular or Combined Immunodeficiency 152.5 Immune Dysregulation With Autoimmunity or Lymphoproliferation Keywords Autoimmune Lymphoproliferative Syndrome Clinical Manifestations Diagnosis Treatment Immune Dysregulation, Polyendocrinopathy, Enteropathy, X-Linked Syndrome Clinical Manifestations Treatment Cytotoxic T-Lymphocyte Antigen 4 (CTLA4) Deficiency Lipopolysaccharide (Lps)-Responsive Beige-Like Anchor Protein (LRBA) Deficiency Activated Phosphoinositide 3-Kinase (PI3K) δ Syndromes Signal Transducer and Activator of Transcription (STAT) Pathway Defects Nuclear Factor-κB Pathway Defects Tetratricopeptide Repeat Domain 7A (TTC7A) Deficiency Deficiency of Adenosine Deaminase 2 (DADA2) Bibliography Chapter 153 - Neutrophils 3 The Phagocytic System 153 Neutrophils Keywords The Phagocytic Inflammatory Response Hematopoiesis Neutrophil Maturation and Kinetics Neutrophil Function Bibliography Chapter 154 - Monocytes, Macrophages, and Dendritic Cells 154 Monocytes, Macrophages, and Dendritic Cells Keywords Development Activation Functional Activities Dendritic Cells Abnormalities of Monocyte-Macrophage or Dendritic Cell Function Bibliography Chapter 155 - Eosinophils 155 Eosinophils Keywords Diseases Associated With Eosinophilia Allergic Diseases Infectious Diseases Hypereosinophilic Syndrome Miscellaneous Diseases Bibliography Chapter 156 - Disorders of Phagocyte Function 156 Disorders of Phagocyte Function Keywords Leukocyte Adhesion Deficiency Genetics and Pathogenesis Clinical Manifestations Laboratory Findings Treatment Prognosis Chédiak-Higashi Syndrome Genetics and Pathogenesis Clinical Manifestations Laboratory Findings Treatment Myeloperoxidase Deficiency Clinical Manifestations Laboratory Findings Treatment Chronic Granulomatous Disease Genetics and Pathogenesis Clinical Manifestations Laboratory Findings Treatment Genetic Counseling Prognosis Bibliography Chapter 157 - Leukopenia 157 Leukopenia Keywords Neutropenia Clinical Manifestations of Neutropenia Laboratory Findings Acquired Neutropenia Infection-Related Neutropenia Drug-Induced Neutropenia Nutrition-Related Neutropenia Immune-Mediated Neutropenia Neutropenia Secondary to Bone Marrow Replacement Neutropenia Secondary to Reticuloendothelial Sequestration Inherited Neutropenia Primary Disorders of Granulocytopoiesis Disorders of Molecular Processing Vesicular Trafficking Disorders Disorders of Metabolism Neutropenia in Disorders of Immune Dysfunction Unclassified Neutropenic Disorders Treatment Lymphopenia Acquired Lymphopenia Inherited Lymphopenia Bibliography Chapter 158 - Leukocytosis 158 Leukocytosis Keywords Neutrophilia Acute Acquired Neutrophilia Chronic Acquired Neutrophilia Lifelong Neutrophilia Additional Forms of Leukocytosis Monocytosis Eosinophilia Basophilia Lymphocytosis Bibliography Chapter 159 - Complement Components and Pathways 4 The Complement System 159 Complement Components and Pathways Keywords Classical and Lectin Pathways Alternative Pathway Membrane Attack Complex Control Mechanisms Participation in Host Defense Bibliography Chapter 160 - Disorders of the Complement System 160 Disorders of the Complement System 160.1 Evaluation of the Complement System Keywords Bibliography 160.2 Genetic Deficiencies of Complement Components Keywords Bibliography 160.3 Deficiencies of Plasma, Membrane, or Serosal Complement Control Proteins Keywords Bibliography 160.4 Secondary Disorders of Complement Keywords Bibliography 160.5 Treatment of Complement Disorders Keywords Bibliography Chapter 161 - Principles and Clinical Indications of Hematopoietic Stem Cell Transplantation 5 Hematopoietic Stem Cell Transplantation 161 Principles and Clinical Indications of Hematopoietic Stem Cell Transplantation Keywords HSCT From an HLA-Identical Sibling Donor Acute Lymphoblastic Leukemia Acute Myeloid Leukemia Chronic Myelogenous Leukemia Juvenile Myelomonocytic Leukemia Myelodysplastic Syndromes Other Than Juvenile Myelomonocytic Leukemia Non-Hodgkin Lymphoma and Hodgkin Disease Acquired Aplastic Anemia Inherited Bone Marrow Failure Syndromes Thalassemia Sickle Cell Disease Immunodeficiency Disorders Inherited Metabolic Diseases Bibliography Chapter 162 - Hematopoietic Stem Cell Transplantation From Alternative Sources and Donors 162 Hematopoietic Stem Cell Transplantation From Alternative Sources and Donors Keywords Unrelated Donor Transplants Umbilical Cord Blood Transplants Haploidentical Transplants Donor Versus Recipient NK-Cell Alloreactivity Autologous Hematopoietic Stem Cell Transplantation Bibliography Chapter 163 - Graft-Versus-Host Disease, Rejection, and Venoocclusive Disease 163 Graft-Versus-Host Disease, Rejection, and Venoocclusive Disease Keywords Acute Graft-Versus-Host Disease Chronic Graft-Versus-Host Disease Graft Failure Venoocclusive Disease Bibliography Chapter 164 - Infectious Complications of Hematopoietic Stem Cell Transplantation 164 Infectious Complications of Hematopoietic Stem Cell Transplantation Keywords Bibliography Chapter 165 - Late Effects of Hematopoietic Stem Cell Transplantation 165 Late Effects of Hematopoietic Stem Cell Transplantation Keywords Endocrine Effects Cardiovascular Effects Secondary Malignancy Graft-Versus-Host Disease Other Effects Special Considerations Bibliography Volume 2 - Nelson Textbook of Pediatrics 21th ed 2020 Original PDF.pdf (p.1909-3690) cover Contents 14- XIV Allergic Disorders Chapter 166 - Allergy and the Immunologic Basis of Atopic Disease XIV Allergic Disorders 166 Allergy and the Immunologic Basis of Atopic Disease Keywords Key Elements of Allergic Diseases Allergens T Cells Innate Lymphoid Cells Antigen-Presenting Cells Immunoglobulin E and Its Receptors Eosinophils Mast Cells Mechanisms of Allergic Tissue Inflammation Genetic Basis of Atopy Bibliography Chapter 167 - Diagnosis of Allergic Disease 167 Diagnosis of Allergic Disease Keywords Allergy History Physical Examination Diagnostic Testing In Vitro Tests In Vivo Tests Bibliography Chapter 168 - Allergic Rhinitis 168 Allergic Rhinitis Keywords Etiology and Classification Pathogenesis Clinical Manifestations Differential Diagnosis Complications Laboratory Findings Treatment Prognosis Bibliography Chapter 169 - Childhood Asthma 169 Childhood Asthma Keywords Etiology Genetics Environment Epidemiology Types of Childhood Asthma Pathogenesis Clinical Manifestations and Diagnosis Differential Diagnosis Laboratory Findings Pulmonary Function Testing Exhaled Nitric Oxide (FeNO) Radiology Treatment Component 1: Regular Assessment and Monitoring Component 2: Patient Education Adherence Component 3: Control of Factors Contributing to Asthma Severity Eliminating and Reducing Problematic Environmental Exposures Treating Comorbid Conditions Component 4: Principles of Asthma Pharmacotherapy “Step-Up, Step-Down” Approach Referral to Asthma Specialist Long-Term Controller Medications Inhaled Corticosteroids Systemic Corticosteroids Long-Acting Inhaled β-Agonists Combination ICS/LABA Therapy Leukotriene-Modifying Agents Nonsteroidal Antiinflammatory Agents Long-Acting Inhaled Anticholinergics Allergen Immunotherapy Biologic Therapies Omalizumab (Anti-IgE Antibody). Mepolizumab (Anti–IL-5 Antibody). Dupilumab (Anti–IL-4 Receptor α Antibody). Quick-Reliever Medications Short-Acting Inhaled β-Agonists Anticholinergic Agents Delivery Devices and Inhalation Technique Asthma Exacerbations and Their Management Home Management of Asthma Exacerbations Emergency Department Management of Asthma Exacerbations Hospital Management of Asthma Exacerbations Special Management Circumstances Management of Infants and Young Children Asthma Management During Surgery Prognosis Prevention Bibliography Chapter 170 - Atopic Dermatitis (Atopic Eczema) 170 Atopic Dermatitis (Atopic Eczema) Keywords Etiology Pathology Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Treatment Cutaneous Hydration Topical Corticosteroids Topical Calcineurin Inhibitors Phosphodiesterase Inhibitor Tar Preparations Antihistamines Systemic Corticosteroids Cyclosporine Dupilumab Antimetabolites Phototherapy Unproven Therapies Interferon-γ Omalizumab Allergen Immunotherapy Probiotics Chinese Herbal Medications Vitamin D Avoiding Triggers Irritants Foods Aeroallergens Infections Complications Prognosis Prevention Bibliography Chapter 171 - Insect Allergy 171 Insect Allergy Keywords Etiology Pathogenesis Clinical Manifestations Diagnosis Treatment Venom Immunotherapy Inhalant Allergy Prevention Bibliography Chapter 172 - Ocular Allergies 172 Ocular Allergies Keywords Clinical Manifestations Allergic Conjunctivitis Vernal Keratoconjunctivitis Atopic Keratoconjunctivitis Giant Papillary Conjunctivitis Contact Allergy Diagnosis Treatment Bibliography Chapter 173 - Urticaria (Hives) and Angioedema 173 Urticaria (Hives) and Angioedema Keywords Etiology and Pathogenesis Physical Urticaria Cold-Dependent Disorders Cholinergic Urticaria Dermatographism Pressure-Induced Urticaria and Angioedema Solar Urticaria Aquagenic Urticaria Chronic Idiopathic Urticaria and Angioedema Diagnosis Treatment Hereditary Angioedema Bibliography Chapter 174 - Anaphylaxis 174 Anaphylaxis Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis Treatment Prevention Bibliography Chapter 175 - Serum Sickness 175 Serum Sickness Keywords Etiology Pathogenesis Clinical Manifestations Differential Diagnosis Diagnosis Treatment Prevention Bibliography Chapter 176 - Food Allergy and Adverse Reactions to Foods 176 Food Allergy and Adverse Reactions to Foods Keywords Genetics Pathogenesis Clinical Manifestations Gastrointestinal Manifestations Skin Manifestations Respiratory Manifestations Anaphylaxis Diagnosis Treatment Prevention Bibliography Chapter 177 - Adverse Reactions to Drugs 177 Adverse Reactions to Drugs Keywords Epidemiology Pathogenesis and Clinical Manifestations Drug Metabolism and Adverse Reactions Risk Factors for Hypersensitivity Reactions Diagnosis Treatment β-Lactam Hypersensitivity Sulfonamides Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis Hypersensitivity to Antiretroviral Agents Chemotherapeutic Agents Biologics Vaccines Perioperative Agents Local Anesthetics Insulin Drug-Induced Hypersensitivity Syndrome Red Man Syndrome Radiocontrast Media Narcotic Analgesics Aspirin and Nonsteroidal Antiinflammatory Drugs Bibliography 15- XV Rheumatic Diseases of Childhood (Connective Tissue Disease, Collagen Vascular Diseases) Chapter 178 - Evaluation of Suspected Rheumatic Disease XV Rheumatic Diseases of Childhood (Connective Tissue Disease, Collagen Vascular Diseases) 178 Evaluation of Suspected Rheumatic Disease Keywords Symptoms Suggestive of Rheumatic Disease Signs Suggestive of Rheumatic Disease Laboratory Testing Imaging Studies Bibliography Chapter 179 - Treatment of Rheumatic Diseases 179 Treatment of Rheumatic Diseases Keywords Pediatric Rheumatology Teams and Primary Care Physicians Therapeutics Nonsteroidal Antiinflammatory Drugs Nonbiologic Disease-Modifying Antirheumatic Drugs Methotrexate Hydroxychloroquine Leflunomide Sulfasalazine Mycophenolate Mofetil Glucocorticoids Biologic Agents Tumor Necrosis Factor-α Antagonists Modulator of T-Cell Activation B-Cell Depletion Interleukin-1 Antagonists Interleukin-6 Receptor Antagonist Intravenous Immune Globulin Cytotoxics Cyclophosphamide Other Drugs Bibliography Chapter 180 - Juvenile Idiopathic Arthritis 180 Juvenile Idiopathic Arthritis Keywords Epidemiology Etiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Laboratory Findings Treatment Prognosis Bibliography Chapter 181 - Ankylosing Spondylitis and Other Spondyloarthritides 181 Ankylosing Spondylitis and Other Spondyloarthritides Keywords Epidemiology Etiology and Pathogenesis Clinical Manifestations and Diagnosis Enthesitis-Related Arthritis Psoriatic Arthritis Juvenile Ankylosing Spondylitis Arthritis With Inflammatory Bowel Disease Laboratory Findings Imaging Differential Diagnosis Treatment Prognosis Bibliography Chapter 182 - Reactive and Postinfectious Arthritis 182 Reactive and Postinfectious Arthritis Keywords Pathogenesis Clinical Manifestations and Differential Diagnosis Diagnosis Treatment Complications and Prognosis Bibliography Chapter 183 - Systemic Lupus Erythematosus 183 Systemic Lupus Erythematosus Keywords Etiology Epidemiology Pathology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Laboratory Findings Treatment Complications Prognosis 183.1 Neonatal Lupus Keywords Bibliography Bibliography Chapter 184 - Juvenile Dermatomyositis 184 Juvenile Dermatomyositis Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Laboratory Findings Treatment Complications Prognosis Bibliography Chapter 185 - Scleroderma and Raynaud Phenomenon 185 Scleroderma and Raynaud Phenomenon Keywords Etiology and Pathogenesis Classification Epidemiology Clinical Manifestations Localized Scleroderma Systemic Scleroderma Raynaud Phenomenon Diagnosis Differential Diagnosis Laboratory Findings Treatment Prognosis Bibliography Chapter 186 - Behçet Disease 186 Behçet Disease Keywords Epidemiology Etiology and Pathogenesis Clinical Manifestations and Diagnosis Treatment and Prognosis Bibliography Chapter 187 - Sjögren Syndrome 187 Sjögren Syndrome Keywords Epidemiology Etiology and Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Treatment Complications and Prognosis Bibliography Chapter 188 - Hereditary Periodic Fever Syndromes and Other Systemic Autoinflammatory Diseases 188 Hereditary Periodic Fever Syndromes and Other Systemic Autoinflammatory Diseases Keywords Classification of Autoinflammatory Disorders Autoinflammatory Diseases With Periodic or Prominent Fevers Familial Mediterranean Fever Hyperimmunoglobulinemia D With Periodic Fever Syndrome Tumor Necrosis Factor Receptor–Associated Periodic Syndrome Cryopyrin-Associated Periodic Fever Syndromes Other Mendelian Autoinflammatory Diseases Syndrome of Pyogenic Arthritis With Pyoderma Gangrenosum and Acne Deficiency of Interleukin-1 Receptor Antagonist Blau Syndrome Autoinflammation With Phospholipase Cγ2–Associated Antibody Deficiency and Immune Dysregulation Deficiency of Adenosine Deaminase 2 Sideroblastic Anemia With Immunodeficiency, Fevers, and Development Delay Deficiency of Interleukin-36 Receptor Antagonist (DITRA) Familial Cold Autoinflammatory Syndrome Type 2 Autoinflammation With Enterocolitis Majeed Syndrome Interferonopathies Chronic Atypical Neutrophilic Dermatosis With Lipodystrophy and Elevated Temperature STING-Associated Vasculopathy With Onset in Infancy Genetically Complex Autoinflammatory Diseases Periodic Fever, Aphthous Stomatitis, Pharyngitis, and Adenitis Chronic Recurrent Multifocal Osteomyelitis Bibliography Chapter 189 - Amyloidosis 189 Amyloidosis Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Laboratory Findings Treatment Prognosis Prevention Bibliography Chapter 190 - Sarcoidosis 190 Sarcoidosis Keywords Etiology Epidemiology Pathology and Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis Differential Diagnosis Treatment Prognosis Bibliography Chapter 191 - Kawasaki Disease 191 Kawasaki Disease Keywords Etiology Epidemiology Pathology Clinical Manifestations Laboratory and Radiology Findings Diagnosis Differential Diagnosis Treatment Complications Prognosis Bibliography Chapter 192 - Vasculitis Syndromes 192 Vasculitis Syndromes Keywords 192.1 Henoch-Schönlein Purpura Epidemiology Pathology Pathogenesis Clinical Manifestations Diagnosis Laboratory Findings Treatment Complications Prognosis Bibliography 192.2 Takayasu Arteritis Epidemiology Pathology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Laboratory Findings Treatment Complications Prognosis Bibliography 192.3 Polyarteritis Nodosa and Cutaneous Polyarteritis Nodosa Epidemiology Pathology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Laboratory Findings Treatment Complications Prognosis Bibliography 192.4 Antineutrophilic Cytoplasmic Antibody–Associated Vasculitis Epidemiology Pathology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Laboratory Findings Treatment Complications Prognosis Bibliography 192.5 Other Vasculitis Syndromes Bibliography Bibliography Chapter 193 - Musculoskeletal Pain Syndromes 193 Musculoskeletal Pain Syndromes Keywords Clinical Manifestations Diagnosis and Differential Diagnosis Treatment Complications and Prognosis 193.1 Growing Pains Bibliography 193.2 Small Fiber Polyneuropathy Bibliography 193.3 Fibromyalgia Bibliography 193.4 Complex Regional Pain Syndrome Bibliography 193.5 Erythromelalgia Bibliography Bibliography Chapter 194 - Miscellaneous Conditions Associated With Arthritis 194 Miscellaneous Conditions Associated With Arthritis Keywords Relapsing Polychondritis Mucha-Habermann Disease/Pityriasis Lichenoides Et Varioliformis Acuta Sweet Syndrome Hypertrophic Osteoarthropathy Plant Thorn Synovitis Pigmented Villonodular Synovitis Bibliography 16- XVI Infectious Diseases Chapter 195 - Diagnostic Microbiology XVI Infectious Diseases 1 General Considerations 195 Diagnostic Microbiology Keywords Specimen Collection Laboratory Diagnosis of Bacterial and Fungal Infections Microscopy Isolation and Identification Blood Culture Cerebrospinal Fluid Culture Urine Culture Genital Culture Throat and Respiratory Culture Detection of Enteric Pathogens Culture of Other Fluids and Tissues Screening/Surveillance Cultures Antimicrobial Susceptibility Testing Fungal Cultures Point-of-Care Diagnostics Laboratory Detection of Parasitic Infections Serologic Diagnosis Laboratory Diagnosis of Viral Infections Specimens Antigen Detection Tests Viral Culture Molecular Diagnostics Bibliography Chapter 196 - The Microbiome and Pediatric Health 196 The Microbiome and Pediatric Health Keywords Measuring the Microbiome Early Childhood Development of the Microbiome The Microbiome and Physiologic Development Microbiome and Metabolism Microbiome, Inflammation, and Immunity Microbiome-Neurobiologic Connections Contributions of Microbiome to Disease Microbiome of Premature Birth Changes in the Microbiome With Necrotizing Enterocolitis Microbiome and Allergic Disorders Airway Microbiome of Cystic Fibrosis Microbiome During Antibiotic-Associated Diarrhea and Clostridium difficile Colitis Microbiome and Association With Inflammatory Bowel Disease Microbiome of Obesity Microbiome During Malnutrition Therapeutic Manipulation of the Microbiome Prebiotics Probiotics Bibliography Chapter 197 - Immunization Practices 2 Preventive Measures 197 Immunization Practices Keywords Passive Immunity Intramuscular Immunoglobulin Intravenous Immunoglobulin Subcutaneous Immunoglobulin Hyperimmune Animal Antisera Preparations Monoclonal Antibodies Active Immunization Vaccination System in the United States Vaccine Production Vaccine Policy Vaccine Financing Vaccine Safety Monitoring Vaccine Delivery Recommended Immunization Schedule Vaccines Recommended in Special Situations Precautions and Contraindications Medical Exemptions Improving Immunization Coverage Vaccine Hesitancy 197.1 International Immunization Practices Bibliography Bibliography Chapter 198 - Infection Prevention and Control 198 Infection Prevention and Control Keywords Hand Hygiene Standard Precautions Isolation Additional Measures Surgical Prophylaxis Employee Health Bibliography Chapter 199 - Childcare and Communicable Diseases 199 Childcare and Communicable Diseases Keywords Epidemiology Respiratory Tract Infections Gastrointestinal Tract Infections Skin Diseases Invasive Organisms Herpesviruses Bloodborne Pathogens Antibiotic Use and Bacterial Resistance Prevention Standards Bibliography Chapter 200 - Health Advice for Children Traveling Internationally 200 Health Advice for Children Traveling Internationally Keywords The Pediatric Travel Medicine Consultation Pediatric Travelers Visiting Friends and Relatives Safety and Preventive Counseling Topics Health and Evacuation Insurance, Underlying Health Conditions, and Medications Safety and Injury Prevention Animal Contact Routine Childhood Vaccinations Required for Pediatric Travel Diphtheria-Tetanus-Pertussis Haemophilus influenzae Type b Hepatitis A Hepatitis B Influenza and Avian Influenza Measles-Mumps-Rubella Pneumococcal Vaccines Polio Vaccine Varicella Specialized Pediatric Travel Vaccinations Cholera Hepatitis A Vaccination and Preexposure Immunoglobulin Japanese Encephalitis Meningococcal Vaccines Rabies Tuberculosis Typhoid Yellow Fever Traveler’s Diarrhea Guidance on Prevention of Traveler’s Diarrhea Management of Traveler’s Diarrhea Presumptive Antibiotic Treatment Insect-Borne Infections Malaria Chemoprophylaxis The Returning Traveler The Adolescent Traveler Bibliography Chapter 201 - Fever 201 Fever Keywords Pathogenesis Etiology Clinical Features Evaluation Management Bibliography Chapter 202 - Fever Without a Focus in the Neonate and Young Infant 202 Fever Without a Focus in the Neonate and Young Infant Keywords Etiology and Epidemiology Clinical Manifestations Diagnosis Viral Respiratory Illness Urinary Tract Infection and Bacterial Meningitis Laboratory Diagnosis Complete Blood Count Blood Culture Urinalysis Cerebrospinal Fluid Herpes Simplex Virus Testing Enterovirus Testing Other Diagnostic Studies Treatment Antimicrobials Discharge From the Hospital Prognosis Bibliography Chapter 203 - Fever in the Older Child 203 Fever in the Older Child Keywords Diagnosis Viral Infections Bacterial Infections Occult Urinary Tract Infection Occult Bacteremia General Approach Overall Appearance and Vital Signs Symptoms Physical Examination Evaluation Laboratory Testing Imaging Management General Management Principles Other Considerations Bibliography Chapter 204 - Fever of Unknown Origin 204 Fever of Unknown Origin Keywords Etiology Diagnosis History Physical Examination Laboratory Evaluation Management Prognosis Bibliography Chapter 205 - Infections in Immunocompromised Persons 205 Infections in Immunocompromised Persons Keywords 205.1 Infections Occurring With Primary Immunodeficiencies Abnormalities of the Phagocytic System Defective Splenic Function, Opsonization, or Complement Activity B Cell Defects (Humoral Immunodeficiencies) T Cell Defects (Cell-Mediated Immunodeficiencies) Combined B Cell and T Cell Defects Bibliography 205.2 Infections Occurring With Acquired Immunodeficiencies Acquired Immunodeficiency From Infectious Agents Malignancies Fever and Neutropenia Fever Without Neutropenia Transplantation Stem Cell Transplantation Pretransplantation Period Preengraftment Period Postengraftment Period Late Posttransplantation Period Solid-Organ Transplantation Timing Bacterial and Fungal Infections Viral Infections Opportunistic Pathogens Bibliography 205.3 Prevention of Infection in Immunocompromised Persons Bibliography Chapter 206 - Infection Associated With Medical Devices 206 Infection Associated With Medical Devices Keywords Intravascular Access Devices Catheter Types Catheter-Associated Skin and Soft Tissue Infection Catheter-Related Bloodstream Infection Prevention of Infection Cerebrospinal Fluid Shunts Prevention of Infection Urinary Catheters Prevention of Infection Peritoneal Dialysis Catheters Prevention of Infection Orthopedic Prostheses Bibliography Chapter 207 - Principles of Antibacterial Therapy 3 Antibiotic Therapy 207 Principles of Antibacterial Therapy Keywords Age- and Risk-Specific Use of Antibiotics in Children Neonates Older Children Immunocompromised and Hospitalized Patients Infections Associated With Medical Devices Antibiotics Commonly Used in Pediatric Practice Penicillins Cephalosporins Carbapenems Glycopeptides Aminoglycosides Tetracyclines Sulfonamides Macrolides Lincosamides Quinolones Streptogramins and Oxazolidinones Daptomycin Miscellaneous Agents Bibliography Chapter 208 - Staphylococcus 4 Gram-Positive Bacterial Infections 208 Staphylococcus Keywords 208.1 Staphylococcus aureus Etiology Epidemiology Pathogenesis Clinical Manifestations Newborn Skin Respiratory Tract Sepsis Muscle Bones and Joints Central Nervous System Heart Kidney Toxic Shock Syndrome Intestinal Tract Diagnosis Differential Diagnosis Treatment Prognosis Prevention Bibliography 208.2 Toxic Shock Syndrome Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Treatment Prevention Bibliography 208.3 Coagulase-Negative Staphylococci Epidemiology Pathogenesis Clinical Manifestations Bacteremia Endocarditis Central Venous Catheter Infection Cerebrospinal Fluid Shunts Urinary Tract Infection Diagnosis Treatment Prognosis Prevention Bibliography Chapter 209 - Streptococcus pneumoniae (Pneumococcus) 209 Streptococcus pneumoniae (Pneumococcus) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prognosis Prevention Bibliography Chapter 210 - Group A Streptococcus 210 Group A Streptococcus Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Respiratory Tract Infections Scarlet Fever Impetigo Erysipelas Perianal Dermatitis Vaginitis Severe Invasive Disease Diagnosis Differential Diagnosis Treatment Complications Poststreptococcal Reactive Arthritis Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcus pyogenes Prognosis Prevention 210.1 Rheumatic Fever Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations and Diagnosis The 5 Major Criteria Migratory Polyarthritis Carditis Chorea Erythema Marginatum Subcutaneous Nodules Minor Criteria Recent Group A Streptococcus Infection Differential Diagnosis Treatment Antibiotic Therapy Antiinflammatory Therapy Sydenham Chorea Complications Prognosis Prevention Primary Prevention Secondary Prevention Bibliography Bibliography Chapter 211 - Group B Streptococcus 211 Group B Streptococcus Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Laboratory Findings Treatment Prognosis Prevention Chemoprophylaxis Maternal Immunization Bibliography Chapter 212 - Non–Group A or B Streptococci 212 Non–Group A or B Streptococci Keywords Bibliography Chapter 213 - Enterococcus 213 Enterococcus Keywords Etiology Epidemiology Pathogenesis Antimicrobial Resistance Clinical Manifestations Neonatal Infections Infections in Older Children Treatment Vancomycin-Resistant Enterococci Prevention Bibliography Chapter 214 - Diphtheria (Corynebacterium diphtheriae) 214 Diphtheria (Corynebacterium diphtheriae) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Respiratory Tract Diphtheria Cutaneous Diphtheria Infection at Other Sites Diagnosis Complications Toxic Cardiomyopathy Toxic Neuropathy Treatment Supportive Care Prognosis Prevention Asymptomatic Case Contacts Asymptomatic Carriers Vaccine Bibliography Websites Chapter 215 - Listeria monocytogenes 215 Listeria monocytogenes Keywords Etiology Epidemiology Pathology Pathogenesis Clinical Manifestations Listeriosis in Pregnancy Neonatal Listeriosis Postneonatal Infections Diagnosis Differential Diagnosis Treatment Prognosis Prevention Bibliography Chapter 216 - Actinomyces 216 Actinomyces Keywords Etiology and Epidemiology Pathogenesis Diagnosis Clinical Manifestations Cervicofacial Actinomycosis Abdominal and Pelvic Actinomycosis Thoracic Actinomycosis Cerebral and Other Forms of Actinomycosis Differential Diagnosis Treatment Prognosis Bibliography Chapter 217 - Nocardia 217 Nocardia Keywords Etiology Epidemiology Pathogenesis Clinical and Radiographic Manifestations Diagnosis Treatment Prognosis Bibliography Chapter 218 - Neisseria meningitidis (Meningococcus) 5 Gram-Negative Bacterial Infections 218 Neisseria meningitidis (Meningococcus) Keywords Etiology Epidemiology Pathogenesis and Pathophysiology Immunity Host Factors Clinical Manifestations Diagnosis Differential Diagnosis Treatment Antibiotics Supportive Care Complications Prognosis Prevention Secondary Prevention Vaccination Bibliography Chapter 219 - Neisseria gonorrhoeae (Gonococcus) 219 Neisseria gonorrhoeae (Gonococcus) Keywords Etiology Epidemiology Pathogenesis and Pathology Clinical Manifestations Asymptomatic Gonorrhea Uncomplicated, Localized Gonorrhea Disseminated Gonococcal Infection Diagnosis Gram Stain and Culture Nucleic Acid Amplification Tests Treatment Complications Prevention Bibliography Chapter 220 - Kingella kingae 220 Kingella kingae Keywords Etiology Epidemiology Pathogenesis Clinical Disease Septic Arthritis Osteomyelitis Spondylodiscitis Occult Bacteremia Endocarditis Diagnosis Treatment Prevention Bibliography Chapter 221 - Haemophilus influenzae 221 Haemophilus influenzae Keywords Etiology Epidemiology Pathogenesis Antibiotic Resistance Immunity Diagnosis Clinical Manifestations and Treatment Meningitis Cellulitis Preseptal Cellulitis Orbital Cellulitis Supraglottitis or Acute Epiglottitis Pneumonia Suppurative Arthritis Pericarditis Bacteremia Without an Associated Focus Miscellaneous Infections Invasive Disease in Neonates Otitis Media Conjunctivitis Sinusitis Prevention Vaccine Prophylaxis Bibliography Chapter 222 - Chancroid (Haemophilus ducreyi) 222 Chancroid (Haemophilus ducreyi) Keywords Etiology and Epidemiology Clinical Manifestations Diagnosis Treatment Complications Bibliography Chapter 223 - Moraxella catarrhalis 223 Moraxella catarrhalis Keywords Etiology Epidemiology Pathogenesis of Infection Clinical Manifestations Acute Otitis Media Recurrent Otitis Media and Otitis Media With Effusion Sinusitis Bacteremia Diagnosis Treatment Prevention Bibliography Chapter 224 - Pertussis (Bordetella pertussis and Bordetella parapertussis) 224 Pertussis (Bordetella pertussis and Bordetella parapertussis) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Antibiotics Adjunct Therapies Isolation Care of Household and Other Close Contacts Complications Prevention DTaP Vaccines Tdap Vaccines Bibliography Chapter 225 - Salmonella 225 Salmonella Keywords 225.1 Nontyphoidal Salmonellosis Etiology Epidemiology Pathogenesis Clinical Manifestations Acute Enteritis Bacteremia Nontyphoidal Salmonella Bacteremia as Emerging Disease in Africa Nontyphoidal Salmonella Bacteremia in Other Geographic Regions Extraintestinal Focal Infections Chronic Salmonella Carriage Complications Diagnosis Treatment Prognosis Prevention Bibliography 225.2 Enteric Fever (Typhoid Fever) Etiology Epidemiology Pathogenesis Clinical Manifestations Complications Diagnosis Differential Diagnosis Treatment Prognosis Prevention Bibliography Chapter 226 - Shigella 226 Shigella Keywords Etiology Epidemiology Pathogenesis Immunity Clinical Manifestations and Complications Differential Diagnosis Diagnosis Treatment Prevention Bibliography Chapter 227 - Escherichia coli 227 Escherichia coli Keywords Enterotoxigenic Escherichia coli Enteroinvasive Escherichia coli Enteropathogenic Escherichia coli Shiga Toxin–Producing Escherichia coli Enteroaggregative Escherichia coli Diffusely Adherent Escherichia coli Enteroaggregative Hemorrhagic Escherichia coli Diagnosis Treatment Prevention of Illness Bibliography Chapter 228 - Cholera 228 Cholera Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Complications Treatment Prevention Bibliography Chapter 229 - Campylobacter 229 Campylobacter Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Acute Gastroenteritis Bacteremia Focal Extraintestinal Infections Perinatal Infections Diagnosis Complications Reactive Arthritis Guillain-Barré Syndrome Other Complications Treatment Prognosis Prevention Bibliography Chapter 230 - Yersinia 230 Yersinia 230.1 Yersinia enterocolitica Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Treatment Complications Prevention Bibliography 230.2 Yersinia pseudotuberculosis Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Treatment Complications Prevention Bibliography 230.3 Plague (Yersinia pestis) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Treatment Prevention Bibliography Chapter 231 - Aeromonas and Plesiomonas 231 Aeromonas and Plesiomonas Keywords 231.1 Aeromonas Etiology Epidemiology Pathogenesis Clinical Manifestations Enteritis Skin and Soft Tissue Infections Septicemia Other Infections Diagnosis Treatment Prevention Bibliography 231.2 Plesiomonas shigelloides Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Bibliography Chapter 232 - Pseudomonas, Burkholderia, and Stenotrophomonas 232 Pseudomonas, Burkholderia, and Stenotrophomonas 232.1 Pseudomonas aeruginosa Keywords Etiology Epidemiology Pathology Pathogenesis Clinical Manifestations Burns and Wound Infection Cystic Fibrosis Immunocompromised Persons Nosocomial Pneumonia Infants Diagnosis Treatment Supportive Care Prognosis Prevention Bibliography 232.2 Burkholderia cepacia Complex Keywords Burkholderia mallei (Glanders) Burkholderia pseudomallei (Melioidosis) Bibliography Burkholderia cepacia Complex Burkholderia mallei and B. pseudomallei 232.3 Stenotrophomonas Keywords Bibliography Chapter 233 - Tularemia (Francisella tularensis) 233 Tularemia (Francisella tularensis) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Treatment Prognosis Prevention Bibliography Chapter 234 - Brucella 234 Brucella Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Treatment Prognosis Prevention Bibliography Chapter 235 - Legionella 235 Legionella Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Pontiac Fever Diagnosis Treatment Prognosis Bibliography Chapter 236 - Bartonella 236 Bartonella 236.1 Cat-Scratch Disease (Bartonella henselae) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Laboratory Findings Treatment Complications Prognosis Prevention Bibliography 236.2 Bartonellosis (Bartonella bacilliformis) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prevention Bibliography 236.3 Trench Fever (Bartonella quintana) Keywords Etiology Epidemiology Clinical Manifestations Diagnosis Treatment Bibliography 236.4 Bacillary Angiomatosis and Bacillary Peliosis Hepatis (Bartonella henselae and Bartonella quintana) Keywords Bacillary Angiomatosis Bacillary Peliosis Bacteremia and Endocarditis Diagnosis Treatment Prevention Bibliography Bibliography Chapter 237 - Botulism (Clostridium botulinum) 6 Anaerobic Bacterial Infections 237 Botulism (Clostridium botulinum) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Treatment Supportive Care Complications Prognosis Prevention Bibliography Chapter 238 - Tetanus (Clostridium tetani) 238 Tetanus (Clostridium tetani) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Treatment Supportive Care Complications Prognosis Prevention Wound Management Bibliography Chapter 239 - Clostridium difficile Infection 239 Clostridium difficile Infection Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prognosis Prevention Bibliography Chapter 240 - Other Anaerobic Infections 240 Other Anaerobic Infections Keywords Clinical Manifestations Bacteremia Central Nervous System Upper Respiratory Tract Lower Respiratory Tract Intraabdominal Infection Genital Tract Skin and Soft Tissue Other Sites Diagnosis Treatment Common Anaerobic Pathogens Clostridium Myonecrosis (Gas Gangrene) Food Poisoning Bacteroides and Prevotella Fusobacterium Veillonella Anaerobic Cocci Bibliography Chapter 241 - Principles of Antimycobacterial Therapy 7 Mycobacterial Infections 241 Principles of Antimycobacterial Therapy Keywords Agents Used Against Mycobacterium Tuberculosis Commonly Used Agents Isoniazid Rifamycins Pyrazinamide Ethambutol Less Commonly Used Agents Aminoglycosides Cycloserine Ethionamide Fluoroquinolones Linezolid Paraaminosalicylic Acid Bedaquiline Fumarate Delamanid Agents Used Against Mycobacterium Leprae Dapsone Clofazimine Agents Used Against Nontuberculous Mycobacteria Cefoxitin Doxycycline Macrolides Trimethoprim-Sulfamethoxazole Bibliography Chapter 242 - Tuberculosis (Mycobacterium tuberculosis) 242 Tuberculosis (Mycobacterium tuberculosis) Keywords Etiology Clinical Stages Epidemiology Transmission Pathogenesis Immunity Clinical Manifestations Primary Pulmonary Disease Progressive Primary Pulmonary Disease Reactivation Tuberculosis Pleural Effusion Pericardial Disease Lymphohematogenous (Disseminated) Disease Upper Respiratory Tract Disease Lymph Node Disease Central Nervous System Disease Cutaneous Disease Bone and Joint Disease Abdominal and Gastrointestinal Disease Genitourinary Disease Pregnancy and the Newborn Perinatal Disease Disease in HIV-Infected Children Diagnostic Tools Tuberculin Skin Testing (TST) Interferon-γ Release Assay (IGRA) Mycobacterial Sampling, Susceptibility and Culture Nucleic Acid Amplification Tests Treatment Drug-Resistant Tuberculosis Corticosteroids Supportive Care Mycobacterium tuberculosis Infection Prevention Bacille Calmette-Guérin Vaccination Prevention of Perinatal Tuberculosis Bibliography Chapter 243 - Hansen Disease (Mycobacterium leprae) 243 Hansen Disease (Mycobacterium leprae) Keywords Microbiology Epidemiology Pathogenesis Disease Classification Clinical Manifestations Skin Involvement Nerve Involvement Other Organ Involvement Immunologic Reactions Diagnosis Treatment Leprosy Reactions Long-Term Complications Prevention Bibliography Chapter 244 - Nontuberculous Mycobacteria 244 Nontuberculous Mycobacteria Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Bibliography Chapter 245 - Syphilis (Treponema pallidum) 8 Spirochetal Infections 245 Syphilis (Treponema pallidum) Keywords Etiology Epidemiology Clinical Manifestations and Laboratory Findings Congenital Infection Diagnosis Congenital Syphilis Treatment Acquired Syphilis Syphilis in Pregnancy Congenital Syphilis Prevention Congenital Syphilis Bibliography Additional Websites Chapter 246 - Nonvenereal Treponemal Infections 246 Nonvenereal Treponemal Infections Keywords 246.1 Yaws (Treponema pertenue) Bibliography 246.2 Bejel (Endemic Syphilis; Treponema pallidum endemicum) Bibliography 246.3 Pinta (Treponema carateum) Bibliography Chapter 247 - Leptospira 247 Leptospira Keywords Etiology Epidemiology Pathology and Pathogenesis Clinical Manifestations Anicteric Leptospirosis Icteric Leptospirosis (Weil Syndrome) Diagnosis Treatment Prevention Bibliography Chapter 248 - Relapsing Fever (Borrelia) 248 Relapsing Fever (Borrelia) Keywords Etiology Epidemiology Pathology and Pathogenesis Clinical Manifestations Diagnosis Treatment Prognosis Prevention Bibliography Chapter 249 - Lyme Disease (Borrelia burgdorferi) 249 Lyme Disease (Borrelia burgdorferi) Keywords Etiology Epidemiology Transmission Pathology and Pathogenesis Clinical Manifestations Early Localized Disease Early Disseminated Disease Late Disease Congenital Lyme Disease Laboratory Findings Diagnosis Serology Treatment Prognosis Prevention Bibliography Chapter 250 - Mycoplasma pneumoniae 9 Mycoplasmal Infections 250 Mycoplasma pneumoniae Keywords The Organism Epidemiology Pathogenesis Clinical Manifestations Respiratory Tract Disease Extrapulmonary Disease Diagnosis Treatment Antimicrobial Therapy Adjunctive Therapy Prevention Bibliography Chapter 251 - Genital Mycoplasmas (Mycoplasma hominis, Mycoplasma genitalium, and Ureaplasma urealyticum) 251 Genital Mycoplasmas (Mycoplasma hominis, Mycoplasma genitalium, and Ureaplasma urealyticum) Keywords Etiology Epidemiology Transmission Pathogenesis Clinical Manifestations Intrauterine and Neonatal Infections Chorioamnionitis and Early Onset Infections Bronchopulmonary Dysplasia Central Nervous System Infections Genitourinary Infections Nongenital Infections Diagnosis Genital Tract Infection Neonates Treatment Adolescents and Adults Neonates Bibliography Chapter 252 - Chlamydia pneumoniae 10 Chlamydial Infections 252 Chlamydia pneumoniae Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prognosis Bibliography Chapter 253 - Chlamydia trachomatis 253 Chlamydia trachomatis 253.1 Trachoma Keywords Bibliography 253.2 Genital Tract Infections Keywords Epidemiology Clinical Manifestations Diagnosis Treatment Complications Prevention Bibliography 253.3 Conjunctivitis and Pneumonia in Newborns Keywords Epidemiology Inclusion Conjunctivitis Pneumonia Infections at Other Sites Diagnosis Treatment Prevention Bibliography 253.4 Lymphogranuloma Venereum Keywords Clinical Manifestations Diagnosis Treatment Bibliography Chapter 254 - Psittacosis (Chlamydia psittaci) 254 Psittacosis (Chlamydia psittaci) Keywords Etiology Epidemiology Clinical Manifestations Diagnosis Treatment Prognosis Prevention Bibliography Chapter 255 - Spotted Fever Group Rickettsioses 11 Rickettsial Infections 255 Spotted Fever Group Rickettsioses Keywords 255.1 Rocky Mountain Spotted Fever (Rickettsia rickettsii) Etiology Epidemiology Transmission Pathology and Pathogenesis Clinical Manifestations Other Laboratory Findings Diagnosis Differential Diagnosis Treatment Supportive Care Complications Prognosis Prevention Bibliography 255.2 Mediterranean Spotted Fever or Boutonneuse Fever (Rickettsia conorii) Etiology Epidemiology Transmission Pathology and Pathogenesis Clinical Manifestations and Laboratory Findings Diagnosis Differential Diagnosis Treatment and Supportive Care Complications Prevention Bibliography 255.3 Rickettsialpox (Rickettsia akari) and Flea-Borne Spotted Fever Bibliography Bibliography Chapter 256 - Scrub Typhus (Orientia tsutsugamushi) 256 Scrub Typhus (Orientia tsutsugamushi) Keywords Etiology Epidemiology Transmission Pathology and Pathogenesis Clinical Manifestations and Laboratory Findings Diagnosis and Differential Diagnosis Treatment and Supportive Care Complications Prevention Bibliography Chapter 257 - Typhus Group Rickettsioses 257 Typhus Group Rickettsioses Keywords 257.1 Murine (Endemic or Flea-Borne) Typhus (Rickettsia typhi) Keywords Etiology Epidemiology Transmission Pathology and Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Treatment Supportive Care Complications Prevention Bibliography 257.2 Epidemic (Louse-Borne) Typhus (Rickettsia prowazekii) Keywords Etiology Epidemiology Transmission Clinical Manifestations Treatment Prevention Bibliography Bibliography Chapter 258 - Ehrlichiosis and Anaplasmosis 258 Ehrlichiosis and Anaplasmosis Keywords Etiology Epidemiology Transmission Pathology and Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis Differential Diagnosis Treatment Complications and Prognosis Prevention Bibliography Chapter 259 - Q Fever (Coxiella burnetii) 259 Q Fever (Coxiella burnetii) Keywords Etiology Epidemiology Transmission Pathology and Pathogenesis Clinical Manifestations and Complications Primary (Acute) Q Fever Persistent Localized Q Fever Infection Laboratory Findings Diagnosis and Differential Diagnosis Treatment Prevention Bibliography Chapter 260 - Principles of Antifungal Therapy 12 Fungal Infections 260 Principles of Antifungal Therapy Keywords Polyenes Amphotericin B Pyrimidine Analogs 5-Fluorocytosine Azoles Fluconazole Itraconazole Voriconazole Posaconazole Isavuconazole Echinocandins Caspofungin Micafungin Anidulafungin Bibliography Chapter 261 - Candida 261 Candida Keywords 261.1 Neonatal Infections Keywords Epidemiology Pathogenesis Clinical Manifestations Diagnosis Prophylaxis Treatment Prognosis Bibliography 261.2 Infections in Immunocompetent Children and Adolescents Keywords Oral Candidiasis Diaper Dermatitis Ungual and Periungual Infections Vulvovaginitis Bibliography 261.3 Infections in Immunocompromised Children and Adolescents Keywords Etiology Clinical Manifestations HIV-Infected Children Cancer and Transplant Patients Catheter-Associated Infections Diagnosis Treatment Primary Immune Defects Bibliography Chapter 262 - Cryptococcus neoformans and Cryptococcus gattii 262 Cryptococcus neoformans and Cryptococcus gattii Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Meningitis Pneumonia Cutaneous Infection Skeletal Infection Sepsis Syndrome Diagnosis Treatment Prevention Bibliography Chapter 263 - Malassezia 263 Malassezia Keywords Bibliography Chapter 264 - Aspergillus 264 Aspergillus 264.1 Allergic Disease (Hypersensitivity Syndromes) Keywords Asthma Extrinsic Alveolar Alveolitis Allergic Bronchopulmonary Aspergillosis Allergic Aspergillus Sinusitis Bibliography 264.2 Saprophytic (Noninvasive) Syndromes Keywords Pulmonary Aspergilloma Chronic Pulmonary Aspergillosis Sinusitis Otomycosis Bibliography 264.3 Invasive Disease Keywords Invasive Pulmonary Aspergillosis Diagnosis Treatment Special Populations Cutaneous Aspergillosis Invasive Sinonasal Disease Central Nervous System Eye Bone Heart Empirical Antifungal Therapy Bibliography Chapter 265 - Histoplasmosis (Histoplasma capsulatum) 265 Histoplasmosis (Histoplasma capsulatum) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Bibliography Chapter 266 - Blastomycosis (Blastomyces dermatitidis and Blastomyces gilchristii) 266 Blastomycosis (Blastomyces dermatitidis and Blastomyces gilchristii) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Bibliography Chapter 267 - Coccidioidomycosis (Coccidioides Species) 267 Coccidioidomycosis (Coccidioides Species) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Primary Coccidioidomycosis Complicated Pulmonary Infection Residual Pulmonary Coccidioidomycosis Disseminated (Extrapulmonary) Infection Diagnosis Culture, Histopathologic Findings, and Antigen Detection Serology Imaging Procedures Treatment Primary Pulmonary Infection Diffuse Pneumonia Disseminated (Extrapulmonary) Infection Meningitis Surgical Management Prevention Bibliography Chapter 268 - Paracoccidioides brasiliensis 268 Paracoccidioides brasiliensis Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Bibliography Chapter 269 - Sporotrichosis (Sporothrix schenckii) 269 Sporotrichosis (Sporothrix schenckii) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Bibliography Chapter 270 - Mucormycosis 270 Mucormycosis Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Bibliography Chapter 271 - Pneumocystis jirovecii 271 Pneumocystis jirovecii Keywords Etiology Epidemiology Pathogenesis Pathology Clinical Manifestations Laboratory Findings Diagnosis Treatment Supportive Care Complications Prognosis Prevention Bibliography Chapter 272 - Principles of Antiviral Therapy 13 Viral Infections 272 Principles of Antiviral Therapy Keywords Antivirals Used for Herpesviruses Acyclovir Valacyclovir Penciclovir and Famciclovir Ganciclovir and Valganciclovir Foscarnet Cidofovir Trifluridine Vidarabine Fomivirsen New Agents Antivirals Used for Respiratory Viral Infections Ribavirin Amantadine and Rimantadine Oseltamivir, Zanamivir, and Peramivir Baloxavir Antivirals Used for Hepatitis Antiviral Immune Globulins Bibliography Chapter 273 - Measles 273 Measles Keywords Etiology Epidemiology Transmission Pathology Pathogenesis Clinical Manifestations Modified Measles Infection Laboratory Findings Diagnosis Differential Diagnosis Complications Subacute Sclerosing Panencephalitis Treatment Vitamin A Prognosis Prevention Vaccine Postexposure Prophylaxis Bibliography Chapter 274 - Rubella 274 Rubella Keywords Etiology Epidemiology Pathology Pathogenesis Clinical Manifestations Laboratory Findings Diagnoses Differential Diagnoses Complications Congenital Rubella Syndrome Treatment Supportive Care Prognosis Prevention Vaccination Bibliography Chapter 275 - Mumps 275 Mumps Keywords Etiology Epidemiology Pathology and Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Complications Meningitis and Meningoencephalitis Orchitis and Oophoritis Pancreatitis Cardiac Involvement Arthritis Thyroiditis Treatment Prognosis Prevention Bibliography Chapter 276 - Polioviruses 276 Polioviruses Keywords Etiology Epidemiology Transmission Pathogenesis Clinical Manifestations Abortive Poliomyelitis Nonparalytic Poliomyelitis Paralytic Poliomyelitis Diagnosis Differential Diagnosis Treatment Abortive Poliomyelitis Nonparalytic Poliomyelitis Paralytic Poliomyelitis Complications Prognosis Postpolio Syndrome Prevention Bibliography Chapter 277 - Nonpolio Enteroviruses 277 Nonpolio Enteroviruses Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Nonspecific Febrile Illness Hand-Foot-and-Mouth Disease Herpangina Respiratory Manifestations Ocular Manifestations Myocarditis and Pericarditis Gastrointestinal and Genitourinary Manifestations Neurologic Manifestations Myositis and Arthritis Neonatal Infections Transplant Recipients and Patients With Malignancies Diagnosis Differential Diagnosis Treatment Complications and Prognosis Prevention Bibliography Chapter 278 - Parvoviruses 278 Parvoviruses Keywords Etiology Epidemiology Parvovirus B19 Human Bocaviruses Pathogenesis Parvovirus B19 Human Bocaviruses Clinical Manifestations Parvovirus B19 Erythema Infectiosum (Fifth Disease) Arthropathy Transient Aplastic Crisis Immunocompromised Persons Fetal Infection Myocarditis Other Cutaneous Manifestations Human Bocaviruses Diagnosis Parvovirus B19 Infection Human Bocavirus Infections Differential Diagnosis Parvovirus B19 Human Bocavirus Treatment Parvovirus B19 Human Bocavirus Complications Parvovirus B19 Human Bocavirus Prevention Parvovirus B19 Human Bocavirus Bibliography Chapter 279 - Herpes Simplex Virus 279 Herpes Simplex Virus Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Acute Oropharyngeal Infections Herpes Labialis Cutaneous Infections Genital Herpes Ocular Infections Central Nervous System Infections Infections in Immunocompromised Persons Perinatal Infections Diagnosis Laboratory Findings Treatment Acute Mucocutaneous Infections Genital Herpes Ocular Infections Central Nervous System Infections Infections in Immunocompromised Persons Perinatal Infections Prognosis Prevention Bibliography Chapter 280 - Varicella-Zoster Virus 280 Varicella-Zoster Virus* Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Varicella in Unvaccinated Individuals Varicelliform Rashes in Vaccinated Individuals Neonatal Varicella Congenital Varicella Syndrome Complications Bacterial Infections Encephalitis and Cerebellar Ataxia Pneumonia Progressive Varicella Herpes Zoster Diagnosis Treatment Varicella Herpes Zoster Prognosis Prevention Vaccine Vaccine-Associated Adverse Events Postexposure Prophylaxis Bibliography Chapter 281 - Epstein-Barr Virus 281 Epstein-Barr Virus Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Laboratory Diagnosis Detection of Heterophile Antibodies Detection of Epstein-Barr Virus–Specific Antibodies Detection of Viral DNA Complications Oncogenesis Treatment Prognosis Prevention Bibliography Chapter 282 - Cytomegalovirus 282 Cytomegalovirus The Virus and Its Interaction With the Host Epidemiology Mechanisms of Disease Associated With Cytomegalovirus Infections Clinical Manifestations Normal Host Immunocompromised Host Congenital Infection Perinatal Infection Diagnosis Congenital Infections Noncongenital Infections Treatment Prevention Passive Immunoprophylaxis Active Immunoprophylaxis Counseling Bibliography Chapter 283 - Roseola (Human Herpesviruses 6 and 7) 283 Roseola (Human Herpesviruses 6 and 7) Keywords Etiology Epidemiology Pathology/Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis Differential Diagnosis Complications Treatment Prognosis Prevention Bibliography Chapter 284 - Human Herpesvirus 8 284 Human Herpesvirus 8 Keywords Etiology Epidemiology Pathology and Pathogenesis Clinical Manifestations Diagnosis Treatment Bibliography Chapter 285 - Influenza Viruse 285 Influenza Viruses* Keywords Etiology Epidemiology Antigenic Variation Seasonal Influenza Pathogenesis Clinical Manifestations Complications Laboratory Findings Diagnosis and Differential Diagnosis Treatment Supportive Care Prognosis Prevention Vaccines Chemoprophylaxis Bibliography Chapter 286 - Parainfluenza Viruses 286 Parainfluenza Viruses* Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis and Differential Diagnosis Treatment Complications Prognosis Prevention Bibliography Chapter 287 - Respiratory Syncytial Virus 287 Respiratory Syncytial Virus Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prognosis Prevention Passive Immunoprophylaxis Vaccine Bibliography Chapter 288 - Human Metapneumovirus 288 Human Metapneumovirus Keywords Etiology Etiology Epidemiology Pathology Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Complications Treatment Supportive Care Prognosis Prevention Bibliography Chapter 289 - Adenoviruses 289 Adenoviruses Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Acute Respiratory Disease Ocular Infections Gastrointestinal Infections Hemorrhagic Cystitis Other Complications Adenoviruses in Immunocompromised Patients Diagnosis Complications Treatment Prevention Bibliography Chapter 290 - Rhinoviruses 290 Rhinoviruses Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Complications Treatment Prevention Bibliography Chapter 291 - Coronaviruses 291 Coronaviruses Keywords Etiology Epidemiology Pathogenesis of SARS and MERS Clinical Manifestations Respiratory Infections Nonrespiratory Sequelae Severe Acute Respiratory Syndrome–Associated Coronavirus Middle East Respiratory Syndrome Coronavirus Diagnosis Treatment and Prevention Bibliography Chapter 292 - Rotaviruses, Caliciviruses, and Astroviruses 292 Rotaviruses, Caliciviruses, and Astroviruses Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Laboratory Findings Differential Diagnosis Treatment Supportive Treatment Prognosis Prevention Vaccines Bibliography Chapter 293 - Human Papillomaviruses 293 Human Papillomaviruses Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Skin Lesions Genital Warts Squamous Intraepithelial Lesions and Cancers Laryngeal Papillomatosis Diagnosis Differential Diagnosis Treatment Complications Prognosis Prevention Bibliography Chapter 294 - Arboviral Infections 294 Arboviral Infections Etiology Diagnosis Prevention 294.1 Eastern Equine Encephalitis 294.2 Western Equine Encephalitis 294.3 St. Louis Encephalitis 294.4 West Nile Encephalitis Bibliography 294.5 Powassan Encephalitis Bibliography 294.6 La Crosse and California Encephalitis 294.7 Colorado Tick Fever 294.8 Chikungunya Fever Bibliography 294.9 Venezuelan Equine Encephalitis 294.10 Japanese Encephalitis Bibliography 294.11 Tick-Borne Encephalitis Bibliography 294.12 Zika Virus Epidemiology Clinical Features Management Laboratory Diagnosis Prognosis Differential Diagnosis Prevention Bibliography Bibliography Chapter 295 - Dengue Fever, Dengue Hemorrhagic Fever, and Severe Dengue 295 Dengue Fever, Dengue Hemorrhagic Fever, and Severe Dengue Etiology Epidemiology Dengue-Like Diseases Dengue Hemorrhagic Fever Pathogenesis Clinical Manifestations Dengue Fever Dengue Hemorrhagic Fever and Dengue Shock Syndrome (DHF/DSS) Dengue With Warning Signs and Severe Dengue Diagnosis Differential Diagnosis Laboratory Findings Treatment Dengue Hemorrhagic Fever and Dengue Shock Syndrome Complications Prognosis Dengue Fever Dengue Hemorrhagic Fever Prevention Bibliography Chapter 296 - Yellow Fever 296 Yellow Fever Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Complications Prevention Bibliography Chapter 297 - Ebola and Other Viral Hemorrhagic Fevers 297 Ebola and Other Viral Hemorrhagic Fevers Etiology Epidemiology Crimean-Congo Hemorrhagic Fever Kyasanur Forest Disease Omsk Hemorrhagic Fever Rift Valley Fever Argentine Hemorrhagic Fever Bolivian Hemorrhagic Fever Venezuelan Hemorrhagic Fever Lassa Fever Marburg Disease Ebola Hemorrhagic Fever Hemorrhagic Fever With Renal Syndrome Clinical Manifestations Crimean-Congo Hemorrhagic Fever Kyasanur Forest Disease and Omsk Hemorrhagic Fever Rift Valley Fever Argentine, Venezuelan, and Bolivian Hemorrhagic Fevers and Lassa Fever Marburg Disease and Ebola Hemorrhagic Fever Hemorrhagic Fever With Renal Syndrome Diagnosis Differential Diagnosis Treatment Prevention Bibliography Chapter 298 - Lymphocytic Choriomeningitis Virus 298 Lymphocytic Choriomeningitis Virus Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Acquired (Postnatal) Lymphocytic Choriomeningitis Virus Infection Congenital Lymphocytic Choriomeningitis Virus Infection Laboratory Findings Diagnosis and Differential Diagnosis Complications Treatment Supportive Care Prognosis Prevention Bibliography Chapter 299 - Hantavirus Pulmonary Syndrome 299 Hantavirus Pulmonary Syndrome Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Laboratory Findings Differential Diagnosis Treatment Prognosis Prevention Bibliography Chapter 300 - Rabies 300 Rabies Keywords Epidemiology Transmission Pathogenesis Clinical Manifestations Differential Diagnosis Diagnosis Treatment and Prognosis Prevention Immunization and Fertility Control of Animal Reservoirs Postexposure Prophylaxis Preexposure Prophylaxis Bibliography Chapter 301 - Polyomaviruses 301 Polyomaviruses Keywords Bibliography Chapter 302 - Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome 302 Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome Keywords Etiology Epidemiology Transmission Pathogenesis Clinical Manifestations Infections Central Nervous System Respiratory Tract Cardiovascular System Gastrointestinal and Hepatobiliary Tract Renal Disease Skin Manifestations Hematologic and Malignant Diseases Diagnosis Treatment Combination Therapy Adherence Initiation of Therapy Dosages Changing Antiretroviral Therapy Monitoring Antiretroviral Therapy Resistance to Antiretroviral Therapy Supportive Care Prognosis Prevention Bibliography Chapter 303 - Human T-Lymphotropic Viruses (1 and 2) 303 Human T-Lymphotropic Viruses (1 and 2) Keywords Etiology Epidemiology and Modes of Transmission Diagnosis Clinical Manifestations Adult T-Cell Leukemia/Lymphoma Human T-Cell Lymphotropic Virus-1–Associated Myelopathy Human T-Cell Lymphotropic Virus-2 Prevention Bibliography Chapter 304 - Transmissible Spongiform Encephalopathies 304 Transmissible Spongiform Encephalopathies Keywords Etiology Epidemiology Pathogenesis and Pathology Clinical Manifestations Diagnosis Laboratory Findings Treatment Genetic Counseling Prognosis Family Support Prevention Bibliography Chapter 305 - Principles of Antiparasitic Therapy 14 Antiparasitic Therapy 305 Principles of Antiparasitic Therapy Keywords Selected Antiparasitic Drugs for Protozoans Nitazoxanide (Alinia) Tinidazole (Tindamax) Atovaquone/Proguanil (Malarone) Artemisinin Derivatives (Artemether, Artesunate) and Combination Therapies (Artemether/Lumefantrine or Coartem) Selected Antiparasitic Drugs for Helminths and Ectoparasites Albendazole (Albenza) Ivermectin (Stromectol, Mectizan) Praziquantel (Biltricide) Chapter 306 - Primary Amebic Meningoencephalitis 15 Protozoan Diseases 306 Primary Amebic Meningoencephalitis Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Bibliography Chapter 307 - Amebiasis 307 Amebiasis Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Amebic Colitis Amebic Liver Abscess Laboratory Findings Diagnosis and Differential Diagnosis Complications Treatment Prognosis Prevention Bibliography Chapter 308 - Giardiasis and Balantidiasis 308 Giardiasis and Balantidiasis Keywords 308.1 Giardia duodenalis Etiology Epidemiology Clinical Manifestations Diagnosis Treatment Prognosis Prevention Bibliography 308.2 Balantidiasis Bibliography Chapter 309 - Cryptosporidium, Cystoisospora, Cyclospora, and Microsporidia 309 Cryptosporidium, Cystoisospora, Cyclospora, and Microsporidia Keywords Cryptosporidium Etiology Epidemiology Clinical Manifestations Diagnosis Treatment Cystoisospora Cyclospora Microsporidia Bibliography Chapter 310 - Trichomoniasis (Trichomonas vaginalis) 310 Trichomoniasis (Trichomonas vaginalis) Epidemiology Pathogenesis Clinical Manifestations Diagnosis Complications Treatment Prevention Bibliography Chapter 311 - Leishmaniasis (Leishmania) 311 Leishmaniasis (Leishmania) Keywords Etiology Epidemiology Pathology Pathogenesis Clinical Manifestations Localized Cutaneous Leishmaniasis Diffuse Cutaneous Leishmaniasis Disseminated Leishmaniasis Mucosal Leishmaniasis Visceral Leishmaniasis Laboratory Findings Differential Diagnosis Diagnosis Treatment Prevention Bibliography Chapter 312 - African Trypanosomiasis (Sleeping Sickness; Trypanosoma brucei Complex) 312 African Trypanosomiasis (Sleeping Sickness; Trypanosoma brucei Complex) Keywords Etiology Life Cycle Epidemiology Pathogenesis Clinical Manifestations Trypanosomal Chancre Hemolymphatic Stage (Stage 1) Meningoencephalitic Stage (Stage 2) Diagnosis Treatment Stage 1 Treatment Stage 2 Treatment Prevention Bibliography Chapter 313 - American Trypanosomiasis (Chagas Disease; Trypanosoma cruzi) 313 American Trypanosomiasis (Chagas Disease; Trypanosoma cruzi) Keywords Etiology Life Cycle Epidemiology Pathogenesis Acute Disease Chronic Disease Clinical Manifestations Immunocompromised Persons Diagnosis Treatment Prevention Bibliography Chapter 314 - Malaria (Plasmodium) 314 Malaria (Plasmodium) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Treatment Plasmodium Falciparum Malaria Plasmodium Vivax, P. Ovale, P. Malariae, or P. Knowlesi Malaria Complications of Plasmodium Falciparum MALARIA Prevention Bibliography Chapter 315 - Babesiosis (Babesia) 315 Babesiosis (Babesia) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prognosis Prevention Bibliography Chapter 316 - Toxoplasmosis (Toxoplasma gondii) 316 Toxoplasmosis (Toxoplasma gondii) Keywords Etiology Epidemiology Congenital Toxoplasmosis Pathogenesis Congenital Toxoplasmosis Clinical Manifestations Acquired Toxoplasmosis Ocular Toxoplasmosis Immunocompromised Persons Congenital Toxoplasmosis Systemic Signs Skin Endocrine Abnormalities Central Nervous System Eyes Ears Diagnosis Isolation Serologic Testing Acquired Toxoplasmosis Ocular Toxoplasmosis Immunocompromised Persons Congenital Toxoplasmosis Treatment Acquired Toxoplasmosis Ocular Toxoplasmosis Immunocompromised Persons Congenital Toxoplasmosis Pregnant Women With Toxoplasma gondii Infection Prognosis Prevention Acknowledgment Bibliography Chapter 317 - Ascariasis (Ascaris lumbricoides) 16 Helminthic Diseases 317 Ascariasis (Ascaris lumbricoides) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prevention Bibliography Chapter 318 - Hookworms (Necator americanus and Ancylostoma spp.) 318 Hookworms (Necator americanus and Ancylostoma spp.) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prevention 318.1 Cutaneous Larva Migrans Keywords Etiology Epidemiology Clinical Manifestations Diagnosis Treatment Bibliography Bibliography Chapter 319 - Trichuriasis (Trichuris trichiura) 319 Trichuriasis (Trichuris trichiura) Keywords Etiology Epidemiology Clinical Manifestations Diagnosis Treatment Prevention Bibliography Chapter 320 - Enterobiasis (Enterobius vermicularis) 320 Enterobiasis (Enterobius vermicularis) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prevention Bibliography Chapter 321 - Strongyloidiasis (Strongyloides stercoralis) 321 Strongyloidiasis (Strongyloides stercoralis) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prevention Bibliography Chapter 322 - Lymphatic Filariasis (Brugia malayi, Brugia timori, and Wuchereria bancrofti) 322 Lymphatic Filariasis (Brugia malayi, Brugia timori, and Wuchereria bancrofti) Keywords Etiology Epidemiology Clinical Manifestations Tropical Pulmonary Eosinophilia Diagnosis Treatment Bibliography Chapter 323 - Other Tissue Nematodes 323 Other Tissue Nematodes Keywords Onchocerciasis (Onchocerca Volvulus) Loiasis (Loa Loa) Infection With Animal Filariae Angiostrongylus Cantonensis Angiostrongylus Costaricensis Dracunculiasis (Dracunculus Medinensis) Gnathostoma Spinigerum Bibliography Onchocerciasis (Onchocerca volvulus) Loiasis (Loa loa) Infection With Animal Filariae Angiostrongylus cantonensis Angiostrongylus costaricensis and Gnathostoma spinigerum Dracunculiasis (Dracunculus medinensis) Chapter 324 - Toxocariasis (Visceral and Ocular Larva Migrans) 324 Toxocariasis (Visceral and Ocular Larva Migrans) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prevention Bibliography Chapter 325 - Trichinellosis (Trichinella spiralis) 325 Trichinellosis (Trichinella spiralis) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prevention Bibliography Chapter 326 - Schistosomiasis (Schistosoma) 326 Schistosomiasis (Schistosoma) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prevention Bibliography Chapter 327 - Flukes (Liver, Lung, and Intestinal) 327 Flukes (Liver, Lung, and Intestinal) Keywords Liver Flukes Fascioliasis (Fasciola hepatica) Clonorchiasis (Clonorchis sinensis) Opisthorchiasis (Opisthorchis spp.) Lung Flukes Paragonimiasis (Paragonimus spp.) Intestinal Flukes Bibliography Chapter 328 - Adult Tapeworm Infections 328 Adult Tapeworm Infections Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Treatment Prevention Diphyllobothriasis (Diphyllobothrium Spp.) Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Treatment Prevention Hymenolepiasis (Hymenolepis) Dipylidiasis (Dipylidium Caninum) Bibliography Chapter 329 - Cysticercosis 329 Cysticercosis Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Treatment Prevention Bibliography Chapter 330 - Echinococcosis (Echinococcus granulosus and Echinococcus multilocularis) 330 Echinococcosis (Echinococcus granulosus and Echinococcus multilocularis) Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Treatment Prognosis Prevention Bibliography 17- XVII The Digestive System Chapter 331 - Normal Digestive Tract Phenomena XVII The Digestive System 1 Clinical Manifestations of Gastrointestinal Disease 331 Normal Digestive Tract Phenomena Keywords Bibliography Chapter 332 - Major Symptoms and Signs of Digestive Tract Disorders 332 Major Symptoms and Signs of Digestive Tract Disorders Keywords Dysphagia Regurgitation Anorexia Vomiting Diarrhea Constipation Abdominal Pain Gastrointestinal Hemorrhage Abdominal Distention and Abdominal Masses Bibliography Chapter 333 - Development and Developmental Anomalies of the Teeth 2 The Oral Cavity 333 Development and Developmental Anomalies of the Teeth Keywords Development of Teeth Initiation Histodifferentiation–Morphodifferentiation Calcification Eruption Anomalies Associated With Tooth Development Bibliography Chapter 334 - Disorders of the Oral Cavity Associated With Other Conditions 334 Disorders of the Oral Cavity Associated With Other Conditions Keywords Chapter 335 - Malocclusion 335 Malocclusion Keywords Variations in Growth Patterns Crossbite Open and Closed Bites Dental Crowding Digit Sucking Chapter 336 - Cleft Lip and Palate 336 Cleft Lip and Palate Keywords Incidence and Epidemiology Clinical Manifestations Treatment Postoperative Management Sequelae Velopharyngeal Dysfunction Clinical Manifestations Bibliography Chapter 337 - Syndromes With Oral Manifestations 337 Syndromes With Oral Manifestations Keywords Bibliography Chapter 338 - Dental Caries 338 Dental Caries Keywords Etiology Epidemiology Clinical Manifestations Complications Treatment Prevention Fluoride Oral Hygiene Diet Dental Sealant Bibliography Chapter 339 - Periodontal Diseases 339 Periodontal Diseases Keywords Gingivitis Aggressive Periodontitis in Children (Prepubertal Periodontitis) Aggressive Periodontitis in Adolescents Cyclosporine- or Phenytoin-Induced Gingival Overgrowth Acute Pericoronitis Necrotizing Periodontal Disease (Acute Necrotizing Ulcerative Gingivitis) Bibliography Chapter 340 - Dental Trauma 340 Dental Trauma Keywords Injuries to Teeth Injuries to Periodontal Structures Concussion Subluxation Intrusion Extrusion Avulsion Prevention Additional Considerations Bibliography Chapter 341 - Common Lesions of the Oral Soft Tissues 341 Common Lesions of the Oral Soft Tissues Keywords Oropharyngeal Candidiasis Aphthous Ulcers Herpetic Gingivostomatitis Recurrent Herpes Labialis Parulis Cheilitis Ankyloglossia Geographic Tongue Fissured Tongue Developmental (Normal) Variations Bohn Nodules Dental Lamina Cysts Epstein Pearls Fordyce Granules Bibliography Chapter 342 - Diseases of the Salivary Glands and Jaws 342 Diseases of the Salivary Glands and Jaws Keywords Parotitis Ranula Mucocele Congenital Lip Pits Eruption Cyst Xerostomia Salivary Gland Tumors Histiocytic Disorders Tumors of the Jaw Bibliography Chapter 343 - Diagnostic Radiology in Dental Assessment 343 Diagnostic Radiology in Dental Assessment Keywords Bibliography Chapter 344 - Embryology, Anatomy, and Function of the Esophagus 3 The Esophagus 344 Embryology, Anatomy, and Function of the Esophagus Keywords Embryology Anatomy Function 344.1 Common Clinical Manifestations and Diagnostic Aids Keywords Diagnostic Aids Bibliography Bibliography Chapter 345 - Congenital Anomalies 345 Congenital Anomalies 345.1 Esophageal Atresia and Tracheoesophageal Fistula Keywords Presentation Diagnosis Management Outcome Bibliography 345.2 Laryngotracheoesophageal Clefts Bibliography 345.3 Congenital Esophageal Stenosis Keywords Bibliography Chapter 346 - Obstructing and Motility Disorders of the Esophagus 346 Obstructing and Motility Disorders of the Esophagus Keywords Extrinsic Intrinsic Bibliography Chapter 347 - Dysmotility 347 Dysmotility Keywords Upper Esophageal and Upper Esophageal Sphincter Dysmotility (Striated Muscle) Lower Esophageal and Lower Esophageal Sphincter Dysfunction (Smooth Muscle) Bibliography Chapter 348 - Hiatal Hernia 348 Hiatal Hernia Keywords Chapter 349 - Gastroesophageal Reflux Disease 349 Gastroesophageal Reflux Disease Keywords Pathophysiology Epidemiology and Natural History Clinical Manifestations Diagnosis Management 349.1 Complications of Gastroesophageal Reflux Disease Keywords Esophageal: Esophagitis and Sequelae—Stricture, Barrett Esophagus, Adenocarcinoma Nutritional Extraesophageal: Respiratory (“Atypical”) Presentations Apnea and Stridor Bibliography Bibliography Chapter 350 - Eosinophilic Esophagitis, Pill Esophagitis, and Infective Esophagitis 350 Eosinophilic Esophagitis, Pill Esophagitis, and Infective Esophagitis Keywords Eosinophilic Esophagitis Infective Esophagitis Pill Esophagitis Bibliography Chapter 351 - Esophageal Perforation 351 Esophageal Perforation Keywords Bibliography Chapter 352 - Esophageal Varices 352 Esophageal Varices Keywords Bibliography Chapter 353 - Ingestions 353 Ingestions Keywords 353.1 Foreign Bodies in the Esophagus Bibliography 353.2 Caustic Ingestions Keywords Bibliography Chapter 354 - Normal Development, Structure, and Function of the Stomach and Intestines 4 Stomach and Intestines 354 Normal Development, Structure, and Function of the Stomach and Intestines Keywords Development Digestion and Absorption Chapter 355 - Pyloric Stenosis and Other Congenital Anomalies of the Stomach 355 Pyloric Stenosis and Other Congenital Anomalies of the Stomach Keywords 355.1 Hypertrophic Pyloric Stenosis Etiology Clinical Manifestations Differential Diagnosis Treatment Acknowledgment Bibliography 355.2 Congenital Gastric Outlet Obstruction Clinical Manifestations Diagnosis Treatment 355.3 Gastric Duplication Acknowledgment Bibliography 355.4 Gastric Volvulus Acknowledgment Bibliography 355.5 Hypertrophic Gastropathy Pathogenesis Clinical Manifestations Diagnosis and Differential Diagnosis Treatment Acknowledgment Bibliography Chapter 356 - Intestinal Atresia, Stenosis, and Malrotation 356 Intestinal Atresia, Stenosis, and Malrotation Keywords 356.1 Duodenal Obstruction Clinical Manifestations and Diagnosis Treatment Bibliography 356.2 Jejunal and Ileal Atresia and Obstruction Clinical Manifestation and Diagnosis Treatment Bibliography 356.3 Malrotation Clinical Manifestations Treatment Acknowledgment Bibliography Chapter 357 - Intestinal Duplications, Meckel Diverticulum, and Other Remnants of the Omphalomesenteric Duct 357 Intestinal Duplications, Meckel Diverticulum, and Other Remnants of the Omphalomesenteric Duct Keywords 357.1 Intestinal Duplication Clinical Manifestations 357.2 Meckel Diverticulum and Other Remnants of the Omphalomesenteric Duct Clinical Manifestations Diagnosis Bibliography Chapter 358 - Motility Disorders and Hirschsprung Disease 358 Motility Disorders and Hirschsprung Disease Keywords 358.1 Chronic Intestinal Pseudoobstruction Clinical Manifestations Diagnosis Treatment Bibliography 358.2 Mitochondrial Neurogastrointestinal Encephalomyopathy Bibliography 358.3 Encopresis and Functional Constipation Clinical Manifestations Diagnosis Treatment Bibliography 358.4 Congenital Aganglionic Megacolon (Hirschsprung Disease) Pathology Clinical Manifestations Diagnosis Treatment Bibliography 358.5 Intestinal Neuronal Dysplasia Bibliography 358.6 Superior Mesenteric Artery Syndrome (Wilkie Syndrome, Cast Syndrome, Arteriomesenteric Duodenal Compression Syndrome) Acknowledgment Bibliography Chapter 359 - Ileus, Adhesions, Intussusception, and Closed-Loop Obstructions 359 Ileus, Adhesions, Intussusception, and Closed-Loop Obstructions Keywords 359.1 Ileus Bibliography 359.2 Adhesions Acknowledgment Bibliography 359.3 Intussusception Etiology and Epidemiology Pathology Clinical Manifestations Diagnosis Differential Diagnosis Treatment Prognosis Bibliography 359.4 Closed-Loop Obstructions Bibliography Chapter 360 - Foreign Bodies and Bezoars 360 Foreign Bodies and Bezoars Keywords 360.1 Foreign Bodies in the Stomach and Intestine Bibliography 360.2 Bezoars Bibliography Chapter 361 - Peptic Ulcer Disease in Children 361 Peptic Ulcer Disease in Children Keywords Pathogenesis Acid Secretion Mucosal Defense Clinical Manifestations Diagnosis Primary Ulcers Helicobacter pylori Gastritis Idiopathic Ulcers Secondary Ulcers Aspirin and Other Nonsteroidal Antiinflammatory Drugs “Stress” Ulceration Treatment Treatment of Helicobacter pylori–Related Peptic Ulcer Disease Surgical Therapy 361.1 Zollinger-Ellison Syndrome Bibliography Bibliography Chapter 362 - Inflammatory Bowel Disease 362 Inflammatory Bowel Disease Keywords 362.1 Chronic Ulcerative Colitis Keywords Clinical Manifestations Differential Diagnosis Diagnosis Treatment Medical Surgical Support Prognosis Bibliography 362.2 Crohn Disease (Regional Enteritis, Regional Ileitis, Granulomatous Colitis) Keywords Clinical Manifestations Differential Diagnosis Diagnosis Treatment Medical 5-Aminosalicylates Antibiotics/Probiotics Corticosteroids Immunomodulators Biologic Therapy Enteral Nutritional Therapy Surgery Support Prognosis Bibliography 362.3 Very Early Onset Inflammatory Bowel Disease Keywords Bibliography Chapter 363 - Eosinophilic Gastroenteritis 363 Eosinophilic Gastroenteritis Keywords Bibliography Chapter 364 - Disorders of Malabsorption 364 Disorders of Malabsorption Keywords Clinical Approach 364.1 Evaluation of Children With Suspected Intestinal Malabsorption Keywords Investigations for Carbohydrate Malabsorption Investigations for Fat Malabsorption Investigations for Protein-Losing Enteropathy Investigations for Exocrine Pancreatic Function Investigations for Intestinal Mucosal Disorders Imaging Procedures Bibliography 364.2 Celiac Disease Keywords Etiology and Epidemiology Genetics and Pathogenesis Clinical Presentation and Associated Disorders Diagnosis Treatment The Spectrum of Gluten-Related Disorders Bibliography 364.3 Other Malabsorptive Syndromes Keywords Defects of Enterocyte Differentiation and Polarization Microvillus Inclusion Disease (Congenital Microvillus Atrophy) Tufting Enteropathy (Congenital Tufting Enteropathy) Tricho-Hepato-Enteric Syndrome (Syndromic Diarrhea) Defects in Enteroendocrine Cells Differentiation Enteric Anendocrinosis Proprotein Convertase 1/3 Deficiency Mitchell-Riley Syndrome Aristaless-Related Homeobox Gene Mutations Autoimmune Enteropathy Autoimmune Polyglandular Syndrome Type 1 Defects in Lipids Transport and Metabolism Abetalipoproteinemia Homozygous Hypobetalipoproteinemia Chylomicron Retention Disease (Anderson Disease) DGAT1 Mutation Wolman Disease Tangier Disease Sitosterolemia Bile Acid Malabsorption Protein-Losing Enteropathy Bibliography 364.4 Intestinal Infections and Infestations Associated With Malabsorption Keywords Postinfectious Diarrhea Proximal Intestinal Bacterial Overgrowth Environmental Enteropathy (Tropical Sprue) Whipple Disease Bibliography 364.5 Immunodeficiency Disorders Keywords Bibliography 364.6 Immunoproliferative Small Intestinal Disease Keywords Bibliography 364.7 Short Bowel Syndrome Keywords Treatment Complications Bibliography 364.8 Chronic Malnutrition Keywords Bibliography 364.9 Enzyme Deficiencies Keywords Carbohydrate Malabsorption Lactase Deficiency Fructose Malabsorption Sucrase-Isomaltase Deficiency Glucose-Galactose Malabsorption Exocrine Pancreatic Insufficiency Enterokinase (Enteropeptidase) Deficiency Trehalase Deficiency Trypsinogen Deficiency Bibliography 364.10 Liver and Biliary Disorders Causing Malabsorption Keywords 364.11 Rare Inborn Defects Causing Malabsorption Keywords Disorders of Carbohydrate Absorption Disorders of Amino Acid and Peptide Absorption Disorders of Fat Transport Disorders of Vitamin Absorption Disorders of Electrolyte and Mineral Absorption Bibliography Chapter 365 - Intestinal Transplantation in Children With Intestinal Failure 365 Intestinal Transplantation in Children With Intestinal Failure Keywords Indications for Intestinal Transplant Paucity of Venous Access Life-Threatening Infections Liver Disease Transplantation Operation Donor Selection Types of Intestinal Grafts The Recipient Operation Postoperative Management Immunosuppression Allograft Assessment Rejection and Graft-Versus-Host Disease Infections Outcomes Bibliography Chapter 366 - Acute Gastroenteritis in Children 366 Acute Gastroenteritis in Children Keywords Burden of Childhood Diarrhea Pathogens Epidemiology in the United States and Other Middle- and High-Income Countries Epidemiology in Low- and Middle-Income Countries Host Risk Factors Pathogenesis of Infectious Diarrhea Clinical Manifestation of Diarrhea Intestinal and Extraintestinal Complications Differential Diagnosis Clinical Evaluation of Diarrhea Laboratory Diagnosis Treatment Hydration Enteral Feeding and Diet Selection Zinc Supplementation Additional Therapies Antibiotic Therapy Prevention Promotion of Exclusive Breastfeeding and Vitamin A Rotavirus Immunization Improved Water and Sanitary Facilities and Promotion of Personal and Domestic Hygiene 366.1 Traveler’s Diarrhea Keywords Treatment Prevention Bibliography Bibliography Chapter 367 - Chronic Diarrhea 367 Chronic Diarrhea Keywords Definition of Epidemiology Pathophysiology Etiology Infectious Inflammatory/Immunologic Pancreatic Deficiency Liver and Bile Acids Disorders Carbohydrate Malabsorption Protein-Losing Enteropathy Motility Disorders Short Bowel Syndrome Nonspecific Diarrhea, Including Toddler’s Diarrhea Congenital Diarrheal Disorders Evaluation of Patients Investigations Treatment 367.1 Diarrhea From Neuroendocrine Tumors KeyWords Bibliography Bibliography Chapter 368 - Functional Gastrointestinal Disorders 368 Functional Gastrointestinal Disorders Keywords Functional Gastrointestinal Disorders in Children and Adolescents Functional Abdominal Pain Disorders Functional Dyspepsia Pediatric IBS Abdominal Migraine Functional Abdominal Pain Not Otherwise Specified Functional Defecation Disorders Functional Constipation Nonretentive Fecal Incontinence Bibliography Chapter 369 - Cyclic Vomiting Syndrome 369 Cyclic Vomiting Syndrome Keywords Bibliography Chapter 370 - Acute Appendicitis 370 Acute Appendicitis Epidemiology Pathophysiology Clinical Features Physical Examination Appendicitis Risk Scoring Systems Laboratory Findings Imaging Studies Plain Radiographs Ultrasound Computed Tomography Magnetic Resonance Imaging and White Blood Cell Scans Diagnosis and Treatment Differential Diagnosis Antibiotics Surgical Intervention Perforated Appendicitis Nonoperative Management of Uncomplicated Appendicitis Recurrent Appendicitis Interval Appendectomy Incidental Appendicoliths Bibliography Chapter 371 - Surgical Conditions of the Anus and Rectum 371 Surgical Conditions of the Anus and Rectum 371.1 Anorectal Malformations Keywords Embryology Associated Anomalies Manifestations and Diagnosis Low Lesions High Lesions Persistent Cloaca Rectal Atresia Approach to the Patient Operative Repair Outcome Bibliography 371.2 Anal Fissure Keywords Clinical Manifestations Treatment Bibliography 371.3 Perianal Abscess and Fistula Keywords Clinical Manifestations Treatment Bibliography 371.4 Hemorrhoids Keywords Clinical Manifestations Treatment Bibliography 371.5 Rectal Mucosal Prolapse Keywords Clinical Manifestations Treatment Bibliography 371.6 Pilonidal Sinus and Abscess Keywords Bibliography Chapter 372 - Tumors of the Digestive Tract 372 Tumors of the Digestive Tract Keywords Hamartomatous Tumors Juvenile Polyposis Syndrome Peutz-Jeghers Syndrome Phosphatase and Tensin Homolog Hamartoma Tumor Syndromes Adenomatous Tumors Adenomatous Polyposis Coli-Associated Polyposis Syndromes Carcinoma Other Gastrointestinal Tumors Lymphoma Nodular Lymphoid Hyperplasia Carcinoid Tumor Leiomyoma Gastrointestinal Stromal Cell Tumors Vascular Tumors Bibliography Chapter 373 - Inguinal Hernias 373 Inguinal Hernias Embryology and Pathogenesis Incidence Clinical Presentation and Diagnosis Evaluation of Acute Inguinal–Scrotal Swelling Incarcerated Hernia Ambiguous Genitalia Indications for Surgery Open Inguinal Hernia Repair Laparoscopic Inguinal Hernia Repair Contralateral Inguinal Exploration Direct Inguinal Hernia Femoral Hernia Complications Wound Infection Recurrent Hernia Iatrogenic Cryptorchidism (Trapped Testicle) Incarceration Injury to the Vas Deferens and Male Fertility Bibliography Chapter 374 - Embryology, Anatomy, and Physiology of the Pancreas 5 Exocrine Pancreas 374 Embryology, Anatomy, and Physiology of the Pancreas Keywords 374.1 Pancreatic Anatomic Abnormalities Bibliography 374.2 Pancreatic Physiology Bibliography Bibliography Chapter 375 - Pancreatic Function Tests 375 Pancreatic Function Tests Keywords Direct Test Bibliography Chapter 376 - Disorders of the Exocrine Pancreas 376 Disorders of the Exocrine Pancreas Keywords Disorders Associated With Pancreatic Insufficiency Cystic Fibrosis (see Chapter 432) Shwachman-Diamond Syndrome (see Chapter 157) Pearson Syndrome Johanson-Blizzard Syndrome Isolated Enzyme Deficiencies Other Syndromes Associated With Pancreatic Insufficiency Bibliography Chapter 377 - Treatment of Pancreatic Insufficiency 377 Treatment of Pancreatic Insufficiency Keywords Bibliography Chapter 378 - Pancreatitis 378 Pancreatitis 378.1 Acute Pancreatitis Keywords Clinical Manifestations Diagnosis Treatment Prognosis Bibliography 378.2 Acute Recurrent and Chronic Pancreatitis Keywords Bibliography Chapter 379 - Pancreatic Fluid Collections 379 Pancreatic Fluid Collections Keywords Treatment of Fluid Collections and Necrosis Bibliography Chapter 380 - Pancreatic Tumors 380 Pancreatic Tumors Keywords Bibliography Chapter 381 - Morphogenesis of the Liver and Biliary System 6 The Liver and Biliary System 381 Morphogenesis of the Liver and Biliary System Keywords Hepatic Ultrastructure Metabolic Functions of the Liver Carbohydrate Metabolism Protein Metabolism Lipid Metabolism Biotransformation Hepatic Excretory Function Bibliography Chapter 382 - Manifestations of Liver Disease 382 Manifestations of Liver Disease Keywords Pathologic Manifestations Clinical Manifestations Hepatomegaly Jaundice (Icterus) Pruritus Spider Angiomas Palmar Erythema Xanthomas Portal Hypertension Ascites Gastrointestinal Bleeding Encephalopathy Endocrine Abnormalities Renal Dysfunction Pulmonary Involvement Recurrent Cholangitis Miscellaneous Manifestations of Liver Dysfunction 382.1 Evaluation of Patients With Possible Liver Dysfunction Keywords Biochemical Tests Liver Biopsy Hepatic Imaging Procedures Diagnostic Approach to Infants With Jaundice Bibliography Bibliography Chapter 383 - Cholestasis 383 Cholestasis Keywords 383.1 Neonatal Cholestasis Mechanisms Evaluation Intrahepatic Cholestasis Neonatal Hepatitis Disorders of Transport, Secretion, Conjugation, and Biosynthesis of Bile Acids Bile Acid-Coenzyme a Ligase Deficiency Disorders of Embryogenesis Biliary Atresia Differentiation of Idiopathic Neonatal Hepatitis From Biliary Atresia Management of Patients With Suspected Biliary Atresia Management of Chronic Cholestasis Prognosis 383.2 Cholestasis in the Older Child Bibliography Chapter 384 - Metabolic Diseases of the Liver 384 Metabolic Diseases of the Liver 384.1 Inherited Deficient Conjugation of Bilirubin (Familial Nonhemolytic Unconjugated Hyperbilirubinemia) Crigler-Najjar Syndrome Type I (Glucuronyl Transferase Deficiency) Clinical Manifestations Diagnosis Treatment Crigler-Najjar Syndrome Type II (Partial Glucuronyl Transferase Deficiency) Clinical Manifestations Diagnosis Treatment Inherited Conjugated Hyperbilirubinemia Dubin-Johnson Syndrome Rotor Syndrome Bibliography 384.2 Wilson Disease Pathogenesis Clinical Manifestations Pathology Diagnosis Treatment Prognosis Bibliography 384.3 Indian Childhood Cirrhosis Bibliography 384.4 Gestational Alloimmune Liver Disease (Neonatal Iron Storage Disease) Bibliography 384.5 Miscellaneous Metabolic Diseases of the Liver α1-Antitrypsin Deficiency Citrin Deficiency Bibliography Chapter 385 - Viral Hepatitis 385 Viral Hepatitis Issues Common to All Forms of Viral Hepatitis Differential Diagnosis Pathogenesis Common Biochemical Profiles in the Acute Infectious Phase Hepatitis A Etiology Epidemiology Clinical Manifestations Diagnosis Complications Treatment Prevention Immunoglobulin Vaccine Prognosis Hepatitis B Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Complications Treatment Treatment Strategies Prevention Universal Vaccination Postexposure Prophylaxis Special Populations Prognosis Hepatitis C Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Complications Treatment Newer Treatments Prevention Prognosis Hepatitis D Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prevention Hepatitis E Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Prevention Approach to Acute or Chronic Hepatitis Bibliography Hepatitis A Hepatitis B Hepatitis C Hepatitis E Chapter 386 - Liver Abscess 386 Liver Abscess Keywords Bibliography Chapter 387 - Liver Disease Associated With Systemic Disorders 387 Liver Disease Associated With Systemic Disorders Keywords Inflammatory Bowel Disease Bacterial Sepsis Celiac Disease Cardiac Disease Cholestasis Associated With Chronic Total Parenteral Nutrition Cystic Fibrosis Bone Marrow Transplantation Hemoglobinopathies Histiocytic Disorders 387.1 Nonalcoholic Fatty Liver Disease Bibliography Bibliography Chapter 388 - Mitochondrial Hepatopathies 388 Mitochondrial Hepatopathies Keywords Epidemiology Clinical Manifestations Primary Mitochondrial Hepatopathies Neonatal Liver Failure Alpers Syndrome (Alpers-Huttenlocher Syndrome or Alpers Hepatopathic Poliodystrophy) Mitochondrial DNA Depletion Syndrome Navajo Neurohepatopathy Pearson Syndrome Villous Atrophy Syndrome GRACILE Syndrome Mutations in Nuclear Translation and Elongation Factor Genes Secondary Mitochondrial Hepatopathies Diagnostic Evaluation Treatment of Mitochondrial Hepatopathies Bibliography Chapter 389 - Autoimmune Hepatitis 389 Autoimmune Hepatitis Keywords Autoimmune Hepatitis Chronic Liver Disease Etiology T Lymphocytes Autoimmune Regulator Gene Pathology Clinical Manifestations Laboratory Findings Diagnosis Treatment Prognosis Bibliography Chapter 390 - Drug- and Toxin-Induced Liver Injury 390 Drug- and Toxin-Induced Liver Injury Keywords Treatment Prognosis Prevention Bibliography Chapter 391 - Acute Hepatic Failure 391 Acute Hepatic Failure Keywords Etiology Infection Autoimmune Hepatitis Metabolic Diseases Neoplasm Gestational Alloimmune Liver Disease Drug-Induced Liver Injury Vascular Idiopathic Acute Liver Failure Pathology Pathogenesis Clinical Manifestations Laboratory Findings Treatment Prognosis Bibliography Chapter 392 - Cystic Diseases of the Biliary Tract and Liver 392 Cystic Diseases of the Biliary Tract and Liver Keywords Choledochal Cysts Autosomal Recessive Polycystic Kidney Disease Cystic Dilation of the Intrahepatic Bile Ducts (Caroli Disease/Caroli Syndrome) Congenital Hepatic Fibrosis Autosomal Dominant Polycystic Kidney Disease Autosomal Dominant Polycystic Liver Disease Bibliography Chapter 393 - Diseases of the Gallbladder 393 Diseases of the Gallbladder Keywords Anomalies Acute Hydrops Cholecystitis and Cholelithiasis Biliary Dyskinesia Bibliography Chapter 394 - Portal Hypertension and Varices 394 Portal Hypertension and Varices Keywords Etiology Pathophysiology Clinical Manifestations Diagnosis Treatment Prognosis Bibliography Chapter 395 - Liver Transplantation 395 Liver Transplantation Keywords Indications Technical Innovations Immunosuppression Complications Outcomes Bibliography Chapter 396 - Peritoneal Malformations 7 Peritoneum 396 Peritoneal Malformations Keywords Acknowledgment Bibliography Chapter 397 - Ascites 397 Ascites Keywords 397.1 Chylous Ascites Bibliography Chapter 398 - Peritonitis 398 Peritonitis Keywords 398.1 Acute Primary Peritonitis Etiology and Epidemiology Clinical Manifestations Diagnosis and Treatment Bibliography 398.2 Acute Secondary Peritonitis Clinical Manifestations Treatment Bibliography 398.3 Acute Secondary Localized Peritonitis (Peritoneal Abscess) Etiology Clinical Manifestations Treatment Bibliography Bibliography Chapter 399 - Epigastric Hernia 399 Epigastric Hernia Clinical Presentation 399.1 Incisional Hernia Bibliography Volume 3 - Nelson Textbook of Pediatrics 21th ed 2020 Original PDF.pdf (p.3691-5083) cover Contents 18- XVIII The Respiratory System Chapter 400 - Diagnostic Approach to Respiratory Disease XVIII The Respiratory System 1 Development and Function 400 Diagnostic Approach to Respiratory Disease Keywords History Physical Examination Blood Gas Analysis Transillumination of the Chest Radiographic Techniques Chest X-Rays Upper Airway Film Sinus and Nasal Images Chest Computed Tomography and Magnetic Resonance Imaging Fluoroscopy Barium Swallow Pulmonary Arteriography and Aortograms Ventilation-Perfusion Relation and Radionuclide Lung Scans Pulmonary Function Testing Microbiology: Examination of Lung Secretions The Microbiome (see Chapter 196) Exercise Testing Sleep Studies Airway Visualization and Lung Specimen–Based Diagnostic Tests Laryngoscopy Bronchoscopy and Bronchoalveolar Lavage Thoracoscopy Thoracentesis Lung Tap Lung Biopsy Sweat Testing Bibliography Chapter 401 - Chronic or Recurrent Respiratory Symptoms 401 Chronic or Recurrent Respiratory Symptoms Keywords Judging the Seriousness of Chronic Respiratory Complaints Recurrent or Persistent Cough Frequently Recurring or Persistent Stridor Recurrent or Persistent Wheeze Recurrent and Persistent Lung Infiltrates 401.1 Extrapulmonary Diseases With Pulmonary Manifestations Evaluation Bibliography Bibliography Chapter 402 - Sudden Infant Death Syndrome 402 Sudden Infant Death Syndrome Keywords Epidemiology Pathology Environmental Risk Factors Nonmodifiable Environmental Risk Factors Modifiable Environmental Risk Factors Pregnancy-Related Factors Cigarette Smoking Drug and Alcohol Use Infant Sleep Environment Side-Sleeping: Significant Risk Factor. Soft Sleep Surfaces and Soft or Loose Bedding. Overheating. Bed Sharing. Infant Feeding Care Practices and Exposures Breastfeeding is Associated With a Lower Risk of Sudden Infant Death Syndrome. Sudden Infant Death Syndrome Rates Remain Higher Among American Indians, Alaska Natives, and African Americans. Genetic Risk Factors Gene-Environment Interactions Infant Groups at Increased Risk for Sudden Infant Death Syndrome Subsequent Siblings of an Infant who Died of Sudden Infant Death Syndrome Prematurity Physiologic Studies Clinical Strategies Home Monitoring Reducing the Risk of Sudden Infant Death Syndrome 402.1 Sudden Unexpected Postnatal Collapse Keywords Epidemiology Pathogenesis Risk Factors Diagnosis and Differential Diagnosis Outcome Treatment Prevention Bibliography Bibliography Chapter 403 - Brief Resolved Unexplained Events and Other Acute Events in Infants 403 Brief Resolved Unexplained Events and Other Acute Events in Infants Keywords Background Definition Epidemiology Initial History Additional History Physical Examination Testing Management Bibliography Chapter 404 - Congenital Disorders of the Nose 2 Disorders of the Respiratory Tract 404 Congenital Disorders of the Nose Keywords Normal Newborn Nose Physiology Congenital Disorders Choanal Atresia Clinical Manifestations Diagnosis Treatment Congenital Defects of the Nasal Septum Pyriform Aperture Stenosis Congenital Midline Nasal Masses Diagnosis and Treatment Bibliography Chapter 405 - Acquired Disorders of the Nose 405 Acquired Disorders of the Nose Keywords 405.1 Nasal Foreign Bodies Keywords Etiology Diagnosis Treatment Complications Prevention Bibliography 405.2 Epistaxis Keywords Anatomy Etiology Clinical Manifestations Treatment Prevention Bibliography Chapter 406 - Nasal Polyps 406 Nasal Polyps Keywords Etiology Clinical Manifestations Diagnosis and Differential Diagnosis Treatment Bibliography Chapter 407 - The Common Cold 407 The Common Cold Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Laboratory Findings Treatment Antiviral Treatment Supportive Care and Symptomatic Treatment Fever Nasal Obstruction Rhinorrhea Sore Throat Cough Ineffective Treatments Complications Prevention Bibliography Chapter 408 - Sinusitis 408 Sinusitis Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Complications Prevention Bibliography Chapter 409 - Acute Pharyngitis 409 Acute Pharyngitis Keywords Infectious Etiologies Viruses Bacteria Other Than Group A Streptococcus Group A Streptococcus Diagnosis Treatment Chronic Group a Streptococcus Carriers Recurrent Pharyngitis Complications and Prognosis Prevention Bibliography Chapter 410 - Retropharyngeal Abscess, Lateral Pharyngeal Abscess, and Peritonsillar Cellulitis-Abscess 410 Retropharyngeal Abscess, Lateral Pharyngeal (Parapharyngeal) Abscess, and Peritonsillar Cellulitis/Abscess Keywords Retropharyngeal and Lateral Pharyngeal Abscess Peritonsillar Cellulitis and/or Abscess Bibliography Chapter 411 - Tonsils and Adenoids 411 Tonsils and Adenoids Keywords Anatomy Normal Function Pathology Acute Infection Chronic Infection Airway Obstruction Tonsillar Neoplasm Clinical Manifestations Acute Infection Chronic Infection Airway Obstruction Tonsillar Neoplasm Treatment Medical Management Tonsillectomy Adenoidectomy Tonsillectomy and Adenoidectomy Complications Poststreptococcal Glomerulonephritis and Acute Rheumatic Fever Peritonsillar Infection Retropharyngeal Space Infection Parapharyngeal Space Infection Recurrent or Chronic Pharyngotonsillitis Chronic Airway Obstruction Tonsillectomy and Adenoidectomy Bibliography Chapter 412 - Acute Inflammatory Upper Airway Obstruction (Croup, Epiglottitis, Laryngitis, and Bacterial Tracheitis) 412 Acute Inflammatory Upper Airway Obstruction (Croup, Epiglottitis, Laryngitis, and Bacterial Tracheitis) Keywords 412.1 Infectious Upper Airway Obstruction Etiology and Epidemiology Clinical Manifestations Croup (Laryngotracheobronchitis) Acute Epiglottitis (Supraglottitis) Acute Infectious Laryngitis Spasmodic Croup Differential Diagnosis Complications Treatment Endotracheal/Nasotracheal Intubation and Tracheotomy Prognosis Bibliography Laryngotracheobronchitis Epiglottitis 412.2 Bacterial Tracheitis Clinical Manifestations Diagnosis Treatment Complications Prognosis Bibliography Chapter 413 - Congenital Anomalies of the Larynx, Trachea, and Bronchi 413 Congenital Anomalies of the Larynx, Trachea, and Bronchi Keywords 413.1 Laryngomalacia Keywords Clinical Manifestations Diagnosis Treatment Bibliography 413.2 Congenital Subglottic Stenosis Keywords Clinical Manifestations Diagnosis Bibliography 413.3 Vocal Cord Paralysis Keywords Diagnosis Treatment Bibliography 413.4 Congenital Laryngeal Webs and Atresia Keywords Bibliography 413.5 Congenital Subglottic Hemangioma Keywords Bibliography 413.6 Laryngoceles and Saccular Cysts Keywords Bibliography 413.7 Posterior Laryngeal Cleft and Laryngotracheoesophageal Cleft Bibliography 413.8 Vascular and Cardiac Anomalies Keywords Bibliography 413.9 Tracheal Stenoses, Webs, and Atresia Bibliography 413.10 Foregut Cysts Bibliography 413.11 Tracheomalacia and Bronchomalacia Bibliography Chapter 414 - Foreign Bodies in the Airway 414 Foreign Bodies in the Airway Keywords Epidemiology and Etiology Clinical Manifestations Diagnosis Treatment 414.1 Laryngeal Foreign Bodies 414.2 Tracheal Foreign Bodies 414.3 Bronchial Foreign Bodies Bibliography Chapter 415 - Laryngotracheal Stenosis and Subglottic Stenosis 415 Laryngotracheal Stenosis and Subglottic Stenosis Keywords 415.1 Congenital Subglottic Stenosis Keywords 415.2 Acquired Laryngotracheal Stenosis Keywords Clinical Manifestations Diagnosis Treatment Bibliography Chapter 416 - Bronchomalacia and Tracheomalacia 416 Bronchomalacia and Tracheomalacia Keywords Clinical Manifestations Diagnosis Treatment Prognosis Bibliography Chapter 417 - Neoplasms of the Larynx, Trachea, and Bronchi 417 Neoplasms of the Larynx, Trachea, and Bronchi 417.1 Vocal Nodules Keywords 417.2 Recurrent Respiratory Papillomatosis Keywords Clinical Manifestations Treatment Bibliography 417.3 Congenital Subglottic Hemangioma Keywords Clinical Manifestations Treatment Bibliography 417.4 Vascular Anomalies Keywords Bibliography 417.5 Other Laryngeal Neoplasms Keywords 417.6 Tracheal Neoplasms Keywords Bibliography 417.7 Bronchial Tumors Keywords Bibliography Chapter 418 - Wheezing, Bronchiolitis, and Bronchitis 418 Wheezing, Bronchiolitis, and Bronchitis 418.1 Wheezing in Infants: Bronchiolitis Keywords General Pathophysiology of Wheezing in Infants Acute Bronchiolitis Clinical Manifestations History and Physical Examination Diagnostic Evaluation Treatment Prognosis Prevention Bibliography 418.2 Bronchitis Keywords Acute Bronchitis Clinical Manifestations Differential Diagnosis Treatment Chronic Bronchitis Cigarette Smoking and Air Pollution Bibliography Chapter 419 - Plastic Bronchitis 419 Plastic Bronchitis Keywords Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Complications and Prognosis Bibliography Chapter 420 - Emphysema and Overinflation 420 Emphysema and Overinflation Keywords Localized Obstructive Overinflation Unilateral Hyperlucent Lung Swyer-James or Macleod Syndrome Congenital Lobar Emphysema (Congenital Large Hyperlucent Lobe) Pulmonary Vascular Abnormalities Generalized Obstructive Overinflation Pathology Clinical Manifestations Diagnosis Bullous Emphysema Subcutaneous Emphysema Bibliography Chapter 421 - α1-Antitrypsin Deficiency and Emphysema 421 α1-Antitrypsin Deficiency and Emphysema Keywords Pathogenesis Clinical Manifestations Laboratory Findings Treatment Supportive Therapy Bibliography Chapter 422 - Other Distal Airway Diseases 422 Other Distal Airway Diseases 422.1 Bronchiolitis Obliterans Keywords Epidemiology Pathogenesis Clinical Manifestations and Diagnosis Treatment Prognosis Bibliography 422.2 Follicular Bronchitis Keywords Bibliography 422.3 Pulmonary Alveolar Microlithiasis Keyword Epidemiology and Etiology Clinical Manifestations Diagnosis Treatment Prognosis Bibliography Chapter 423 - Congenital Disorders of the Lung 423 Congenital Disorders of the Lung Keywords 423.1 Pulmonary Agenesis and Aplasia Etiology and Pathology Clinical Manifestations and Prognosis Diagnosis and Treatment Bibliography 423.2 Pulmonary Hypoplasia Etiology and Pathology Clinical Manifestations Diagnosis and Treatment Bibliography 423.3 Congenital Cystic Malformation (Congenital Pulmonary Airway Malformation) Pathology Etiology Diagnosis Clinical Manifestations Treatment Bibliography 423.4 Pulmonary Sequestration Pathophysiology Clinical Manifestations and Diagnosis Treatment Bibliography 423.5 Bronchogenic Cysts Etiology and Pathology Clinical Manifestations and Treatment Bibliography 423.6 Congenital Pulmonary Lymphangiectasia Etiology and Pathology Clinical Manifestations and Treatment Bibliography 423.7 Lung Hernia Etiology and Pathology Clinical Manifestations and Treatment Bibliography 423.8 Other Congenital Malformations of the Lung Congenital Lobar Emphysema and Pulmonary Cysts Pulmonary Arteriovenous Malformation Bronchobiliary Fistula Bibliography Chapter 424 - Pulmonary Edema 424 Pulmonary Edema Keywords Pathophysiology Etiology Clinical Manifestations Treatment Bibliography Chapter 425 - Aspiration Syndromes 425 Aspiration Syndromes Keywords Aspiration Syndromes Gastric Contents Treatment Prevention Hydrocarbon Aspiration Treatment Bibliography Chapter 426 - Chronic Recurrent Aspiration 426 Chronic Recurrent Aspiration Keywords Etiology Diagnosis Treatment Bibliography Chapter 427 - Immune and Inflammatory Lung Disease 427 Immune and Inflammatory Lung Disease 427.1 Hypersensitivity Pneumonia Keywords Etiology Pathogenesis Clinical Manifestations and Classification Laboratory Radiology Bronchoalveolar Lavage Lung Biopsy Antigen Challenge by Inhalation Treatment Bibliography 427.2 Occupational and Environmental Lung Disease Keywords Classification and Pathogenesis Occupational and Environmental Asthma Reactive Airways Disease Syndrome and Irritant-Induced Asthma Treatment Bibliography 427.3 Granulomatous Lung Disease Keywords Granulomatosis With Polyangiitis Etiology and Epidemiology Pathogenesis Clinical Manifestations Laboratory and Pathology Radiology Treatment Sarcoidosis Epidemiology and Pathogenesis Clinical Manifestations Diagnostic Laboratory Testing Histopathology Radiology Treatment Berylliosis Pathogenesis Clinical Manifestations Laboratory Testing Radiography Treatment Granulomatous Lung Disease in Primary Immune Deficiency Pathogenesis Clinical Manifestations of Granulomatous Lung Disease in Primary Immune Deficiency Radiography Laboratory and Pulmonary Function Testing Therapy Bibliography 427.4 Eosinophilic Lung Disease Keywords Etiology Pathology and Pathogenesis Clinical Manifestations Chest Imaging Löffler Syndrome Acute Eosinophilic Pneumonia Chronic Eosinophilic Pneumonia Eosinophilic Granulomatosis With Polyangiitis (the Churg-Strauss Syndrome) Allergic Bronchopulmonary Aspergillosis Radiography Treatment Hypereosinophilic Syndrome Bibliography 427.5 Interstitial Lung Disease Keywords Classification and Pathology Neuroendocrine Cell Hyperplasia of Infancy Disorders of Surfactant Metabolism Interstitial Lung Disease Due to Systemic Disease Clinical Manifestations Diagnosis Radiography Pulmonary Function Tests Bronchoalveolar Lavage Lung Biopsy Treatment Genetic Counseling Prognosis Anti-Glomerular Basement Membrane Disease (Anti-GBM Disease) Pathophysiology Immunology Factors Genetic Factors Environmental Factors Clinical Manifestations Laboratory Chest Radiography Pulmonary Function Testing Bronchoscopy and Bronchoalveolar Lavage Lung Biopsy Treatment Bibliography 427.6 Neuroendocrine Cell Hyperplasia of Infancy Keywords Background/Summary Epidemiology Pathophysiology Clinical Presentation Diagnosis Natural Course and Treatment Bibliography 427.7 Fibrotic Lung Disease Keywords Clinical Presentation Evaluation Treatment Outcomes Bibliography Chapter 428 - Community-Acquired Pneumonia 428 Community-Acquired Pneumonia Keywords Epidemiology Etiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prognosis Complications Prevention Bibliography Chapter 429 - Pleurisy, Pleural Effusions, and Empyema 429 Pleurisy, Pleural Effusions, and Empyema Keyword 429.1 Dry Pleurisy Etiology Pathology and Pathogenesis Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Bibliography 429.2 Serofibrinous or Serosanguineous Pleurisy With Pleural Effusion Keywords Etiology Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Complications Treatment Bibliography 429.3 Empyema Keywords Etiology Epidemiology Pathology Clinical Manifestations Laboratory Findings Complications Treatment Bibliography Chapter 430 - Bronchiectasis 430 Bronchiectasis Keywords Pathophysiology and Pathogenesis Clinical Manifestations Diagnosis Treatment Prognosis Bibliography Chapter 431 - Pulmonary Abscess 431 Pulmonary Abscess Keywords Pathology and Pathogenesis Clinical Manifestations Diagnosis Treatment Prognosis Bibliography Chapter 432 - Cystic Fibrosis 432 Cystic Fibrosis Genetics Pathogenesis Pathology Clinical Manifestations Respiratory Tract Intestinal Tract Biliary Tract Cystic Fibrosis–Related Diabetes and Pancreatitis Genitourinary Tract Sweat Glands Diagnosis and Assessment Sweat Testing DNA Testing Other Diagnostic Tests Pancreatic Function Radiology Pulmonary Function Microbiologic Studies Newborn Screening Treatment General Approach to Care Pulmonary Therapy Inhalation Therapy Airway Clearance Therapy Antibiotic Therapy Oral Antibiotic Therapy Aerosolized Antibiotic Therapy Intravenous Antibiotic Therapy Bronchodilator Therapy Antiinflammatory Agents Cystic Fibrosis Transmembrane Conductance Regulator Modulator Therapies Other Therapies Treatment of Pulmonary Complications Atelectasis Hemoptysis Pneumothorax Allergic Bronchopulmonary Aspergillosis Nontuberculous Mycobacteria Infection Bone and Joint Complications Sleep-Disordered Breathing Acute Respiratory Failure Chronic Respiratory Failure Pulmonary Hypertension and Cor Pulmonale Nutritional Therapy Diet Pancreatic Enzyme Replacement Vitamin and Mineral Supplements Treatment of Intestinal Complications Meconium Ileus Distal Intestinal Obstruction Syndrome and Other Causes of Abdominal Symptoms Rectal Prolapse Hepatobiliary Disease Pancreatitis Cystic Fibrosis-Related Hyperglycemia and Diabetes Other Complications Nasal Polyps Rhinosinusitis Salt Depletion Surgery Prognosis Bibliography Chapter 433 - Primary Ciliary Dyskinesia (Immotile Cilia Syndrome, Kartagener Syndrome) 433 Primary Ciliary Dyskinesia (Immotile Cilia Syndrome, Kartagener Syndrome) Keywords Normal Ciliary Ultrastructure and Function Genetics of Primary Ciliary Dyskinesia Clinical Manifestations of Primary Ciliary Dyskinesia Diagnosis of Primary Ciliary Dyskinesia Treatment Prognosis Bibliography Chapter 434 - Diffuse Lung Diseases in Childhood 434 Diffuse Lung Diseases in Childhood Keywords 434.1 Inherited Disorders of Surfactant Metabolism Pathology Deficiency of Surfactant Protein B (Surfactant Metabolism Dysfunction, Pulmonary, 1; Smdp1; Omim #265120) Clinical Manifestations Genetics Diagnosis Surfactant Protein C Gene Abnormalities (Surfactant Metabolism Dysfunction, Pulmonary, 2; Smdp2; Omim #610913) Clinical Manifestations Genetics Diagnosis Disease Caused by Mutations in ABCA3 (Surfactant Metabolism Dysfunction, Pulmonary, 3; Smdp3; Omim #610921) Clinical Manifestations Genetics Diagnosis Disease Caused by Mutations in NKX2-1 (Thyroid Transcription Factor 1, Choreoathetosis, Hypothyroidism, and Neonatal Respiratory Distress, Omim #600635) Clinical Manifestations Genetics Diagnosis Treatment of Surfactant Dysfunction Disorders Bibliography 434.2 Pulmonary Alveolar Proteinosis Etiology and Pathophysiology Primary Alveolar Proteinosis Secondary Alveolar Proteinosis Clinical Manifestations Diagnosis Treatment Bibliography Chapter 435 - Pulmonary Hemosiderosis 435 Pulmonary Hemosiderosis Keywords Etiology Epidemiology Pathology Pathophysiology Diffuse Alveolar Hemorrhage Associated With Pulmonary Capillaritis Diffuse Alveolar Hemorrhage Not Associated With Pulmonary Capillaritis Clinical Manifestations Laboratory Findings and Diagnosis Treatment Prognosis Bibliography Chapter 436 - Pulmonary Embolism, Infarction, and Hemorrhage 436 Pulmonary Embolism, Infarction, and Hemorrhage 436.1 Pulmonary Embolus and Infarction Keywords Etiology Epidemiology Pathophysiology Clinical Manifestations Laboratory Findings and Diagnosis Treatment Prognosis Bibliography 436.2 Pulmonary Hemorrhage and Hemoptysis Etiology Epidemiology Pathophysiology Clinical Manifestations Laboratory Findings and Diagnosis Treatment Bibliography Chapter 437 - Atelectasis 437 Atelectasis Keywords Pathophysiology Clinical Manifestations Diagnosis Treatment Bibliography Chapter 438 - Pulmonary Tumors 438 Pulmonary Tumors Keywords Etiology Clinical Manifestations and Evaluation Bibliography Chapter 439 - Pneumothorax 439 Pneumothorax Keywords Etiology and Epidemiology Pathogenesis Clinical Manifestations Diagnosis and Differential Diagnosis Treatment Bibliography Chapter 440 - Pneumomediastinum 440 Pneumomediastinum Keywords Etiology Pathogenesis Clinical Manifestations Laboratory Findings Treatment Complications Bibliography Chapter 441 - Hydrothorax 441 Hydrothorax Keywords Etiology Clinical Manifestations Laboratory Findings Treatment Bibliography Chapter 442 - Hemothorax 442 Hemothorax Keywords Etiology Clinical Manifestations Diagnosis Treatment Bibliography Chapter 443 - Chylothorax 443 Chylothorax Keywords Etiology Clinical Manifestations Laboratory Findings Treatment Complications Bibliography Chapter 444 - Bronchopulmonary Dysplasia 444 Bronchopulmonary Dysplasia Keywords Bronchopulmonary Dysplasia Clinical Manifestations Treatment Prognosis Bibliography Chapter 445 - Skeletal Diseases Influencing Pulmonary Function 445 Skeletal Diseases Influencing Pulmonary Function 445.1 Pectus Excavatum (Funnel Chest) Keywords Etiology Epidemiology Clinical Manifestations Laboratory Findings Treatment Bibliography 445.2 Pectus Carinatum and Sternal Clefts Keywords Pectus Carinatum Etiology and Epidemiology Clinical Manifestations Treatment Sternal Clefts Bibliography 445.3 Asphyxiating Thoracic Dystrophy (Thoracic-Pelvic-Phalangeal Dystrophy) Keywords Etiology Clinical Manifestations Diagnosis Treatment Prognosis Bibliography 445.4 Achondroplasia Keyword Etiology Clinical Manifestations Diagnosis Treatment Prognosis Bibliography 445.5 Kyphoscoliosis: Adolescent Idiopathic Scoliosis and Congenital Scoliosis Keywords Etiology Clinical Manifestations Diagnosis Treatment Bibliography 445.6 Congenital Rib Anomalies Keyword Clinical Manifestations Diagnosis Treatment Bibliography Chapter 446 - Chronic Respiratory Insufficiency 446 Chronic Respiratory Insufficiency 446.1 Chronic Respiratory Failure and Long-Term Mechanical Ventilation Epidemiology Modalities for Respiratory Support Invasive Positive Pressure Ventilation Optimal Ventilator Support Other Management Considerations Airway Clearance Inhalation Medications Mucolytics and Anticholinergics Monitoring Supplemental Oxygen Nutrition Physical, Occupational, Speech Therapy Preparing for Discharge Care by the General Pediatrician Infections Care by the Subspecialty Team Weaning Off the Ventilator Psychosocial Considerations Adult Transition Bibliography 446.2 Congenital Central Hypoventilation Syndrome Keywords Genetics Ventilator Dependence and Control of Breathing Hirschsprung Disease (Chapter 358) Tumors of Neural Crest Origin (Chapter 525) Cardiac Asystole Autonomic Nervous System Dysregulation Neuropathology Clinical Manifestations Differential Diagnosis Management Supported Ventilation—Diaphragm Pacing Monitoring in the Home Noninvasive Equipment Positive Pressure Ventilators Optimizing Neurocognitive Performance Bibliography 446.3 Other Conditions Affecting Respiration Myelomeningocele With Arnold-Chiari Type II Malformation Management Rapid-Onset Obesity, Hypothalamic Dysfunction, and Autonomic Dysregulation Obesity Hypoventilation Syndrome Management Acquired Alveolar Hypoventilation Obstructive Sleep Apnea Epidemiology Pathophysiology Clinical Presentation Treatment Spinal Cord Injury Epidemiology Pathophysiology Management Metabolic Disease Mucopolysaccharidoses Dysplasias Glycogenosis Type II Severe Tracheomalacia and/or Bronchomalacia (Airway Malacia) Neuropathy of Severe Illness Mitochondrial Diseases 446.4 Long-Term Mechanical Ventilation Keywords Goals and Decision-Making Noninvasive and Transtracheal Supports Augmented Secretion Clearance Aerodigestive and Communication Considerations Gas-Exchange Goals and Ventilator Strategies Cardiopulmonary Interactions Chest Wall/Thoracic Configuration Nutrition and Weight Gain Developmental Considerations Projected Interventions and Needs Monitoring Transitioning From Acute Care to Rehabilitation or Community Setting Routine Health Maintenance Airway Evaluation Bacterial Colonization Dental Care Immunizations Radiography, Laboratory Evaluation, Polysomnography, and Pulmonary Function Testing Long-Term Mechanical Ventilation Weaning and Tracheal Decannulation Bibliography 19- XIX The Cardiovascular System Chapter 447 - Cardiac Development XIX The Cardiovascular System 1 Developmental Biology of the Cardiovascular System 447 Cardiac Development Keywords 447.1 Early Cardiac Morphogenesis 447.2 Cardiac Looping 447.3 Cardiac Septation 447.4 Aortic Arch Development 447.5 Cardiac Differentiation 447.6 Developmental Changes in Cardiac Function Bibliography Chapter 448 - The Fetal to Neonatal Circulatory Transition 448 The Fetal to Neonatal Circulatory Transition 448.1 The Fetal Circulation Keywords 448.2 The Transitional Circulation 448.3 The Neonatal Circulation 448.4 Persistent Pulmonary Hypertension of the Neonate (Persistence of Fetal Circulatory Pathways) Bibliography Chapter 449 - History and Physical Examination in Cardiac Evaluation 2 Evaluation of the Cardiovascular System and the Child With a Heart Murmur 449 History and Physical Examination in Cardiac Evaluation Keywords History General Physical Examination Cardiac Examination Bibliography Chapter 450 - Laboratory Cardiac Evaluation 450 Laboratory Cardiac Evaluation 450.1 Radiologic Cardiac Assessment Keywords 450.2 Electrocardiography Developmental Changes Rate and Rhythm P Waves QRS Complex Right Ventricular Hypertrophy Left Ventricular Hypertrophy Bundle Branch Block P-R and Q-T Intervals ST Segment and T-Wave Abnormalities Bibliography 450.3 Hematologic Data 450.4 Echocardiography M-Mode Echocardiography Two-Dimensional Echocardiography Doppler Echocardiography Three-Dimensional Echocardiography Transesophageal Echocardiography Fetal Echocardiography Bibliography 450.5 Exercise Testing Bibliography 450.6 Cardiac Imaging Studies Bibliography 450.7 Diagnostic and Interventional Cardiac Catheterization Diagnostic Cardiac Catheterization Thermodilution Measurement of Cardiac Output Angiocardiography Interventional Cardiac Catheterization Bibliography Chapter 451 - Epidemiology and Genetic Basis of Congenital Heart Disease 3 Congenital Heart Disease 451 Epidemiology and Genetic Basis of Congenital Heart Disease Keywords Prevalence Etiology Next-Generation Genome Sequencing and Congenital Heart Disease Genetic Counseling Bibliography Chapter 452 - Evaluation and Screening of the Infant or Child With Congenital Heart Disease 452 Evaluation and Screening of the Infant or Child With Congenital Heart Disease Keywords Acyanotic Congenital Heart Lesions Lesions Resulting in Increased Volume Load Lesions Resulting in Increased Pressure Load Cyanotic Congenital Heart Lesions Cyanotic Lesions With Decreased Pulmonary Blood Flow Cyanotic Lesions With Increased Pulmonary Blood Flow Bibliography Chapter 453 - Acyanotic Congenital Heart Disease-Left-to-Right Shunt Lesions 453 Acyanotic Congenital Heart Disease Keywords 453.1 Atrial Septal Defect Bibliography 453.2 Ostium Secundum Defect Pathophysiology Clinical Manifestations Diagnosis Complications Treatment Prognosis 453.3 Sinus Venosus Atrial Septal Defect 453.4 Partial Anomalous Pulmonary Venous Return 453.5 Atrioventricular Septal Defects (Ostium Primum and Atrioventricular Canal or Endocardial Cushion Defects) Pathophysiology Clinical Manifestations Diagnosis Treatment Prognosis Bibliography 453.6 Ventricular Septal Defect Pathophysiology Clinical Manifestations Diagnosis Treatment Prognosis Bibliography 453.7 Supracristal Ventricular Septal Defect With Aortic Insufficiency 453.8 Patent Ductus Arteriosus Pathophysiology Clinical Manifestations Diagnosis Prognosis and Complications Treatment Patent Ductus Arteriosus in Low-Birthweight Infants Bibliography 453.9 Aortopulmonary Window Defect 453.10 Coronary Artery Fistula 453.11 Ruptured Sinus of Valsalva Aneurysm Chapter 454 - Acyanotic Congenital Heart Disease-Obstructive Lesions 454 Acyanotic Congenital Heart Disease Keywords 454.1 Pulmonary Valve Stenosis With Intact Ventricular Septum Pathophysiology Clinical Manifestations and Laboratory Findings Treatment Prognosis and Complications Bibliography 454.2 Infundibular Pulmonary Stenosis and Double-Chamber Right Ventricle 454.3 Pulmonary Stenosis in Combination With an Intracardiac Shunt 454.4 Peripheral Pulmonary Stenosis 454.5 Aortic Stenosis Pathophysiology Clinical Manifestations Laboratory Findings and Diagnosis Treatment Prognosis Bibliography 454.6 Coarctation of the Aorta Pathophysiology Clinical Manifestations Diagnosis Treatment Postcoarctectomy Syndrome Prognosis Bibliography 454.7 Coarctation With Ventricular Septal Defect 454.8 Coarctation With Other Cardiac Anomalies and Interrupted Aortic Arch 454.9 Congenital Mitral Stenosis Bibliography 454.10 Pulmonary Venous Hypertension Chapter 455 - Acyanotic Congenital Heart Disease-Regurgitant Lesions 455 Acyanotic Congenital Heart Disease 455.1 Pulmonary Valvular Insufficiency and Congenital Absence of the Pulmonary Valve Keywords Bibliography 455.2 Congenital Mitral Insufficiency 455.3 Mitral Valve Prolapse Bibliography 455.4 Tricuspid Regurgitation Bibliography Chapter 456 - Cyanotic Congenital Heart Disease-Evaluation of the Critically Ill Neonate With Cyanosis and Respiratory Distress 456 Cyanotic Congenital Heart Disease Keywords Cardiac Disease Leading to Cyanosis Differential Diagnosis Chapter 457 - Cyanotic Congenital Heart Disease-Lesions Associated With Decreased Pulmonary Blood Flow 457 Cyanotic Congenital Heart Disease Keywords 457.1 Tetralogy of Fallot Pathophysiology Clinical Manifestations Diagnosis Complications Associated Anomalies Treatment Prognosis Bibliography 457.2 Tetralogy of Fallot With Pulmonary Atresia Pathophysiology Clinical Manifestations Diagnosis Treatment Bibliography 457.3 Pulmonary Atresia With Intact Ventricular Septum Pathophysiology Clinical Manifestations Diagnosis Treatment Bibliography 457.4 Tricuspid Atresia Pathophysiology Clinical Manifestations Diagnosis Treatment Bibliography 457.5 Double-Outlet Right Ventricle 457.6 Transposition of the Great Arteries With Ventricular Septal Defect and Pulmonary Stenosis 457.7 Ebstein Anomaly of the Tricuspid Valve Pathophysiology Clinical Manifestations Diagnosis Prognosis and Complications Treatment Bibliography Chapter 458 - Cyanotic Congenital Heart Disease-Lesions Associated With Increased Pulmonary Blood Flow 458 Cyanotic Congenital Heart Disease Keywords 458.1 d-Transposition of the Great Arteries 458.2 d-Transposition of the Great Arteries With Intact Ventricular Septum Clinical Manifestations Diagnosis Treatment 458.3 Transposition of the Great Arteries With Ventricular Septal Defect 458.4 L-Transposition of the Great Arteries (Corrected Transposition) Clinical Manifestations Diagnosis Bibliography 458.5 Double-Outlet Right Ventricle Without Pulmonary Stenosis 458.6 Double-Outlet Right Ventricle With Malposition of the Great Arteries (Taussig-Bing Anomaly) 458.7 Total Anomalous Pulmonary Venous Return Pathophysiology Clinical Manifestations Diagnosis Treatment Bibliography 458.8 Truncus Arteriosus Pathophysiology Clinical Manifestations Diagnosis Prognosis and Complications Treatment Bibliography 458.9 Single Ventricle (Double-Inlet Ventricle, Univentricular Heart) Pathophysiology Clinical Manifestations Diagnosis Prognosis and Complications Treatment 458.10 Hypoplastic Left Heart Syndrome Pathophysiology Clinical Manifestations Diagnosis Prognosis and Complications Treatment Prevention Bibliography 458.11 Abnormal Positions of the Heart and the Heterotaxy Syndromes (Asplenia, Polysplenia) Bibliography Chapter 459 - Other Congenital Heart and Vascular Malformations 459 Other Congenital Heart and Vascular Malformations Keywords 459.1 Anomalies of the Aortic Arch Right Aortic Arch Vascular Rings Clinical Manifestations Diagnosis Treatment Bibliography 459.2 Anomalous Origin of the Coronary Arteries Anomalous Origin of Left Coronary Artery From Pulmonary Artery Clinical Manifestations Diagnosis Treatment and Prognosis Anomalous Origin of Right Coronary Artery From Pulmonary Artery Ectopic Origin of a Coronary Artery From the Aorta With Aberrant Proximal Course Bibliography 459.3 Pulmonary Arteriovenous Fistula Bibliography 459.4 Ectopia Cordis 459.5 Diverticulum of the Left Ventricle Chapter 460 - Pulmonary Hypertension 460 Pulmonary Hypertension Keywords 460.1 Primary Pulmonary Hypertension Pathophysiology Clinical Manifestations Diagnosis Prognosis and Treatment 460.2 Pulmonary Vascular Disease (Eisenmenger Syndrome) Pathophysiology Pathology and Pathophysiology Clinical Manifestations Diagnosis Treatment Bibliography Chapter 461 - General Principles of Treatment of Congenital Heart Disease 461 General Principles of Treatment of Congenital Heart Disease Keywords Postoperative Management Interstage Management Long-Term Management 461.1 Congenital Heart Disease in Adults Keywords Long-Term Medical Considerations Specific Lesions Left-to-Right Shunts Atrial Septal Defects Late Outcome Following Closure of Atrial Septal Defect Ventricular Septal Defects Complete Atrioventricular Canal Patent Ductus Arteriosus Cyanotic Heart Disease Tetralogy of Fallot Transposition of the Great Arteries Pulmonary Valve Stenosis Left-Sided Obstructive Lesions Coarctation of the Aorta Aortic Valve Stenosis Endocarditis Prophylaxis Pregnancy and Congenital Heart Disease Contraception Adolescent Transition Bibliography Bibliography Chapter 462 - Disturbances of Rate and Rhythm of the Heart 4 Cardiac Arrhythmias 462 Disturbances of Rate and Rhythm of the Heart Keywords 462.1 Principles of Antiarrhythmic Therapy 462.2 Sinus Arrhythmias and Extrasystoles 462.3 Supraventricular Tachycardia Clinical Manifestations Treatment 462.4 Ventricular Tachyarrhythmias 462.5 Long QT Syndromes 462.6 Sinus Node Dysfunction 462.7 Atrioventricular Block Bibliography Chapter 463 - Sudden Death 463 Sudden Death Keywords Mechanism of Sudden Death Congenital Heart Disease Cardiomyopathy Cardiac Arrhythmia Miscellaneous Causes Evaluation and Therapy for Resuscitated Patients Medication for Attention-Deficit/Hyperactivity Disorder Prevention of Sudden Death Bibliography Chapter 464 - Infective Endocarditis 5 Acquired Heart Disease 464 Infective Endocarditis Keywords Etiology Epidemiology Clinical Manifestations Diagnosis Prognosis and Complications Treatment Prevention Bibliography Chapter 465 - Rheumatic Heart Disease 465 Rheumatic Heart Disease Keywords Patterns of Valvular Disease Mitral Insufficiency Pathophysiology Clinical Manifestations Complications Treatment Mitral Stenosis Pathophysiology Clinical Manifestations Treatment Aortic Insufficiency Clinical Manifestations Prognosis and Treatment Tricuspid Valve Disease Pulmonary Valve Disease Bibliography Chapter 466 - Diseases of the Myocardium 6 Diseases of the Myocardium and Pericardium 466 Diseases of the Myocardium 466.1 Dilated Cardiomyopathy Keywords Etiology and Epidemiology Pathogenesis Clinical Manifestations Laboratory Findings Prognosis and Management Bibliography 466.2 Hypertrophic Cardiomyopathy Keywords Etiology and Epidemiology Pathogenesis Clinical Manifestations Diagnosis Prognosis and Management Bibliography 466.3 Restrictive Cardiomyopathy Keywords Etiology and Epidemiology Pathogenesis Clinical Manifestations Diagnosis Prognosis and Management Bibliography 466.4 Left Ventricular Noncompaction, Arrhythmogenic Right Ventricular Cardiomyopathy, Endocardial Fibroelastosis, and Takotsubo Cardiomyopathy Keywords Bibliography 466.5 Myocarditis Keywords Etiology and Epidemiology Viral Infections Bacterial Infections Pathophysiology Clinical Manifestations Diagnosis Differential Diagnosis Treatment Prognosis Bibliography Chapter 467 - Diseases of the Pericardium 467 Diseases of the Pericardium 467.1 Acute Pericarditis Keywords Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Infectious Pericarditis Noninfectious Pericarditis 467.2 Constrictive Pericarditis Keywords Bibliography Chapter 468 - Tumors of the Heart 468 Tumors of the Heart Keywords Bibliography Chapter 469 - Heart Failure 7 Cardiac Therapeutics 469 Heart Failure Keywords Pathophysiology Clinical Manifestations Diagnosis Treatment General Measures Diet Diuretics Afterload Reducers, Including Angiotensin-Converting Enzyme Inhibitors and Angiotensin II Receptor Blockers Digitalis Glycosides Alpha- and β-Adrenergic Agonists Phosphodiesterase Inhibitors Chronic Treatment With β-Blockers New Therapies Electrophysiologic Approaches to Heart Failure Management 469.1 Cardiogenic Shock Mechanical Circulatory Support Bibliography Chapter 470 - Pediatric Heart and Heart-Lung Transplantation 470 Pediatric Heart and Heart-Lung Transplantation Keywords 470.1 Pediatric Heart Transplantation Indications Recipient and Donor Selection Perioperative Management Diagnosis and Management of Acute Graft Rejection Complications of Immunosuppression Infection Growth Retardation Hypertension Renal Function Neurologic Complications Tumors Cardiac Allograft Vasculopathy Other Complications Rehabilitation Bibliography 470.2 Heart-Lung and Lung Transplantation Bibliography Chapter 471 - Diseases of the Blood Vessels (Aneurysms and Fistulas) 8 Diseases of the Peripheral Vascular System 471 Diseases of the Blood Vessels (Aneurysms and Fistulas) 471.1 Kawasaki Disease Keywords 471.2 Arteriovenous Fistulas Clinical Manifestations Treatment 471.3 Generalized Arterial Calcification of Infancy/Idiopathic Infantile Arterial Calcification Arterial Calcifications Caused by Deficiency of CD73 471.4 Arterial Tortuosity Bibliography Chapter 472 - Systemic Hypertension 472 Systemic Hypertension Keywords Prevalence of Hypertension in Children Definition of Hypertension Blood Pressure Measurement in Children Ambulatory Blood Pressure Monitoring Etiology and Pathophysiology Clinical Manifestations Diagnosis Prevention Treatment Bibliography 20- XX Diseases of the Blood Chapter 473 - Development of the Hematopoietic System XX Diseases of the Blood 1 The Hematopoietic System 473 Development of the Hematopoietic System Keywords Hematopoiesis in the Human Embryo and Fetus Fetal Granulocytopoiesis Fetal Thrombopoiesis Fetal Erythropoiesis Hemoglobins in the Fetus and Neonate Embryonic Hemoglobins Fetal Hemoglobin Adult Hemoglobins Alterations of the Hemoglobins by Disease Red Cell Life Span in the Fetus and Neonate Bibliography Chapter 474 - The Anemias 474 The Anemias Keywords History and Physical Examination Laboratory Studies Differential Diagnosis Bibliography Chapter 475 - Congenital Hypoplastic Anemia (Diamond-Blackfan Anemia) 2 Anemias of Inadequate Production 475 Congenital Hypoplastic Anemia (Diamond-Blackfan Anemia) Keywords Etiology Epidemiology Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Prognosis Bibliography Chapter 476 - Pearson Syndrome 476 Pearson Syndrome Keywords Bibliography Chapter 477 - Acquired Pure Red Blood Cell Anemia 477 Acquired Pure Red Blood Cell Anemia Keywords Transient Erythroblastopenia of Childhood Red Cell Aplasia Associated With Parvovirus B19 Infection Other Red Cell Aplasias in Children Bibliography Chapter 478 - Anemia of Chronic Disease and Renal Disease 478 Anemia of Chronic Disease and Renal Disease Keywords 478.1 Anemia of Chronic Disease Etiology Clinical Manifestations Laboratory Findings Treatment Bibliography 478.2 Anemia of Renal Disease Etiology Laboratory Findings Treatment Bibliography Chapter 479 - Congenital Dyserythropoietic Anemias 479 Congenital Dyserythropoietic Anemias Keywords Congenital Dyserythropoietic Anemia Type I Pathogenesis Clinical Manifestations Laboratory Findings Treatment Congenital Dyserythropoietic Anemia Type II Pathogenesis Clinical Manifestations Laboratory Findings Treatment Congenital Dyserythropoietic Anemia Type III Bibliography Chapter 480 - Physiologic Anemia of Infancy 480 Physiologic Anemia of Infancy Keywords Treatment Bibliography Chapter 481 - Megaloblastic Anemias 481 Megaloblastic Anemias Keywords 481.1 Folic Acid Deficiency Etiology Inadequate Folate Intake Decreased Folate Absorption Congenital Abnormalities in Folate Transport and Metabolism Drug-Induced Abnormalities in Folate Metabolism Clinical Manifestations Laboratory Findings Treatment Bibliography 481.2 Vitamin B12 (Cobalamin) Deficiency Keywords Metabolism Etiology Inadequate Vitamin B12 Intake Impaired Vitamin B12 Absorption Absence of Vitamin B12 Transport Protein Transcobalamin Inborn Errors of Cobalamin Metabolism Clinical Manifestations Laboratory Findings Diagnosis Treatment Bibliography 481.3 Other Rare Megaloblastic Anemias Keywords Bibliography Chapter 482 - Iron-Deficiency Anemia 482 Iron-Deficiency Anemia Keywords Etiology Clinical Manifestations Laboratory Findings Differential Diagnosis Prevention Treatment 482.1 Iron-Refractory Iron-Deficiency Anemia Keywords Etiology Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Bibliography Bibliography Chapter 483 - Other Microcytic Anemias 483 Other Microcytic Anemias Keywords Infantile Poikilocytosis and Hereditary Pyropoikilocytosis Copper Deficiency Defects of Iron Metabolism Bibliography Chapter 484 - Definitions and Classification of Hemolytic Anemias 3 Hemolytic Anemias 484 Definitions and Classification of Hemolytic Anemias Keywords Bibliography Chapter 485 - Hereditary Spherocytosis 485 Hereditary Spherocytosis Keywords Etiology Clinical Manifestations Diagnosis Differential Diagnosis Treatment General Supportive Care Guidelines for Splenectomy Bibliography Chapter 486 - Hereditary Elliptocytosis, Hereditary Pyropoikilocytosis, and Related Disorders 486 Hereditary Elliptocytosis, Hereditary Pyropoikilocytosis, and Related Disorders Keywords Etiology Clinical Manifestations Laboratory Findings Treatment Bibliography Chapter 487 - Hereditary Stomatocytosis 487 Hereditary Stomatocytosis Keywords Hereditary Xerocytosis Hereditary Hydrocytosis Intermediate Syndromes and Other Variants Cryohydrocytosis Rh Deficiency Syndrome Familial Deficiency of High-Density Lipoproteins Sitosterolemia Other Disorders Associated With Stomatocytosis Bibliography Chapter 488 - Paroxysmal Nocturnal Hemoglobinuria and Acanthocytosis 488 Paroxysmal Nocturnal Hemoglobinuria and Acanthocytosis Keywords Paroxysmal Nocturnal Hemoglobinuria Etiology Clinical Manifestations Laboratory Findings Treatment Acanthocytosis Bibliography Chapter 489 - Hemoglobinopathies 489 Hemoglobinopathies Keywords Hemoglobin Disorders 489.1 Sickle Cell Disease Pathophysiology Diagnosis and Epidemiology Clinical Manifestations and Treatment of Sickle Cell Anemia (HbSS) Fever and Bacteremia Aplastic Crisis Splenic Sequestration Hepatic and Gallbladder Involvement Sickle Cell Pain Avascular Necrosis Priapism Neurologic Complications Transcranial Doppler Ultrasonography Pulmonary Complications Renal Disease and Enuresis Cognitive and Psychological Complications Other Complications Therapeutic Considerations Hydroxyurea Hematopoietic Stem Cell Transplantation Red Blood Cell Transfusions Iron Overload Other Sickle Cell Syndromes Anticipatory Guidance Prophylactic Penicillin Immunizations Spleen Palpation Transcranial Doppler Ultrasound Hydroxyurea Red Cell Transfusion Therapy Pulmonary and Asthma Screening Retinopathy Renal Disease Echocardiography Additional Screening Bibliography 489.2 Sickle Cell Trait (Hemoglobin AS) Bibliography 489.3 Other Hemoglobinopathies Hemoglobin C Hemoglobin E Hemoglobin D 489.4 Unstable Hemoglobin Disorders 489.5 Abnormal Hemoglobins With Increased Oxygen Affinity 489.6 Abnormal Hemoglobins Causing Cyanosis 489.7 Hereditary Methemoglobinemia 489.8 Hereditary Methemoglobinemia With Deficiency of NADH Cytochrome b5 Reductase 489.9 Syndromes of Hereditary Persistence of Fetal Hemoglobin 489.10 Thalassemia Syndromes Epidemiology Pathophysiology Homozygous β-Thalassemia (Thalassemia Major, Cooley Anemia) Clinical Manifestations Laboratory Findings Management and Treatment of Thalassemia Transfusion Therapy Guidelines for Transfusion Therapy. Iron Overload Monitoring Chelation Therapy Hydroxyurea Hematopoietic Stem Cell Transplantation Splenectomy Preventive Monitoring of Thalassemia Patients Cardiac Disease Endocrine Disease Psychosocial Support Other β-Thalassemia Syndromes Non–Transfusion-Dependent Thalassemia: β-Thalassemia Intermedia α-Thalassemia Syndromes Bibliography Chapter 490 - Enzymatic Defects 490 Enzymatic Defects 490.1 Pyruvate Kinase Deficiency Keywords Etiology Clinical Manifestations and Laboratory Findings Treatment 490.2 Other Glycolytic Enzyme Deficiencies Keywords Deficiencies of Enzymes of Hexose Monophosphate Pathway 490.3 Glucose-6-Phosphate Dehydrogenase Deficiency and Related Deficiencies Keywords Episodic or Induced Acute Hemolytic Anemia Etiology Clinical Manifestations Laboratory Findings Diagnosis Prevention and Treatment Chronic Hemolytic Anemias Associated With Deficiency of G6PD or Related Factors Bibliography Chapter 491 - Hemolytic Anemias Resulting from Extracellular Factors—Immune Hemolytic Anemias 491 Hemolytic Anemias Resulting from Extracellular Factors—Immune Hemolytic Anemias Keywords Immune Hemolytic Anemias Autoimmune Hemolytic Anemias Associated With “Warm” Antibodies Etiology Clinical Manifestations Laboratory Findings Treatment Course and Prognosis Autoimmune Hemolytic Anemias Associated With “Cold” Antibodies Cold Agglutinin Disease Paroxysmal Cold Hemoglobinuria Bibliography Chapter 492 - Hemolytic Anemias Secondary to Other Extracellular Factors 492 Hemolytic Anemias Secondary to Other Extracellular Factors Keywords Fragmentation Hemolysis Thermal Injury Renal Disease Liver Disease Toxins and Venoms Wilson Disease Bibliography Chapter 493 - Polycythemia 4 Polycythemia (Erythrocytosis) 493 Polycythemia Keywords Clonal (Primary) Polycythemia (Polycythemia Vera) Pathogenesis Clinical Manifestations Treatment Bibliography Chapter 494 - Nonclonal Polycythemia 494 Nonclonal Polycythemia Keywords Pathogenesis Congenital Polycythemia Acquired Polycythemia Diagnosis Treatment Bibliography Chapter 495 - Inherited Bone Marrow Failure Syndromes With Pancytopenia 5 The Pancytopenias 495 Inherited Bone Marrow Failure Syndromes With Pancytopenia Keywords Fanconi Anemia Etiology and Epidemiology Pathology Clinical Manifestations Complications Diagnosis Treatment Prognosis Shwachman-Diamond Syndrome Etiology and Epidemiology Pathology Clinical Manifestations Laboratory Findings Diagnosis Complications Treatment Prognosis Dyskeratosis Congenita Etiology and Epidemiology Pathology Clinical Manifestations Laboratory Findings Diagnosis Complications Treatment Prognosis Congenital Amegakaryocytic Thrombocytopenia Etiology and Epidemiology Clinical Manifestations Laboratory Findings Diagnosis Complications Therapy and Prognosis Other Inherited Aplastic Anemias Reticular Dysgenesis Cartilage-Hair Hypoplasia Other Inherited Syndromes With Occasional Significant Bone Marrow Failure Down Syndrome Dubowitz Syndrome Seckel Syndrome Schimke Immunoosseous Dysplasia Noonan Syndrome Unclassified Inherited Bone Marrow Failure Syndromes Bibliography Chapter 496 - The Acquired Pancytopenias 496 The Acquired Pancytopenias Keywords Etiology and Epidemiology Pathology and Pathogenesis Clinical Manifestations, Laboratory Findings, and Differential Diagnosis Treatment Complications Prognosis Pancytopenia Caused by Marrow Replacement Bibliography Chapter 497 - Red Blood Cell Transfusions and Erythropoietin Therapy 6 Blood Component Transfusions 497 Red Blood Cell Transfusions and Erythropoietin Therapy Keywords RBC Transfusion in Children and Adolescents RBC Transfusion in Preterm Infants and Neonates RBC Product and Dose Storage Age of RBC Units Bibliography Chapter 498 - Platelet Transfusions 498 Platelet Transfusions Keywords Children and Adolescents Infants and Neonates Platelet Products and Dosing Bibliography Chapter 499 - Neutrophil (Granulocyte) Transfusions 499 Neutrophil (Granulocyte) Transfusions Keywords Granulocyte Transfusions for Children Granulocyte Transfusion for Neonates Granulocyte Product Granulocyte Product Dosing Bibliography Chapter 500 - Plasma Transfusions 500 Plasma Transfusions Keywords Plasma Products and Patient Testing Plasma Transfusion in Children Plasma Transfusion in Neonates Bibliography Chapter 501 - Risks of Blood Transfusions 501 Risks of Blood Transfusions Keywords Infectious Risks of Transfusion Noninfectious Risks of Transfusion Bibliography Chapter 502 - Hemostasis 7 Hemorrhagic and Thrombotic Diseases 502 Hemostasis Key Words The Hemostatic Process Pathology 502.1 Clinical and Laboratory Evaluation of Hemostasis Keywords Clinical History Physical Examination Laboratory Tests Platelet Count Prothrombin Time and Activated Partial Thromboplastin Time Partial Thromboplastin Time Thrombin Time Reptilase Time Mixing Studies Platelet Aggregation Testing for Thrombotic Predisposition Tests of the Fibrinolytic System Developmental Hemostasis Bibliography Chapter 503 - Hereditary Clotting Factor Deficiencies (Bleeding Disorders) 503 Hereditary Clotting Factor Deficiencies (Bleeding Disorders) Keywords 503.1 Factor VIII or Factor IX Deficiency (Hemophilia A or B) Keywords Pathophysiology Clinical Manifestations Laboratory Findings and Diagnosis Differential Diagnosis Genetics and Classification Treatment Prophylaxis Supportive Care Chronic Complications Inhibitor Formation Comprehensive Care Bibliography 503.2 Factor XI Deficiency (Hemophilia C) Keywords Bibliography 503.3 Deficiencies of the Contact Factors (Nonbleeding Disorders) Keywords 503.4 Factor VII Deficiency Keywords Bibliography 503.5 Factor X Deficiency Keywords Bibliography 503.6 Prothrombin (Factor II) Deficiency Keywords Bibliography 503.7 Factor V Deficiency Keywords Bibliography 503.8 Combined Deficiency of Factors V and VIII Keywords Bibliography 503.9 Fibrinogen (Factor I) Deficiency Keywords Bibliography 503.10 Factor XIII Deficiency (Fibrin-Stabilizing Factor or Transglutaminase Deficiency) Keywords Bibliography 503.11 Antiplasmin or Plasminogen Activator Inhibitor Deficiency Keywords Bibliography Chapter 504 - Von Willebrand Disease 504 Von Willebrand Disease Keywords Pathophysiology Classification Laboratory Diagnosis Treatment Bibliography Chapter 505 - Hereditary Predisposition to Thrombosis 505 Hereditary Predisposition to Thrombosis Keywords Bibliography Chapter 506 - Thrombotic Disorders in Children 506 Thrombotic Disorders in Children Keywords Epidemiology Clinical Manifestations Extremity Deep Vein Thrombosis Pulmonary Embolism Cerebral Sinovenous Thrombosis Renal Vein Thrombosis Peripheral Arterial Thrombosis Stroke Rapidly Progressive Thrombosis (Thrombotic Storm) Diagnosis Laboratory Testing Treatment Complications 506.1 Anticoagulant and Thrombolytic Therapy Keywords Unfractionated Heparin Heparin Dosing Heparin Complications Low-Molecular-Weight Heparin Enoxaparin Dosing Warfarin Dosing Complications Direct Oral Anticoagulants Thrombolytic Therapy Dosing Monitoring Complications Thromboprophylaxis Antiplatelet Therapy Bibliography Chapter 507 - Postneonatal Vitamin K Deficiency 507 Postneonatal Vitamin K Deficiency Keywords Bibliography Chapter 508 - Liver Disease 508 Liver Disease Keywords Bibliography Chapter 509 - Acquired Inhibitors of Coagulation 509 Acquired Inhibitors of Coagulation Keywords Laboratory Findings Treatment Bibliography Chapter 510 - Disseminated Intravascular Coagulation 510 Disseminated Intravascular Coagulation Keywords Etiology Clinical Manifestations Laboratory Findings Treatment Bibliography Chapter 511 - Platelet and Blood Vessel Disorders 511 Platelet and Blood Vessel Disorders Keywords Megakaryopoiesis Thrombocytopenia 511.1 Idiopathic (Autoimmune) Thrombocytopenic Purpura Keywords Epidemiology Pathogenesis Clinical Manifestations Outcome Laboratory Findings Diagnosis and Differential Diagnosis Treatment Chronic Autoimmune Thrombocytopenic Purpura Bibliography 511.2 Drug-Induced Thrombocytopenia Keywords Bibliography 511.3 Nonimmune Platelet Destruction Keywords 511.4 Hemolytic-Uremic Syndrome 511.5 Thrombotic Thrombocytopenic Purpura Keywords Bibliography 511.6 Kasabach-Merritt Syndrome Keywords Bibliography 511.7 Sequestration Keywords 511.8 Congenital Thrombocytopenic Syndromes Keywords Bibliography 511.9 Neonatal Thrombocytopenia Keywords Bibliography 511.10 Thrombocytopenia From Acquired Disorders Causing Decreased Production Keywords 511.11 Platelet Function Disorders Keywords Bibliography 511.12 Acquired Disorders of Platelet Function Keywords Bibliography 511.13 Congenital Abnormalities of Platelet Function Keywords Other Hereditary Disorders of Platelet Function Treatment of Patients With Platelet Dysfunction Bibliography 511.14 Disorders of the Blood Vessels Keywords Henoch-Schönlein Purpura Ehlers-Danlos Syndrome Other Acquired Disorders Bibliography Chapter 512 - Anatomy and Function of the Spleen 8 The Spleen 512 Anatomy and Function of the Spleen Keywords Anatomy Function Bibliography Chapter 513 - Splenomegaly 513 Splenomegaly Keywords Clinical Manifestations Differential Diagnosis Pseudosplenomegaly Hypersplenism Congestive Splenomegaly (Banti Syndrome) Bibliography Chapter 514 - Hyposplenism, Splenic Trauma, and Splenectomy 514 Hyposplenism, Splenic Trauma, and Splenectomy Keywords Hyposplenism Splenic Trauma Splenectomy Bibliography Chapter 515 - Anatomy and Function of the Lymphatic System 9 The Lymphatic System 515 Anatomy and Function of the Lymphatic System Keywords Bibliography Chapter 516 - Abnormalities of Lymphatic Vessels 516 Abnormalities of Lymphatic Vessels Keywords Lymphatic Malformations Genetics Treatment Lymphangiectasia Lymphedema Lymphangioleiomyomatosis Lymphangitis Bibliography Chapter 517 - Lymphadenopathy 517 Lymphadenopathy Keywords Diagnosis Treatment 517.1 Kikuchi-Fujimoto Disease (Histiocytic Necrotizing Lymphadenitis) Keywords Bibliography 517.2 Sinus Histiocytosis With Massive Lymphadenopathy (Rosai-Dorfman Disease) Keywords Bibliography 517.3 Castleman Disease Keywords Bibliography Bibliography 21- XXI Cancer and Benign Tumors Chapter 518 - Epidemiology of Childhood and Adolescent Cancer XXI Cancer and Benign Tumors 518 Epidemiology of Childhood and Adolescent Cancer Keywords Influencing the Incidence of Cancer Bibliography Chapter 519 - Molecular and Cellular Biology of Cancer 519 Molecular and Cellular Biology of Cancer Keywords Genes Involved in Oncogenesis Syndromes Predisposing to Cancer Other Factors Associated With Oncogenesis Viruses Genomic Imprinting Telomerase Bibliography Chapter 520 - Principles of Cancer Diagnosis 520 Principles of Cancer Diagnosis Keywords Signs and Symptoms Physical Examination Age-Related Manifestations Early Detection Ensuring the Diagnosis Staging Bibliography Chapter 521 - Principles of Cancer Treatment 521 Principles of Cancer Treatment Keywords Diagnosis and Staging A Multimodal, Multidisciplinary Approach Discussing the Treatment Plan With the Patient and Family Treatments Chemotherapy Surgery Radiation Therapy Acute Toxic Effects and Supportive Care Late Adverse Effects Palliative Care Bibliography Chapter 522 - The Leukemias 522 The Leukemias Keywords 522.1 Acute Lymphoblastic Leukemia Epidemiology Etiology Cellular Classification Clinical Manifestations Diagnosis Differential Diagnosis Treatment Treatment of Relapse Supportive Care Prognosis Bibliography 522.2 Acute Myelogenous Leukemia Keywords Epidemiology Cellular Classification Clinical Manifestations Diagnosis Prognosis and Treatment Bibliography 522.3 Down Syndrome and Acute Leukemia and Transient Myeloproliferative Disorder Keywords Bibliography 522.4 Chronic Myelogenous Leukemia Keywords Bibliography 522.5 Juvenile Myelomonocytic Leukemia Keywords Bibliography 522.6 Infant Leukemia Keywords Bibliography Chapter 523 - Lymphoma 523 Lymphoma 523.1 Hodgkin Lymphoma Keywords Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Relapse Prognosis Bibliography 523.2 Non-Hodgkin Lymphoma Keywords Epidemiology Pathogenesis Clinical Manifestations Laboratory Findings Treatment Burkitt Lymphoma and Diffuse Large B-Cell Lymphoma Lymphoblastic Lymphoma Anaplastic Large Cell Lymphoma Relapsed Non-Hodgkin Lymphoma Complications Prognosis Bibliography 523.3 Late Effects in Children and Adolescents With Lymphoma Keywords Chapter 524 - Brain Tumors in Childhood 524 Brain Tumors in Childhood Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Specific Tumors Astrocytoma Ependymal Tumors Choroid Plexus Tumors Embryonal Tumors Pineal Parenchymal Tumors Craniopharyngioma Germ Cell Tumors Tumors of the Brainstem Metastatic Tumors Complications and Long-Term Management Bibliography Chapter 525 - Neuroblastoma 525 Neuroblastoma Keywords Epidemiology Pathology Pathogenesis Clinical Manifestations Diagnosis Treatment Bibliography Chapter 526 - Neoplasms of the Kidney 526 Neoplasms of the Kidney 526.1 Wilms Tumor Keywords Epidemiology Etiology: Genetics and Molecular Biology Clinical Presentation Diagnosis and Differential Diagnosis Treatment Recurrent Disease Prognosis Late Effects 526.2 Other Pediatric Renal Tumors Keywords Mesoblastic Nephroma Clear Cell Sarcoma of the Kidney Rhabdoid Tumor of the Kidney Renal Cell Carcinoma Bibliography Chapter 527 - Soft Tissue Sarcomas 527 Soft Tissue Sarcomas Keywords Rhabdomyosarcoma Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prognosis Other Soft Tissue Sarcomas Bibliography Chapter 528 - Neoplasms of Bone 528 Neoplasms of Bone 528.1 Malignant Tumors of Bone Keywords Osteosarcoma Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prognosis Ewing Sarcoma Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prognosis 528.2 Benign Tumors and Tumor-Like Processes of Bone Keywords Characteristic Lesions of the Tibia Histiocytosis Diagnostic Considerations Vascular Tumors of Bone Bibliography Chapter 529 - Retinoblastoma 529 Retinoblastoma Keywords Epidemiology Pathogenesis Screening Clinical Manifestations Diagnosis Treatment Prognosis Bibliography Chapter 530 - Gonadal and Germ Cell Neoplasms 530 Gonadal and Germ Cell Neoplasms Keywords Epidemiology Pathogenesis Clinical Manifestations and Diagnosis Treatment Prognosis Bibliography Chapter 531 - Neoplasms of the Liver 531 Neoplasms of the Liver Keywords Hepatoblastoma Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prognosis Hepatocellular Carcinoma Epidemiology Pathogenesis Clinical Manifestations Treatment Bibliography Chapter 532 - Benign Vascular Tumors 532 Benign Vascular Tumors 532.1 Hemangiomas Keywords Clinical Manifestations Treatment Bibliography 532.2 Lymphangiomas and Cystic Hygromas Keywords Bibliography Chapter 533 - Rare Tumors 533 Rare Tumors 533.1 Thyroid Tumors Keywords Benign Thyroid Tumors Malignant Thyroid Tumors Bibliography 533.2 Nasopharyngeal Carcinoma Keywords Bibliography 533.3 Adenocarcinoma of the Colon and Rectum Keywords Bibliography 533.4 Adrenal Tumors Keywords Bibliography 533.5 Desmoplastic Small Round Cell Tumor Keywords Bibliography Chapter 534 - Histiocytosis Syndromes of Childhood 534 Histiocytosis Syndromes of Childhood Keywords Classification and Pathology 534.1 Langerhans Cell Histiocytosis Keywords Clinical Manifestations Treatment and Prognosis Bibliography 534.2 Hemophagocytic Lymphohistiocytosis Keywords Clinical Manifestations Treatment and Prognosis Bibliography 534.3 Other Histiocytoses Keywords Bibliography 22- XXII Nephrology Chapter 535 - Introduction to Glomerular Diseases XXII Nephrology 1 Glomerular Disease 535 Introduction to Glomerular Diseases Keywords 535.1 Anatomy of the Glomerulus Bibliography 535.2 Glomerular Filtration Bibliography 535.3 Glomerular Diseases Pathogenesis Pathology Bibliography Chapter 536 - Clinical Evaluation of the Child With Hematuria 2 Conditions Particularly Associated With Hematuria 536 Clinical Evaluation of the Child With Hematuria Keywords Bibliography Chapter 537 - Isolated Glomerular Diseases Associated With Recurrent Gross Hematuria 537 Isolated Glomerular Diseases Associated With Recurrent Gross Hematuria Keywords 537.1 Immunoglobulin A Nephropathy (Berger Nephropathy) Pathology and Pathologic Diagnosis Clinical and Laboratory Manifestations Prognosis and Treatment Bibliography 537.2 Alport Syndrome Genetics Pathology Clinical Manifestations Diagnosis Prognosis and Treatment Bibliography 537.3 Thin Basement Membrane Disease Bibliography 537.4 Acute Poststreptococcal Glomerulonephritis Etiology and Epidemiology Pathology Pathogenesis Clinical Manifestations Diagnosis Complications Prevention Treatment Prognosis Bibliography 537.5 Membranous Nephropathy Pathology Pathogenesis Clinical Manifestations Diagnosis Prognosis and Treatment Bibliography 537.6 Membranoproliferative Glomerulonephritis Pathology Pathogenesis Clinical Manifestations Differential Diagnosis Prognosis and Treatment Bibliography 537.7 Rapidly Progressive (Crescentic) Glomerulonephritis Classification Pathology and Pathogenesis Clinical Manifestations Diagnosis and Differential Diagnosis Prognosis and Treatment Bibliography Chapter 538 - Multisystem Disease Associated With Hematuria 538 Multisystem Disease Associated With Hematuria Keywords 538.1 Chronic Infections Bibliography 538.2 Glomerulonephritis Associated With Systemic Lupus Erythematosus Keywords Pathogenesis and Pathology Clinical Manifestations Diagnosis Treatment Prognosis Bibliography 538.3 Henoch-Schönlein Purpura Nephritis Keywords Pathogenesis and Pathology Clinical and Laboratory Manifestations Prognosis and Treatment Bibliography 538.4 Goodpasture Disease Keywords Pathology Clinical Manifestations Diagnosis and Differential Diagnosis Prognosis and Treatment Bibliography 538.5 Hemolytic-Uremic Syndrome Keywords Etiology Pathology Pathogenesis Clinical Manifestations Diagnosis and Differential Diagnosis Prognosis and Treatment Bibliography 538.6 Toxic Nephropathy Keywords Bibliography 538.7 Cortical Necrosis Keywords Background Etiology Pathogenesis Clinical Manifestations Laboratory and Radiologic Findings Treatment Prognosis Bibliography 538.8 Coagulopathies and Thrombocytopenia Chapter 539 - Tubulointerstitial Disease Associated With Hematuria 539 Tubulointerstitial Disease Associated With Hematuria 539.1 Pyelonephritis 539.2 Tubulointerstitial Nephritis Keywords Acute Tubulointerstitial Nephritis Pathogenesis and Pathology Clinical Manifestations Diagnosis Treatment and Prognosis Chronic Tubulointerstitial Nephritis Pathogenesis and Pathology Clinical Manifestations Diagnosis Treatment and Prognosis Bibliography 539.3 Papillary Necrosis Keywords Pathogenesis and Pathology Clinical Manifestations Diagnosis Treatment and Prognosis Bibliography 539.4 Acute Tubular Necrosis Keywords Pathogenesis and Pathology Clinical Manifestations Diagnosis Treatment and Prognosis (see also Chapter 550.1) Bibliography Chapter 540 - Vascular Diseases Associated with Hematuria 540 Vascular Diseases Associated with Hematuria 540.1 Vascular Abnormalities Keywords Bibliography 540.2 Renal Vein Thrombosis Keywords Epidemiology Pathogenesis Clinical Manifestations Diagnosis Differential Diagnosis Treatment Prognosis Bibliography 540.3 Sickle Cell Nephropathy Keywords Etiology Pathology Clinical Manifestations Treatment Prognosis Bibliography 540.4 Idiopathic Hypercalciuria Keywords Diagnosis Treatment Bibliography 540.5 Nephrocalcinosis Chapter 541 - Anatomic Abnormalities Associated With Hematuria 541 Anatomic Abnormalities Associated With Hematuria 541.1 Congenital Anomalies 541.2 Autosomal Recessive Polycystic Kidney Disease Keywords Pathology Pathogenesis Clinical Manifestations Diagnosis Treatment Prognosis Bibliography 541.3 Autosomal Dominant Polycystic Kidney Disease Keywords Pathology Pathogenesis Clinical Presentation Diagnosis Treatment and Prognosis Bibliography 541.4 Trauma Keywords Bibliography 541.5 Renal Tumors Chapter 542 - Lower Urinary Tract Causes of Hematuria 542 Lower Urinary Tract Causes of Hematuria 542.1 Infectious Causes of Cystitis and Urethritis 542.2 Hemorrhagic Cystitis Keywords Bibliography 542.3 Vigorous Exercise Keywords Bibliography Chapter 543 - Clinical Evaluation of the Child With Proteinuria 3 Conditions Particularly Associated With Proteinuria 543 Clinical Evaluation of the Child With Proteinuria Normal Physiology Pathophysiology of Proteinuria Measurement of Urine Protein Urine Dipstick Measurement of Protein Urine Protein-to-Creatinine Ratio Measurement Clinical Considerations Bibliography Chapter 544 - Conditions Associated With Proteinuria 544 Conditions Associated With Proteinuria 544.1 Transient Proteinuria Keywords Bibliography 544.2 Orthostatic (Postural) Proteinuria Bibliography 544.3 Fixed Proteinuria Keywords Glomerular Proteinuria Tubular Proteinuria Bibliography Tubular Proteinuria Chapter 545 - Nephrotic Syndrome 545 Nephrotic Syndrome Keywords Etiology Pathogenesis Role of the Podocyte Role of the Immune System Clinical Consequences of Nephrotic Syndrome Edema Hyperlipidemia Increased Susceptibility to Infections Hypercoagulability 545.1 Idiopathic Nephrotic Syndrome Keywords Pathology Minimal Change Nephrotic Syndrome Clinical Manifestations Diagnosis Recommendations for the Initial Evaluation of Children With Nephrotic Syndrome Confirming the Diagnosis of Nephrotic Syndrome. Treatment Use of Corticosteroids to Treat Minimal Change Nephrotic Syndrome Treatment of the Initial Episode of Nephrotic Syndrome Managing the Clinical Sequelae of Nephrotic Syndrome Edema. Dyslipidemia. Infections. Thromboembolism. Obesity and Growth. Relapse of Nephrotic Syndrome. Steroid Resistance. Implications of Steroid-Resistant Nephrotic Syndrome. Alternative Therapies to Corticosteroids in the Treatment of Nephrotic Syndrome. Immunizations in Children With Nephrotic Syndrome. Prognosis Bibliography 545.2 Secondary Nephrotic Syndrome Keywords Bibliography 545.3 Congenital Nephrotic Syndrome Keywords Bibliography Bibliography Chapter 546 - Tubular Function 4 Tubular Disorders 546 Tubular Function Keywords Sodium Potassium Calcium Phosphate Magnesium Acidification and Concentrating Mechanisms Developmental Considerations Bibliography Chapter 547 - Renal Tubular Acidosis 547 Renal Tubular Acidosis Keywords Normal Urinary Acidification 547.1 Proximal (Type II) Renal Tubular Acidosis Pathogenesis Autosomal Recessive Disease Cystinosis Lowe Syndrome Clinical Manifestations of Proximal Renal Tubular Acidosis and Fanconi Syndrome 547.2 Distal (Type I) Renal Tubular Acidosis Pathogenesis Clinical Manifestations 547.3 Hyperkalemic (Type IV) Renal Tubular Acidosis Pathogenesis Clinical Manifestations Diagnostic Approach to Renal Tubular Acidosis Treatment and Prognosis Bibliography 547.4 Rickets Associated With Renal Tubular Acidosis Chapter 548 - Nephrogenic Diabetes Insipidus 548 Nephrogenic Diabetes Insipidus Keywords Pathogenesis Clinical Manifestations Diagnosis Treatment and Prognosis Bibliography Chapter 549 - Inherited Tubular Transport Abnormalities 549 Inherited Tubular Transport Abnormalities Keywords 549.1 Bartter Syndrome Pathogenesis Clinical Manifestations Diagnosis Treatment and Prognosis 549.2 Gitelman Syndrome Pathogenesis Clinical Manifestations Diagnosis Treatment 549.3 Other Inherited Tubular Transport Abnormalities Bibliography Chapter 550 - Renal Failure 550 Renal Failure 550.1 Acute Kidney Injury Keywords Pathogenesis Clinical Manifestations and Diagnosis Laboratory Findings Treatment Medical Management Dialysis Prognosis Bibliography 550.2 Chronic Kidney Disease Keywords Etiology Pathogenesis Clinical Manifestations Laboratory Findings Treatment and Management Nutrition CKD Mineral and Bone Disorder (CKD-MBD) Fluid and Electrolyte Management Linear Growth Anemia Hypertension and Proteinuria Immunizations Adjustment in Drug Dose Progression of Disease Bibliography 550.3 End-Stage Renal Disease Keywords Bibliography Chapter 551 - Renal Transplantation 551 Renal Transplantation Keywords Incidence and Etiology of End-Stage Renal Disease Indications for Renal Transplantation Characteristics of Kidney Donors and Recipients Evaluation and Preparing for Kidney Transplantation Immunosuppression Induction Therapy T-Cell Antibodies Interleukin-2 Receptor Antibodies Other Induction Therapies Maintenance Immunosuppression Calcineurin Inhibitors Antiproliferative Agents Mammalian Target of Rapamycin (mTOR) Inhibitors Corticosteroids Other Agents Fluid Management in Infants and Small Children Following Kidney Transplantation Rejection of Kidney Transplant Kidney Biopsy Graft Survival of Kidneys Complications of Immunosuppression Long-Term Outcome of Kidney Transplantation Bibliography 23- XXIII Urologic Disorders in Infants and Children Chapter 552 - Congenital Anomalies and Dysgenesis of the Kidneys XXIII Urologic Disorders in Infants and Children 552 Congenital Anomalies and Dysgenesis of the Kidneys Keywords Embryonic and Fetal Development Renal Agenesis Renal Dysgenesis: Dysplasia, Hypoplasia, and Cystic Anomalies Renal Cysts in Children Anomalies in Shape and Position Associated Physical Findings Bibliography Chapter 553 - Urinary Tract Infections 553 Urinary Tract Infections Keywords Prevalence and Etiology Clinical Manifestations and Classification Pyelonephritis Cystitis Pathogenesis and Pathology Diagnosis Imaging Findings Treatment Acute Lobar Nephronia, Renal Abscess, and Perinephric Abscess Other Potential Treatment or Prevention Options Imaging Studies in Children With a Febrile UTI Prevention of Recurrences Bibliography Chapter 554 - Vesicoureteral Reflux 554 Vesicoureteral Reflux Keywords Classification Clinical Manifestations Diagnosis Natural History Treatment Observation Antimicrobial Prophylaxis Surgery Current Vesicoureteral Reflux Guidelines Bibliography Chapter 555 - Obstruction of the Urinary Tract 555 Obstruction of the Urinary Tract Keywords Etiology Clinical Manifestations Diagnosis Physical Findings Imaging Studies Renal Ultrasound Voiding Cystourethrogram Radioisotope Studies Magnetic Resonance Urography Computed Tomography Ancillary Studies Specific Types of Urinary Tract Obstruction and Their Treatment Hydrocalycosis Ureteropelvic Junction Obstruction Midureteral Obstruction Ectopic Ureter Ureterocele Megaureter Prune-Belly Syndrome Bladder Neck Obstruction Posterior Urethral Valves Urethral Atresia Urethral Hypoplasia Urethral Stricture Anterior Urethral Valves and Urethral Diverticula in the Male Male Urethral Meatal Stenosis Bibliography Chapter 556 - Anomalies of the Bladder 556 Anomalies of the Bladder Keywords Bladder Exstrophy Clinical Manifestations Treatment Long-Term Prognosis Other Exstrophy Anomalies Bladder Diverticula Urachal Anomalies Bibliography Chapter 557 - Neuropathic Bladder 557 Neuropathic Bladder Keywords Neural Tube Defects Clinical Manifestations and Diagnosis Renal Damage Urinary Incontinence Complications of Augmentation Cystoplasty Urinary Tract Infection Metabolic Acidosis Spontaneous Perforation Bladder Calculi Malignant Neoplasm Future Management Associated Disorders Constipation Latex Allergy Occult Spinal Dysraphism Sacral Agenesis Imperforate Anus Cerebral Palsy Bibliography Chapter 558 - Enuresis and Voiding Dysfunction 558 Enuresis and Voiding Dysfunction Keywords Normal Voiding and Toilet Training Diurnal Incontinence Overactive Bladder (Diurnal Urge Syndrome) Nonneurogenic Neurogenic Bladder (Hinman Syndrome) Infrequent Voiding (Underactive Bladder) Vaginal Voiding Other Causes of Incontinence in Females Voiding Disorders Without Incontinence Nocturnal Enuresis Epidemiology Pathogenesis Clinical Manifestations and Diagnosis Treatment Bibliography Chapter 559 - Anomalies of the Penis and Urethra 559 Anomalies of the Penis and Urethra Keywords Hypospadias Clinical Manifestations Treatment Chordee Without Hypospadias Phimosis and Paraphimosis Circumcision Penile Torsion Inconspicuous Penis Micropenis Priapism Other Penile Anomalies Meatal Stenosis Other Male Urethral Anomalies Urethral Prolapse (Female) Other Female Urethral Lesions Bibliography Chapter 560 - Disorders and Anomalies of the Scrotal Contents 560 Disorders and Anomalies of the Scrotal Contents Keywords Undescended Testis (Cryptorchidism) Epidemiology Pathogenesis Clinical Manifestations Treatment Scrotal Swelling Clinical Manifestations Laboratory Findings and Diagnosis Testicular (Spermatic Cord) Torsion Etiology Diagnosis Treatment Torsion of the Appendix Testis/Epididymis Epididymitis Varicocele Spermatocele Hydrocele Etiology Diagnosis Treatment Inguinal Hernia Testicular Microlithiasis Testicular Tumor Bibliography Chapter 561 - Trauma to the Genitourinary Tract 561 Trauma to the Genitourinary Tract Keywords Etiology Diagnosis Treatment Bibliography Chapter 562 - Urinary Lithiasis 562 Urinary Lithiasis Keywords Stone Formation Clinical Manifestations Diagnosis Metabolic Evaluation Pathogenesis of Specific Renal Calculi Calcium Oxalate and Calcium Phosphate Calculi Cystine Calculi Struvite Calculi Uric Acid Calculi Indinavir Calculi Nephrocalcinosis Treatment Stone Prevention Bibliography Volume 4 - Nelson Textbook of Pediatrics 21th ed 2020 Original PDF.pdf (p.5084-6125) cover Contents 24- XXIV Gynecologic Problems of Childhood Chapter 563 - Gynecologic History and Physical Examination XXIV Gynecologic Problems of Childhood 563 Gynecologic History and Physical Examination Keywords History Gynecologic Examination Neonates Infants and Prepubertal Girls Indications for Genital Examination Preparation Positioning Documentation Adolescents Pelvic Examination Bibliography Chapter 564 - Vulvovaginitis 564 Vulvovaginitis Keywords Etiology Epidemiology Clinical Manifestations Diaper Dermatitis Physiologic Leukorrhea Labial Agglutination Genital Ulcers Dermatoses Diagnosis and Differential Diagnosis Treatment and Prevention Bibliography Chapter 565 - Vaginal Bleeding in the Prepubertal Child 565 Vaginal Bleeding in the Prepubertal Child Keywords Bibliography Chapter 566 - Breast Concerns 566 Breast Concerns Keywords Breast Development Breast Evaluation Breast Self-Awareness Abnormal Development Neonatal Breast Abnormalities Precocious Puberty Amastia Polymastia and Polythelia Breast Asymmetry and Hypomastia Juvenile or Virginal Hypertrophy Infections Trauma and Inflammation Nipple Discharge Galactorrhea Bloody Discharge Mastalgia Breast Masses Peripubertal Masses Common Adolescent Breast Masses Malignant Masses Imaging of Breast Masses Recommendations for Daughters of Women With Breast Cancer Risk Reduction Screening Procedures Genetic Testing in Children Cosmetic Surgery Bibliography Chapter 567 - Polycystic Ovary Syndrome and Hirsutism 567 Polycystic Ovary Syndrome and Hirsutism Keywords Polycystic Ovary Syndrome Etiology and Definition Pathology, Pathogenesis, and Genetics Clinical Manifestations Laboratory Findings, Diagnosis, and Differential Diagnosis Complications and Long-Term Outlook Treatment Lifestyle Changes Hormonal Contraceptives Metformin Antiandrogens Hirsutism Bibliography Chapter 568 - Gynecologic Neoplasms and Adolescent Prevention Methods for Human Papillomavirus 568 Gynecologic Neoplasms and Adolescent Prevention Methods for Human Papillomavirus Keywords Overview of Gynecologic Malignancies in Children and Adolescents Impact of Cancer Therapy on Fertility Ovarian Neoplasms Neonatal and Pediatric Ovarian Cysts Functional Cysts Teratomas Cystadenomas Endometriomas Pelvic Inflammatory Disease and Tuboovarian Abscess Adnexal Torsion Ovarian Malignancies Uterine Malignancies Vaginal Malignancies Vulvar Malignancies Cervical Malignancies and Their Prevention Bibliography Chapter 569 - Vulvovaginal and Müllerian Anomalies 569 Vulvovaginal and Müllerian Anomalies Keywords Embryology Epidemiology Clinical Manifestations Laboratory Findings Uterine Anomalies Septate Uterus Bicornuate Uterus Unicornuate Uterus and Rudimentary Horns Uterine Didelphys Arcuate Uterus Treatment Vaginal Anomalies Abnormalities of the Hymen Congenital Absence of the Vagina and Mayer-Rokitansky-Küster-Hauser Syndrome Longitudinal Vaginal Septa Transverse Vaginal Septa (Vertical Fusion Defects) Treatment Cervical Anomalies Vulvar and Other Anomalies Complete Vulvar Duplication Labial Asymmetry and Hypertrophy Clitoral Abnormalities Cloacal Anomalies Ductal Remnants Bibliography Chapter 570 - Gynecologic Care for Girls With Special Needs 570 Gynecologic Care for Girls With Special Needs Keywords Sexuality and Sexual Education Abuse Pelvic Examination Menstruation Treatment of Menstruation Nonhormonal Methods Estrogen-Containing Methods Oral Contraceptives Contraceptive Ring Contraceptive Patch Estrogen Use, Venous Thromboembolism, and Mobility Issues Progestin-Only Methods Intramuscular Medroxyprogesterone Acetate Oral Progestins Progesterone Intrauterine Device Implants Hormones and Antiepileptic Drugs Surgical Methods Contraception Bibliography Chapter 571 - Female Genital Mutilation 571 Female Genital Mutilation Keywords Background Complications Clinical Management of FGM Bibliography 25- XXV The Endocrine System Chapter 572 - Hormones of the Hypothalamus and Pituitary XXV The Endocrine System 1 Disorders of the Hypothalamus and Pituitary Gland 572 Hormones of the Hypothalamus and Pituitary Keywords Anatomy Embryology Vascular Supply Anterior Pituitary Cell Types Growth Hormone Prolactin Thyroid-Stimulating Hormone Adrenocorticotropic Hormone Luteinizing Hormone and Follicle-Stimulating Hormone Posterior Pituitary Cell Types Antidiuretic Hormone Oxytocin Bibliography Chapter 573 - Hypopituitarism 573 Hypopituitarism Keywords Multiple Pituitary Hormone Deficiency Genetic Forms (Table 573.1) PROP1 POU1F1 (PIT1) HESX1 LHX3 and LHX4 Other Congenital Forms Acquired Forms Isolated Growth Hormone Deficiency and Insensitivity Genetic Forms of Growth Hormone Deficiency Growth Hormone–Releasing Hormone Receptor GH1 X-Linked Isolated Growth Hormone Deficiency Acquired Forms Growth Hormone Insensitivity Abnormalities of the Growth Hormone Receptor Postreceptor Forms of Growth Hormone Insensitivity IGF-1 Gene Abnormalities Insulin-Like Growth Factor–Binding Protein Abnormalities IGF-1 Receptor Gene Abnormalities Clinical Manifestations Congenital Hypopituitarism Acquired Hypopituitarism Laboratory Findings Radiologic Findings Differential Diagnosis Constitutional Growth Delay Treatment Complications and Adverse Effects of Growth Hormone Treatment Bibliography Chapter 574 - Diabetes Insipidus 574 Diabetes Insipidus Keywords Physiology of Water Balance Approach to the Patient With Polyuria, Polydipsia, and Hypernatremia Causes of Hypernatremia Central Diabetes Insipidus Nephrogenic Diabetes Insipidus Treatment of Central Diabetes Insipidus Fluid Therapy Vasopressin Analogs Aqueous Vasopressin Treatment of Nephrogenic Diabetes Insipidus Bibliography Chapter 575 - Other Abnormalities of Arginine Vasopressin Metabolism and Action 575 Other Abnormalities of Arginine Vasopressin Metabolism and Action Keywords Causes of Hyponatremia Syndrome of Inappropriate Antidiuretic Hormone Secretion Nephrogenic Syndrome of Inappropriate Antidiuresis Systemic Dehydration Primary Salt Loss Decreased Effective Plasma Volume Primary Polydipsia (Increased Water Ingestion) Decreased Free Water Clearance Cerebral Salt Wasting Runner’s Hyponatremia Pseudohyponatremia and Other Causes of Hyponatremia Treatment Emergency Treatment of Hyponatremia Treatment of Syndrome of Inappropriate Antidiuretic Hormone Treatment of Cerebral Salt Wasting Bibliography Chapter 576 - Hyperpituitarism, Tall Stature, and Overgrowth Syndromes 576 Hyperpituitarism, Tall Stature, and Overgrowth Syndromes Keywords Hyperpituitarism Tall Stature Differential Diagnosis of Tall Stature Overgrowth in the Fetus and Neonate Overgrowth in Childhood or Adolescence Sotos Syndrome (Cerebral Gigantism) Treatment of Normal Variant Tall Stature Excess Growth Hormone Secretion and Pituitary Gigantism Diagnosis Treatment Hypersecretion of Other Pituitary Hormones Prolactinoma Corticotropinoma Bibliography Chapter 577 - Physiology of Puberty 577 Physiology of Puberty Keywords Bibliography Chapter 578 - Disorders of Pubertal Development 578 Disorders of Pubertal Development 578.1 Central Precocious Puberty Keywords Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Bibliography 578.2 Precocious Puberty Resulting from Organic Brain Lesions Keywords Etiology Clinical Manifestations Treatment Bibliography 578.3 Precocious Puberty Following Irradiation of the Brain Keywords Treatment Bibliography 578.4 Syndrome of Precocious Puberty and Hypothyroidism Keywords 578.5 Chorionic Gonadotropin-Secreting Tumors Keywords Hepatic Tumors Intracranial Tumors Tumors in Other Locations Peripheral Precocious Puberty Bibliography 578.6 McCune-Albright Syndrome Keywords Extragonadal Manifestations Bibliography 578.7 Familial Male Gonadotropin-Independent Precocious Puberty Keywords Treatment Bibliography 578.8 Incomplete (Partial) Precocious Development Keywords Premature Thelarche Premature Pubarche (Adrenarche) Premature Menarche Bibliography 578.9 Medicational Precocity Keywords 578.10 Delayed or Absent Puberty* Keywords Differential Diagnosis Constitutional Delay of Growth and Puberty Hypogonadotropic Hypogonadism Kallmann Syndrome Hypergonadotropic Hypogonadism: Males Klinefelter Syndrome Hypergonadotropic Hypogonadism: Females Turner Syndrome Females with Delayed or Absent Adrenarche Diagnostic Approach to Delayed Puberty Treatment of Delayed Puberty Bibliography Chapter 579 - Thyroid Development and Physiology 2 Disorders of the Thyroid Gland 579 Thyroid Development and Physiology Keywords Fetal Development Thyroid Physiology Thyroid Regulation 579.1 Thyroid Hormone Studies Serum Thyroid Hormones Fetal and Newborn Thyroid Serum Thyroxine-Binding Globulin Radionuclide Studies Thyroid Ultrasonography Bibliography Bibliography Chapter 580 - Disorders of Thyroxine-Binding Globulin 580 Disorders of Thyroxine-Binding Globulin Keywords Bibliography Chapter 581 - Hypothyroidism 581 Hypothyroidism Keywords Congenital Hypothyroidism Epidemiology Etiology Primary Hypothyroidism Thyroid Dysgenesis. Defects in Thyroid Hormone Synthesis (Dyshormonogenesis). Defective Iodide Transport. Defects of Iodine Organification. Defects of Thyroglobulin Synthesis. Defects in Deiodination. Defects in Thyroid Hormone Transport. Thyrotropin Receptor–Blocking Antibodies. Radioiodine Administration. Iodine Exposure. Iodine Deficiency (Endemic Goiter). Central (Secondary) Hypothyroidism Thyrotropin and Thyrotropin-Releasing Hormone Deficiency. Thyroid Function in Preterm and Low Birthweight Infants Clinical Manifestations Laboratory Findings Treatment Prognosis Acquired Hypothyroidism Epidemiology Etiology Clinical Manifestations Diagnostic Studies Treatment and Prognosis Bibliography Congenital Hypothyroidism Acquired Hypothyroidism Chapter 582 - Thyroiditis 582 Thyroiditis Keywords Thyroiditis With Pain Thyroiditis Without Pain Chronic Lymphocytic Thyroiditis (Hashimoto Thyroiditis, Autoimmune Thyroiditis) Etiology Clinical Manifestations Laboratory Findings Treatment Other Causes of Thyroiditis Bibliography Chapter 583 - Goiter 583 Goiter 583.1 Congenital Goiter Keywords Bibliography 583.2 Intratracheal Goiter Keywords 583.3 Endemic Goiter and Cretinism Keywords Etiology Clinical Manifestations Pathogenesis Treatment Bibliography 583.4 Acquired Goiter Keywords Iodide Goiter Iodine-Deficiency Goiter Goitrogens Simple Goiter (Colloid Goiter) Multinodular Goiter Toxic Goiter (Hyperthyroidism) Bibliography Chapter 584 - Thyrotoxicosis 584 Thyrotoxicosis Keywords 584.1 Graves Disease Keywords Epidemiology Etiology Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Antithyroid Drugs Definitive Therapy Bibliography 584.2 Congenital Hyperthyroidism Keywords Etiology and Pathogenesis Clinical Manifestations Treatment Prognosis Resistance to Thyroid Hormone Bibliography Chapter 585 - Carcinoma of the Thyroid 585 Carcinoma of the Thyroid Keywords Epidemiology Pathogenesis Clinical Manifestations Diagnosis Treatment Prognosis Medullary Thyroid Carcinoma 585.1 Thyroid Nodules Bibliography Bibliography Chapter 586 - Autoimmune Polyglandular Syndromes 586 Autoimmune Polyglandular Syndromes Keywords Monogenic Autoimmune Polyglandular Syndromes Autoimmune Polyglandular Syndrome Type 1 Immune Dysregulation- Polyendocrinopathy-Enteropathy X-Linked Other Monogenic Immune Dysregulation Disorders Polygenic Autoimmune Polyglandular Syndrome (APS-2) Chromosomal Abnormalities Associated With Autoimmune Polyglandular Syndrome Nongenetic Autoimmune Causes of Multiple Endocrinopathy Bibliography Chapter 587 - Multiple Endocrine Neoplasia Syndromes 587 Multiple Endocrine Neoplasia Syndromes Keywords Multiple Endocrine Neoplasia Type 1 Multiple Endocrine Neoplasia Type 2 Multiple Endocrine Neoplasia Type 2A Multiple Endocrine Neoplasia Type 2B Familial Medullary Thyroid Carcinoma Management of Multiple Endocrine Neoplasia Type 2 Bibliography Chapter 588 - Hormones and Peptides of Calcium Homeostasis and Bone Metabolism 3 Disorders of the Parathyroid Gland 588 Hormones and Peptides of Calcium Homeostasis and Bone Metabolism Keywords Parathyroid Hormone Parathyroid Hormone–Related Peptide Vitamin D Calcitonin Bibliography Chapter 589 - Hypoparathyroidism 589 Hypoparathyroidism Keywords Etiology Aplasia or Hypoplasia of the Parathyroid Glands X-Linked Recessive Hypoparathyroidism Autosomal Recessive Hypoparathyroidism With Dysmorphic Features Hypoparathyroidism, Sensorineural Deafness, and Renal Anomaly Syndrome Suppression of Neonatal Parathyroid Hormone Secretion Because of Maternal Hyperparathyroidism Autosomal Dominant Hypoparathyroidism Hypoparathyroidism Associated With Mitochondrial Disorders Surgical Hypoparathyroidism Autoimmune Hypoparathyroidism Idiopathic Hypoparathyroidism Clinical Manifestations Laboratory Findings Treatment Differential Diagnosis Bibliography Chapter 590 - Pseudohypoparathyroidism 590 Pseudohypoparathyroidism Keywords Type Ia Type Ia With Precocious Puberty Type Ib Acrodysostosis With Hormone Resistance Bibliography Chapter 591 - Hyperparathyroidism 591 Hyperparathyroidism Keywords Etiology Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Prognosis 591.1 Other Causes of Hypercalcemia Familial Hypocalciuric Hypercalcemia (Familial Benign Hypercalcemia) Granulomatous Diseases Hypercalcemia of Malignancy Miscellaneous Causes of Hypercalcemia Bibliography Chapter 592 - Physiology of the Adrenal Gland 4 Disorders of the Adrenal Gland 592 Physiology of the Adrenal Gland 592.1 Histology and Embryology Keywords Bibliography 592.2 Adrenal Steroid Biosynthesis Keywords Zona Glomerulosa Zona Fasciculata Zona Reticularis Fetoplacental Unit Bibliography 592.3 Regulation of the Adrenal Cortex Keywords Regulation of Cortisol Secretion Regulation of Aldosterone Secretion Regulation of Adrenal Androgen Secretion Bibliography 592.4 Adrenal Steroid Hormone Actions Keywords Actions of Glucocorticoids Metabolic Effects Circulatory and Renal Effects Growth Immunologic Effects Effects on Skin, Bone, and Calcium Central Nervous System Effects Actions of Mineralocorticoids Actions of the Adrenal Androgens Synthetic Corticosteroids Bibliography 592.5 Adrenal Medulla Keywords Bibliography Chapter 593 - Adrenocortical Insufficiency 593 Adrenocortical Insufficiency Keywords 593.1 Primary Adrenal Insufficiency Keywords Inherited Etiologies Inborn Defects of Steroidogenesis Adrenal Hypoplasia Congenita Other Genetic Causes of Adrenal Hypoplasia Adrenoleukodystrophy Familial Glucocorticoid Deficiency Type I Autoimmune Polyendocrinopathy Syndrome Disorders of Cholesterol Synthesis and Metabolism Corticosteroid-Binding Globulin Deficiency and Decreased Cortisol-Binding Affinity Acquired Etiologies Autoimmune Addison Disease Infection Drugs Hemorrhage Into Adrenal Glands Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Bibliography 593.2 Secondary and Tertiary Adrenal Insufficiency Keywords Etiology Abrupt Cessation of Administration of Corticosteroids Corticotropin (Adrenocorticotropic Hormone) Deficiency Clinical Presentation Laboratory Findings Treatment Bibliography 593.3 Adrenal Insufficiency in the Critical Care Setting Keywords Etiology Clinical Manifestations Laboratory Findings Treatment Bibliography 593.4 Altered End-Organ Sensitivity to Corticosteroids Keywords Generalized Glucocorticoid Resistance Etiology Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Cortisone Reductase Deficiency Etiology Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Altered End-Organ Sensitivity to Mineralocorticoids Pseudohypoaldosteronism Etiology Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Apparent Mineralocorticoid Excess Etiology Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Liddle Syndrome Etiology Clinical Manifestations, Laboratory Findings, and Differential Diagnosis Treatment Bibliography Generalized Glucocorticoid Resistance Cortisone Reductase Deficiency Altered End-Organ Sensitivity to Mineralocorticoids Apparent Mineralocorticoid Excess Liddle Syndrome Chapter 594 - Congenital Adrenal Hyperplasia and Related Disorders 594 Congenital Adrenal Hyperplasia and Related Disorders 594.1 Congenital Adrenal Hyperplasia Caused by 21-Hydroxylase Deficiency Keywords Etiology Epidemiology Genetics Pathogenesis and Clinical Manifestations Aldosterone and Cortisol Deficiency Prenatal Androgen Excess Postnatal Androgen Excess Adrenomedullary Dysfunction Laboratory Findings Differential Diagnosis Prenatal Diagnosis Newborn Screening Treatment Glucocorticoid Replacement Mineralocorticoid Replacement Surgical Management of Ambiguous Genitals Prenatal Treatment Bibliography 594.2 Congenital Adrenal Hyperplasia Caused by 11β-Hydroxylase Deficiency Keywords Etiology Epidemiology Clinical Manifestations Laboratory Findings Treatment Bibliography 594.3 Congenital Adrenal Hyperplasia Caused by 3β-Hydroxysteroid Dehydrogenase Deficiency Keywords Etiology Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Bibliography 594.4 Congenital Adrenal Hyperplasia Caused by 17-Hydroxylase Deficiency Keywords Etiology Clinical Manifestations and Laboratory Findings Treatment Bibliography 594.5 Lipoid Adrenal Hyperplasia Keywords Etiology Clinical Manifestations Laboratory Findings Treatment Bibliography 594.6 Deficiency of P450 Oxidoreductase (Antley-Bixler Syndrome) Keywords Etiology, Pathogenesis, and Clinical Manifestations Epidemiology Laboratory Findings Differential Diagnosis Bibliography 594.7 Aldosterone Synthase Deficiency Keywords Etiology Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Bibliography 594.8 Glucocorticoid-Suppressible Hyperaldosteronism Keywords Etiology Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Genetic Counseling Bibliography Chapter 595 - Adrenocortical Tumors and Masses 595 Adrenocortical Tumors and Masses Epidemiology 595.1 Adrenocortical Carcinoma Keywords Etiology Clinical Manifestations Pathologic Findings Differential Diagnosis Treatment 595.2 Adrenal Incidentaloma 595.3 Adrenal Calcification Keywords Bibliography Chapter 596 - Virilizing and Feminizing Adrenal Tumors 596 Virilizing and Feminizing Adrenal Tumors Keywords Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Chapter 597 - Cushing Syndrome 597 Cushing Syndrome Keywords Etiology Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Bibliography Chapter 598 - Primary Aldosteronism 598 Primary Aldosteronism Keywords Etiology Epidemiology Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Bibliography Chapter 599 - Pheochromocytoma 599 Pheochromocytoma Keywords Etiology Clinical Manifestations Laboratory Findings Differential Diagnosis Treatment Bibliography Chapter 600 - Development and Function of the Gonads 5 Disorders of the Gonads 600 Development and Function of the Gonads Keywords Genetic Control of Embryonic Gonadal Differentiation Function of the Testes Function of the Ovaries Diagnostic Testing Therapeutic Use of Sex Steroids Bibliography Chapter 601 - Hypofunction of the Testes 601 Hypofunction of the Testes 601.1 Hypergonadotropic Hypogonadism in the Male (Primary Hypogonadism) Keywords Etiology Congenital Anorchia or Testicular Regression Syndrome Chemotherapy and Radiation-Induced Hypogonadism Sertoli Cell–Only Syndrome Other Causes of Testicular Hypofunction Testicular Dysgenesis Syndrome Clinical Manifestations Diagnosis Noonan Syndrome Etiology Clinical Manifestations Treatment Klinefelter Syndrome Etiology Clinical Manifestations Klinefelter Variants and Other Poly-X Syndromes Laboratory Findings Management XX Males 45,X Males 47,XXX Males Bibliography 601.2 Hypogonadotropic Hypogonadism in the Male (Secondary Hypogonadism) Keywords Etiology Isolated Gonadotropin Deficiency Hypogonadotropic Hypogonadism Without Anosmia Other Disorders With Hypogonadotropic Hypogonadism Hypogonadotropic Hypogonadism Associated With Other Pituitary Hormone Deficiencies Diagnosis Treatment Bibliography Chapter 602 - Pseudoprecocity Resulting From Tumors of the Testes 602 Pseudoprecocity Resulting From Tumors of the Testes Keywords Bibliography Chapter 603 - Gynecomastia 603 Gynecomastia Keywords Physiologic Forms of Gynecomastia Neonatal Gynecomastia Pubertal Gynecomastia Pathologic Gynecomastia Evaluation of Gynecomastia Treatment Bibliography Chapter 604 - Hypofunction of the Ovaries 604 Hypofunction of the Ovaries 604.1 Hypergonadotropic Hypogonadism in the Female (Primary Hypogonadism) Keywords Turner Syndrome Pathogenesis Clinical Manifestations Laboratory Findings Treatment XX Gonadal Dysgenesis 45,X/46,XY Gonadal Dysgenesis XXX, XXXX, and XXXXX Females XXX Females XXXX and XXXXX Females Noonan Syndrome Other Ovarian Defects Bibliography 604.2 Hypogonadotropic Hypogonadism in the Female (Secondary Hypogonadism) Keywords Etiology Hypopituitarism Isolated Deficiency of Gonadotropins Diagnosis Bibliography Chapter 605 - Pseudoprecocity Resulting From Lesions of the Ovary 605 Pseudoprecocity Resulting From Lesions of the Ovary Keywords Estrogenic Lesions of the Ovary Juvenile Granulosa Cell Tumor Clinical Manifestations and Diagnosis Treatment and Prognosis Follicular Cyst Androgenic Lesions of the Ovary Bibliography Chapter 606 - Disorders of Sex Development 606 Disorders of Sex Development Sex Differentiation Diagnostic Approach to the Patient With Atypical or Ambiguous Genitalia 606.1 46,XX DSD Keywords Congenital Adrenal Hyperplasia Aromatase Deficiency Cortisol Resistance Due to Glucocorticoid Receptor Gene Mutation P450 Oxidoreductase Deficiency Virilizing Maternal Tumors Exposure to Androgenic Drugs by Women During Pregnancy SF-1 Mutations 46,XX Testicular DSD 46,XX Gonadal Dysgenesis Undetermined/Unknown Bibliography 606.2 46,XY DSD Keywords Defects in Testicular Differentiation Wilms Tumor Suppressor Gene (WT1) Mutations: Denys-Drash, Frasier, and WAGR Syndromes Campomelic Syndrome SF-1 (Also Known as Ad4BP or NR5A1) Defects and 46,XY DSD XY Pure Gonadal Dysgenesis (Swyer Syndrome) XY Gonadal Agenesis Syndrome (Embryonic Testicular Regression Syndrome) Defiency of Testicular Hormone Production Leydig Cell Aplasia Lipoid Adrenal Hyperplasia 3β-Hydroxysteroid Dehydrogenase Deficiency Deficiency of 17-Hydroxylase/17,20-Lyase Deficiency of 17-Ketosteroid Reductase Persistent Müllerian Duct Syndrome Defects in Androgen Action Dihydrotestosterone Deficiency Androgen Insensitivity Syndromes Clinical Manifestations Diagnosis Treatment and Prognosis Undetermined Causes Bibliography 606.3 Ovotesticular DSD Keywords Diagnosis and Management of Disorders of Sex Development Bibliography Bibliography Chapter 607 - Diabetes Mellitus 6 Diabetes Mellitus in Children 607 Diabetes Mellitus 607.1 Classification of Diabetes Mellitus Keywords Type 1 Diabetes Mellitus Type 2 Diabetes Mellitus Other Specific Types of Diabetes Monogenic Diabetes Other Etiologies of Diabetes Prediabetes 607.2 Type 1 Diabetes Mellitus (Immune Mediated) Keywords Epidemiology Genetics Monogenic Type 1 Diabetes Mellitus Genes Altering the Risk of Autoimmune Type 1 Diabetes Mellitus Major Histocompatibility Complex/Human Leukocyte Antigen Encoded Susceptibility to Type 1 Diabetes Mellitus Role of Aspartate at Position 57 in DQB1 Role of Human Leukocyte Antigen Class I Non-MHC/HLA Genes Associated With T1DM Risk Environmental Factors Viral Infections Congenital Rubella Syndrome Enteroviruses Mumps Virus The Hygiene Hypothesis: Possible Protective Role of Infections Gastrointestinal Microbiome Diet Psychologic Stress Pathogenesis and Natural History of Type 1 Diabetes Mellitus Initiation of Autoimmunity Preclinical Autoimmunity With Progressive Loss of β-Cell Function Role of Autoantibodies Role of Genetics in Disease Progression Role of Environmental Factors Onset of Clinical Disease Prediction and Prevention Pathophysiology Clinical Manifestations Diagnosis Treatment Treatment of Diabetic Ketoacidosis Hyperglycemia and Dehydration Catabolic Losses Ketoacid Accumulation Diabetic Ketoacidosis Protocol Cerebral Edema Nonketotic Hyperosmolar Coma Initiation of Subcutaneous Insulin Therapy Insulin Therapy Insulin Pump Therapy Continuous Glucose Monitoring Systems Closed-Loop Systems Adjunct Pharmacotherapy Basic and Advanced Diabetes Education Nutritional Management Monitoring Glycosylated Hemoglobin (HbA1c) Exercise Benefits of Improved Glycemic Control Hypoglycemic Reactions Dawn Phenomenon and Somogyi Phenomenon Behavioral/Psychologic Aspects and Eating Disorders Cognitive Function Coping Styles Nonadherence Anxiety and Depression Fear of Self-Injecting and Self-Testing Eating Disorders Management During Infections Management During Surgery Long-Term Complications: Relation to Glycemic Control Diabetic Retinopathy Diabetic Nephropathy Diabetic Neuropathy Skeletal Effects of Type 1 Diabetes Mellitus Other Complications Prognosis Pancreas and Islet Transplantation and Regeneration 607.3 Type 2 Diabetes Mellitus Natural History Epidemiology Genetics Epigenetics and Fetal Programming Environmental and Lifestyle-Related Risk Factors Clinical Features Treatment Complications Prevention 607.4 Other Specific Types of Diabetes Keywords Genetic Defects of β-Cell Function Transient Neonatal Diabetes Mellitus Permanent Neonatal Diabetes Mellitus Maturity-Onset Diabetes of Youth MODY2 MODY3 Less Common Forms of Monogenic Diabetes Mitochondrial Gene Defects Abnormalities of the Insulin Gene Genetic Defects of Insulin Action Donohue Syndrome Rabson-Mendenhall Syndrome Lipoatrophic Diabetes Stiff-Person Syndrome Systemic Lupus Erythematosus Cystic Fibrosis–Related Diabetes Endocrinopathies Drugs Genetic Syndromes Associated With Diabetes Mellitus Autoimmune Diseases Associated With T1DM IPEX Syndrome Autoimmune Polyendocrine Syndromes Bibliography Epidemiology, Etiology, Pathology, Classification, and Prevention Genetics Diabetic Ketoacidosis Management of Type 1 Diabetes in Children Long-Term Outcome of Childhood Diabetes: Relation of Control to Development of Complications Type 2 Diabetes Other Diseases and Syndromes Associated With Diabetes Diabetes of the Newborn Hypoglycemia and Diabetes Pancreas and Islet Transplantation 26- XXVI The Nervous System Chapter 608 - Neurologic Evaluation XXVI The Nervous System 608 Neurologic Evaluation Keywords History Neurologic Examination Mental State Head Cranial Nerves Olfactory Nerve (Cranial Nerve I) Optic Nerve (Cranial Nerve II; see also Part XXVIII) Vision Oculomotor (Cranial Nerve III), Trochlear (Cranial Nerve IV), and Abducens (Cranial Nerve VI) Nerves Trigeminal Nerve (Cranial Nerve V) Facial Nerve (Cranial Nerve VII) Vestibulocochlear Nerve (Cranial Nerve VIII) Glossopharyngeal Nerve (Cranial Nerve IX) Vagus Nerve (Cranial Nerve X) Accessory Nerve (Cranial Nerve XI) Hypoglossal Nerve (Cranial Nerve XII) Motor Examination Bulk Tone Strength Involuntary Movements Sensory Examination Reflexes Deep Tendon Reflexes and the Plantar Response Primitive Reflexes Coordination Station and Gait General Examination Special Diagnostic Procedures Lumbar Puncture and Cerebrospinal Fluid Examination Neuroradiologic Procedures Electroencephalography Evoked Potentials Specific and General Genetic and Metabolic Testing Bibliography Chapter 609 - Congenital Anomalies of the Central Nervous System 609 Congenital Anomalies of the Central Nervous System Keywords 609.1 Neural Tube Defects Hydrocephalus 609.2 Spina Bifida Occulta (Occult Spinal Dysraphism) 609.3 Meningocele 609.4 Myelomeningocele Etiology Prevention Clinical Manifestations Treatment Prognosis Bibliography 609.5 Encephalocele Bibliography 609.6 Anencephaly 609.7 Disorders of Neuronal Migration Lissencephaly Schizencephaly Neuronal Heterotopias Polymicrogyrias Focal Cortical Dysplasias Porencephaly Bibliography 609.8 Agenesis of the Corpus Callosum Holoprosencephaly Bibliography 609.9 Agenesis of the Cranial Nerves and Dysgenesis of the Posterior Fossa Congenital Cranial Dysinnervation Disorders Brainstem and Cerebellar Disorders Bibliography 609.10 Microcephaly Etiology Clinical Manifestations and Diagnosis Treatment Bibliography 609.11 Hydrocephalus Physiology Pathophysiology and Etiology Clinical Manifestations Diagnosis and Differential Diagnosis Megalencephaly Hydranencephaly Treatment Prognosis Bibliography 609.12 Craniosynostosis Development and Etiology Clinical Manifestations and Treatment Bibliography Bibliography Chapter 610 - Deformational Plagiocephaly 610 Deformational Plagiocephaly Keywords Epidemiology and Etiology Incidence Risk Factors Causes Examination and Differentiating Between Deformational Plagiocephaly and Craniosynostosis History and Physical Examination Treatment Prevention Treatment Options Outcomes Bibliography Chapter 611 - Seizures in Childhood 611 Seizures in Childhood Keywords Evaluation of the First Seizure 611.1 Febrile Seizures Keywords Genetic and Other Factors Leading to Febrile Seizures Evaluation Lumbar Puncture Electroencephalogram Blood Studies Neuroimaging Treatment Bibliography 611.2 Unprovoked Seizures Keywords History and Examination Differential Diagnosis Long-Term Approach to the Patient and Additional Testing Bibliography 611.3 Focal Seizures and Related Epilepsy Syndromes Keywords Focal Seizures With Preserved Awareness Focal Seizures With Impaired Awareness Focal to Bilateral Tonic-Clonic Seizures Benign Epilepsy Syndromes With Focal Seizures Severe Epilepsy Syndromes With Focal Seizures Bibliography 611.4 Generalized Seizures and Related Epilepsy Syndromes Keywords Absence Seizures Generalized Motor Seizures Benign Generalized Epilepsies Severe Generalized Epilepsies 611.5 Mechanisms of Seizures Keywords Bibliography 611.6 Treatment of Seizures and Epilepsy Keywords Deciding on Long-Term Therapy Counseling Mechanisms of Action of Antiepileptic Drugs Choice of Drug According to Seizure Type and Epilepsy Syndrome Choice of Drug: Other Considerations Initiating and Monitoring Therapy Titration Monitoring Side Effects Additional Treatments Approach to Epilepsy Surgery Discontinuation of Therapy Sudden Unexpected Death in Epilepsy (SUDEP) Bibliography 611.7 Neonatal Seizures Keywords Pathophysiology Types of Neonatal Seizures Subtle Seizures Clonic Seizures Tonic Seizures Spasms Myoclonic Seizures Seizures Versus Jitteriness Etiology Hypoxic-Ischemic Encephalopathy Vascular Events Intracranial Infections Brain Malformations Metabolic Disturbances Drug Withdrawal Neonatal Seizure Syndromes Miscellaneous Conditions Diagnosis Prognosis Treatment Lorazepam and Other Benzodiazepines Phenobarbital Phenytoin and Fosphenytoin Other Medications Duration of Therapy Bibliography 611.8 Status Epilepticus Keywords Etiology Mechanisms Therapy Bibliography 611.9 Reflex Seizures (Stimulus-Precipitated Seizures) Keyword Bibliography 611.10 Nodding Syndrome Keywords Bibliography Chapter 612 - Conditions That Mimic Seizures 612 Conditions That Mimic Seizures Keywords Syncope and Other Generalized Paroxysms Apnea Breath-Holding Spells Compulsive Valsalva-Like Maneuver Neurally Mediated Syncope Postural Tachycardia Syndrome Cardiac Syncope Migraine and Migraine Variants Psychological Disorders Paroxysmal Extreme Pain Disorder Autonomic Storms Movement Disorders and Other Paroxysmal Movements and Postures Neonatal Jitteriness and Clonus Hyperekplexia (Stiff Baby Syndrome) and Pathologic Startles Benign Paroxysmal Torticollis of Infancy Sandifer Syndrome and Rumination Alternating Hemiplegia of Childhood Paroxysmal Dyskinesias and Other Movement Disorders Motor Tics Episodic Ataxias Benign Motoric Paroxysms in Infancy Brainstem Dysfunction Psychological Disorders Oculomotor and Visual Abnormalities Paroxysmal Tonic Upgaze of Childhood Oculomotor Apraxia and Saccadic Intrusions Spasmus Nutans Opsoclonus–Myoclonus Syndrome Daydreaming and Behavioral Staring Visual Hallucinations Sleep-Related Disorders Benign Sleep Myoclonus and Neonatal Sleep Myoclonus Non-Rapid Eye Movement Partial Arousal Disorders Rapid Eye Movement Sleep Disorders Sleep Transition Disorders Narcolepsy–Cataplexy Syndrome Bibliography Chapter 613 - Headaches 613 Headaches Keywords 613.1 Migraine Epidemiology Classification and Clinical Manifestations Migraine Without Aura Migraine With Aura Diagnosis and Differential Diagnosis Treatment Acute Treatment Emergency Department Treatments for Intractable Headaches Antidopaminergic Drugs: Prochlorperazine and Metoclopramide Nonsteroidal Antiinflammatory Drugs: Ketorolac Antiepileptic Drugs: Sodium Valproate Triptans Dihydroergotamine (DHE) Inpatient Management of Intractable Migraine and Status Migrainosus Dihydroergotamine Sodium Valproate Other Inpatient Therapies Preventive Therapy Biobehavioral Therapy Young Adults and the Transition of Headache Care From a Pediatric to an Adult Provider Bibliography 613.2 Secondary Headaches Bibliography 613.3 Tension-Type Headaches Bibliography Chapter 614 - Neurocutaneous Syndromes 614 Neurocutaneous Syndromes Keywords 614.1 Neurofibromatosis Clinical Manifestations and Diagnosis Management Genetic Counseling Bibliography 614.2 Tuberous Sclerosis Clinical Manifestations and Diagnosis Skin Lesions Other Organ Involvement Management Bibliography 614.3 Sturge-Weber Syndrome Etiology Clinical Manifestations Diagnosis Management Bibliography 614.4 Von Hippel-Lindau Disease Bibliography 614.5 Linear Nevus Sebaceous Syndrome Bibliography 614.6 PHACE Syndrome Bibliography 614.7 Incontinentia Pigmenti Clinical Manifestations and Diagnosis Management Bibliography Chapter 615 - Movement Disorders 615 Movement Disorders Keywords 615.1 Ataxias Bibliography 615.2 Chorea, Athetosis, Tremor Bibliography 615.3 Myoclonus Bibliography 615.4 Dystonia Keywords Inherited Primary Dystonias Drug-Induced Dystonias Cerebral Palsy Metabolic Disorders Other Disorders Treatment Bibliography Bibliography Chapter 616 - Encephalopathies 616 Encephalopathies Keywords 616.1 Cerebral Palsy Epidemiology and Etiology Clinical Manifestations Diagnosis Treatment Bibliography 616.2 Mitochondrial Encephalomyopathies Mitochondrial Myopathy, Encephalopathy, Lactic Acidosis, and Stroke-Like Episodes Myoclonic Epilepsy and Ragged Red Fibers Neuropathy, Ataxia, and Retinitis Pigmentosa (NARP) Syndrome Leber Hereditary Optic Neuropathy (LHON) Kearns-Sayre Syndrome (KSS) Reversible Infantile Cytochrome C Oxidase Deficiency Myopathy Leigh Disease (Subacute Necrotizing Encephalomyopathy) Mitochondrial DNA Depletion Syndrome Reye Syndrome Bibliography 616.3 Other Encephalopathies Human Immunodeficiency Virus (HIV) Encephalopathy Lead Encephalopathy Burn Encephalopathy Hypertensive Encephalopathy Radiation Encephalopathy Acute Necrotizing Encephalopathy Cystic Leukoencephalopathy Bibliography 616.4 Autoimmune Encephalitis Keywords Anti-N-Methyl-D-Aspartate Receptor Encephalitis Other Types of Encephalitis Associated With Antibodies Against Neuronal Cell Surface Antigens Acquired Demyelinating Syndromes With Encephalopathy Hashimoto Encephalopathy Opsoclonus–Myoclonus and Other Types of Brainstem–Cerebellar Encephalitis Bickerstaff Encephalitis Chronic Lymphocytic Inflammation With Pontine Perivascular Enhancement Responsive to Steroids Autoimmune Encephalopathies Associated With Epilepsy and Status Epilepticus Other Suspected Types of Autoimmune Encephalitis Bibliography Chapter 617 - Neurodegenerative Disorders of Childhood 617 Neurodegenerative Disorders of Childhood 617.1 Sphingolipidoses Keywords Gangliosidoses GM1 Gangliosidoses GM2 Gangliosidoses Krabbe Disease (Globoid Cell Leukodystrophy) Metachromatic Leukodystrophy Bibliography 617.2 Neuronal Ceroid Lipofuscinoses Keywords Bibliography 617.3 Adrenoleukodystrophy 617.4 Sialidosis Keywords Bibliography 617.5 Miscellaneous Neurodegenerative Disorders Keywords Pelizaeus-Merzbacher Disease Alexander Disease Canavan Spongy Degeneration Other Leukodystrophies Menkes Disease Rett Syndrome Neurodegeneration With Brain Iron Accumulation Bibliography Chapter 618 - Demyelinating Disorders of the Central Nervous System 618 Demyelinating Disorders of the Central Nervous System Keywords 618.1 Acute Disseminated Encephalomyelitis Epidemiology Pathogenesis Clinical Manifestations Neuroimaging Laboratory Findings Differential Diagnosis Treatment Prognosis Bibliography 618.2 Optic Neuritis Epidemiology and Clinical Presentation Diagnostic Evaluation Treatment Prognosis Bibliography 618.3 Transverse Myelitis Epidemiology Clinical Manifestations Diagnostic Evaluation Treatment Prognosis Bibliography 618.4 Multiple Sclerosis Epidemiology and Risk Factors Pathogenesis Clinical Manifestations Imaging and Laboratory Findings Diagnosis and Differential Diagnosis Treatment Prognosis Bibliography 618.5 Neuromyelitis Optica Spectrum Disorders Epidemiology Pathogenesis Clinical Manifestations Imaging and Laboratory Findings Diagnosis and Differential Diagnosis Treatment Prognosis Bibliography 618.6 Myelin Oligodendrocyte Glycoprotein–Associated Disorders Clinical Presentation Imaging and Laboratory Findings Treatment Prognosis Bibliography Bibliography Chapter 619 - Pediatric Stroke 619 Pediatric Stroke Keywords 619.1 Arterial Ischemic Stroke Perinatal Arterial Ischemic Stroke Bibliography 619.2 Cerebral Sinovenous Thrombosis Keywords Bibliography 619.3 Spinal Cord Lesions Associated With Vascular Processes Keywords Vasculitic Processes: Systemic Lupus Erythematosus Spinal Cord Embolism Clinical Manifestations Investigations Treatment Bibliography 619.4 Hemorrhagic Stroke Keywords Bibliography 619.5 Differential Diagnosis of Stroke-Like Events Migraine Seizure Infection Demyelination Hypoglycemia Global Hypoxic-Ischemic Encephalopathy Hypertensive Encephalopathy Inborn Errors of Metabolism Vestibulopathy and Ataxia Channelopathies Alternating Hemiplegia of Childhood Chapter 620 - Central Nervous System Vasculitis 620 Central Nervous System Vasculitis Keywords Epidemiology Clinical Manifestations Diagnosis Treatment Prognosis Bibliography Chapter 621 - Central Nervous System Infections 621 Central Nervous System Infections Keywords 621.1 Acute Bacterial Meningitis Beyond the Neonatal Period Epidemiology Streptococcus pneumoniae Neisseria meningitidis Haemophilus influenzae Type b Pathology and Pathophysiology Pathogenesis Clinical Manifestations Diagnosis Lumbar Puncture Differential Diagnosis Treatment Initial Antibiotic Therapy Duration of Antibiotic Therapy Corticosteroids Complications Prognosis Prevention Neisseria meningitidis Haemophilus influenzae Type B Streptococcus pneumoniae Bibliography 621.2 Viral Meningoencephalitis Etiology Epidemiology Pathogenesis and Pathology Clinical Manifestations Diagnosis Differential Diagnosis Laboratory Findings Treatment Prognosis Prevention Bibliography 621.3 Eosinophilic Meningitis Etiology Epidemiology Clinical Manifestations Diagnosis Treatment Prognosis Bibliography Chapter 622 - Brain Abscess 622 Brain Abscess Keywords Pathology Etiology Clinical Manifestations Diagnosis Treatment Prognosis Bibliography Chapter 623 - Idiopathic Intracranial Hypertension (Pseudotumor Cerebri) 623 Idiopathic Intracranial Hypertension (Pseudotumor Cerebri) Keywords Etiology Clinical Manifestations Treatment Bibliography Chapter 624 - Spinal Cord Disorders 624 Spinal Cord Disorders Keywords 624.1 Tethered Cord Clinical Manifestations Diagnostic Evaluation Treatment Outcome Bibliography 624.2 Diastematomyelia (Split-Cord Malformation) Clinical Manifestations Diagnostic Evaluation Treatment Bibliography 624.3 Syringomyelia Clinical Manifestations Diagnostic Evaluation Treatment Bibliography 624.4 Spinal Cord Tumors Clinical Manifestations Diagnostic Evaluation Treatment Outcome Bibliography 624.5 Spinal Arteriovenous Malformations Diagnostic Evaluation Treatment Bibliography 27- XXVII Neuromuscular Disorders Chapter 625 - Evaluation and Investigation of Neuromuscular Disorders XXVII Neuromuscular Disorders 625 Evaluation and Investigation of Neuromuscular Disorders Genetic Testing Clinical Manifestations Laboratory Findings Serum Enzymes Molecular Genetic Markers Nerve Conduction Velocity Electromyography Imaging of Muscles and the Central Nervous System Muscle Biopsy Nerve Biopsy Cardiac Assessment Bibliography Chapter 626 - Developmental Disorders of Muscle 626 Developmental Disorders of Muscle Myogenic Regulatory Genes and Genetic Loci of Inherited Diseases of Muscle Treatment of Congenital Myopathies 626.1 Myotubular Myopathy (Centronuclear Myopathy) Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis Genetics Treatment Prognosis Bibliography 626.2 Congenital Muscle Fiber–Type Disproportion Pathogenesis Clinical Manifestations Laboratory Findings Diagnosis Genetics Treatment Bibliography 626.3 Nemaline Rod Myopathy Clinical Manifestations Laboratory Findings Genetics Treatment and Prognosis Bibliography 626.4 Core Myopathies Clinical Manifestations Central Core Disease Multiminicore Disease Laboratory Findings Genetics Treatment and Prognosis Bibliography 626.5 Myofibrillar Myopathies Clinical Manifestations and MFM Subtypes According to Genetic Background Laboratory Findings Treatment Bibliography 626.6 Brain Malformations and Muscle Development Bibliography 626.7 Amyoplasia Bibliography 626.8 Muscular Dysgenesis (Proteus Syndrome Myopathy) Bibliography 626.9 Benign Congenital Hypotonia Bibliography 626.10 Arthrogryposis Fetal Movement and the Link to Arthrogryposis Basic Categories, Etiologies, and Classifications Diagnostic Approach and Laboratory Evaluation Differential Diagnosis Genetic Counseling and Prenatal Diagnosis Management Bibliography Bibliography Chapter 627 - Muscular Dystrophies 627 Muscular Dystrophies Keywords 627.1 Duchenne and Becker Muscular Dystrophies Clinical Manifestations Laboratory Findings Diagnosis Genetic Etiology and Pathogenesis Treatment Bibliography 627.2 Emery-Dreifuss Muscular Dystrophy/Laminopathies Genetics Diagnostics Bibliography 627.3 Myotonic Muscular Dystrophy Clinical Manifestations Laboratory Findings Diagnosis Genetics Treatment Other Myotonic Syndromes Bibliography 627.4 Limb–Girdle Muscular Dystrophies Bibliography 627.5 Facioscapulohumeral Muscular Dystrophy Clinical Manifestations Laboratory Findings Diagnosis and Differential Diagnosis Treatment Bibliography 627.6 Congenital Muscular Dystrophies Clinical Manifestations Laboratory Findings Diagnosis Treatment Bibliography Chapter 628 - Endocrine and Toxic Myopathies 628 Endocrine and Toxic Myopathies Thyroid Myopathies Steroid-Hormone Induced Myopathy Statin-Induced Rhabdomyolysis With Myoglobinuria Mitochondrial Dysfunction in Toxic Myopathies Critical Illness Myopathy Bibliography Chapter 629 - Metabolic Myopathies and Channelopathies 629 Metabolic Myopathies and Channelopathies 629.1 Periodic Paralyses and Other Muscle Channelopathies Treatment Other Muscle Channelopathies Bibliography 629.2 Malignant Hyperthermia Bibliography 629.3 Glycogenoses Bibliography 629.4 Mitochondrial Myopathies Investigations Treatment Bibliography 629.5 Lipid Myopathies Bibliography 629.6 Vitamin E Deficiency Myopathy Bibliography Chapter 630 - Disorders of Neuromuscular Transmission and of Motor Neurons 630 Disorders of Neuromuscular Transmission and of Motor Neurons 630.1 Myasthenia Gravis Autoimmune Myasthenia Gravis Clinical Manifestations Congenital Myasthenic Syndromes Rare Other Causes of Myasthenia Laboratory Findings and Diagnosis Recommendations on the Use of Cholinesterase Inhibitors as a Diagnostic Test for MG in Infants and Children Children Two Years of Age and Older Children Younger Than Two Years of Age Treatment Complications Prognosis Other Causes of Neuromuscular Blockade Bibliography 630.2 Spinal Muscular Atrophies Etiology Clinical Manifestations and Course Laboratory Findings Diagnosis Genetics Management Therapeutic Advances Bibliography 630.3 Other Motor Neuron Diseases Bibliography Chapter 631 - Hereditary Motor-Sensory Neuropathies 631 Hereditary Motor-Sensory Neuropathies 631.1 Peroneal Muscular Atrophy (Charcot-Marie-Tooth Disease, HMSN Type IIa) Clinical Manifestations Laboratory Findings and Diagnosis Treatment Bibliography 631.2 Peroneal Muscular Atrophy (Axonal Type) Bibliography 631.3 Congenital Hypomyelinating Neuropathy and Déjèrine-Sottas Disease (HMSN Type III) Bibliography 631.4 Roussy-Lévy Syndrome 631.5 Refsum Disease (HMSN Type IV) and Infantile Refsum Disease Bibliography 631.6 Fabry Disease Clinical Manifestations Laboratory Findings Treatment Bibliography 631.7 Giant Axonal Neuropathy Bibliography 631.8 Hypermyelinating (Tomaculous) Neuropathy; Hereditary Neuropathy With Liability to Pressure Palsies Bibliography 631.9 Leukodystrophies Bibliography Chapter 632 - Toxic Neuropathies 632 Toxic Neuropathies Keywords Bibliography Chapter 633 - Autonomic Neuropathies 633 Autonomic Neuropathies Keywords 633.1 Familial Dysautonomia Pathology Clinical Manifestations Laboratory Findings Diagnosis Treatment Prognosis Bibliography 633.2 Other Autonomic Neuropathies Congenital Insensitivity to Pain and Anhidrosis Allgrove Syndrome (Triple a Syndrome) Bibliography Chapter 634 - Guillain-Barré Syndrome 634 Guillain-Barré Syndrome Keywords Clinical Manifestations Laboratory Findings and Diagnosis Treatment Prognosis Bibliography Chapter 635 - Bell Palsy 635 Bell Palsy Keywords Clinical Manifestations Treatment Prognosis Facial Palsy at Birth Bibliography 28- XXVIII Disorders of the Eye Chapter 636 - Growth and Development of the Eye XXVIII Disorders of the Eye 636 Growth and Development of the Eye Keywords Bibliography Chapter 637 - Examination of the Eye 637 Examination of the Eye Keywords Visual Acuity Visual Field Assessment Color Vision Testing Pupillary Examination Ocular Motility Binocular Vision External Examination Biomicroscopy (Slit-Lamp Examination) Fundus Examination (Ophthalmoscopy) Refraction Tonometry Bibliography Chapter 638 - Abnormalities of Refraction and Accommodation 638 Abnormalities of Refraction and Accommodation Keywords Hyperopia Myopia Astigmatism Anisometropia Accommodation Bibliography Chapter 639 - Disorders of Vision 639 Disorders of Vision Keywords Amblyopia Diplopia Suppression Amaurosis Nyctalopia Psychogenic Disturbances Dyslexia Bibliography Chapter 640 - Abnormalities of Pupil and Iris 640 Abnormalities of Pupil and Iris Keywords Aniridia Coloboma of the Iris Microcoria Congenital Mydriasis Dyscoria and Corectopia Anisocoria Dilated Fixed Pupil Tonic Pupil Marcus Gunn Pupil Horner Syndrome Paradoxical Pupil Reaction Persistent Pupillary Membrane Heterochromia Other Iris Lesions Leukocoria Bibliography Chapter 641 - Disorders of Eye Movement and Alignment 641 Disorders of Eye Movement and Alignment Keywords Strabismus Diagnosis Clinical Manifestations and Treatment Comitant Strabismus Noncomitant Strabismus 3rd Nerve Palsy 4th Nerve Palsy 6th Nerve Palsy Strabismus Syndromes Monocular Elevation Deficiency Duane Syndrome Möbius Syndrome Brown Syndrome Parinaud Syndrome Congenital Ocular Motor Apraxia Nystagmus Other Abnormal Eye Movements Opsoclonus Ocular Motor Dysmetria Flutter-Like Oscillations Bibliography Chapter 642 - Abnormalities of the Lids 642 Abnormalities of the Lids Keywords Ptosis Epicanthal Folds Lagophthalmos Lid Retraction Ectropion, Entropion, and Epiblepharon Blepharospasm Blepharitis Hordeolum (Stye) Chalazion Coloboma of the Eyelid Tumors of the Lid Bibliography Chapter 643 - Disorders of the Lacrimal System 643 Disorders of the Lacrimal System Keywords The Tear Film Dacryostenosis Alacrima and “Dry Eye” Bibliography Chapter 644 - Disorders of the Conjunctiva 644 Disorders of the Conjunctiva Keywords Conjunctivitis Ophthalmia Neonatorum Epidemiology Clinical Manifestations Diagnosis Treatment Prognosis and Prevention Acute Purulent Conjunctivitis Viral Conjunctivitis Epidemic Keratoconjunctivitis Membranous and Pseudomembranous Conjunctivitis Allergic Conjunctivitis Vernal Conjunctivitis Parinaud Oculoglandular Syndrome Chemical Conjunctivitis Other Conjunctival Disorders Bibliography Chapter 645 - Abnormalities of the Cornea 645 Abnormalities of the Cornea Keywords Megalocornea Microcornea Keratoconus Neonatal Corneal Opacities Sclerocornea Peters Anomaly Corneal Dystrophies Dermoids Dendritic Keratitis Corneal Ulcers Phlyctenules Interstitial Keratitis Corneal Manifestations of Systemic Disease Bibliography Chapter 646 - Abnormalities of the Lens 646 Abnormalities of the Lens Keywords Cataracts Differential Diagnosis Developmental Variants Prematurity Mendelian Inheritance Congenital Infection Syndrome Metabolic Disorders Chromosomal Defects Drugs, Toxic Agents, and Trauma Miscellaneous Disorders Treatment Prognosis Ectopia Lentis Differential Diagnosis Treatment and Prognosis Other Disorders of the Lens Microspherophakia Anterior Lenticonus Posterior Lenticonus Bibliography Chapter 647 - Disorders of the Uveal Tract 647 Disorders of the Uveal Tract Keywords Uveitis (Iritis, Cyclitis, Chorioretinitis) Treatment Bibliography Chapter 648 - Disorders of the Retina and Vitreous 648 Disorders of the Retina and Vitreous Keywords Retinopathy of Prematurity Pathogenesis Classification Clinical Manifestations and Prognosis Diagnosis Treatment Prevention Persistent Fetal Vasculature Pathogenesis Clinical Manifestations Treatment Retinoblastoma Clinical Manifestations Diagnosis Treatment Retinitis Pigmentosa Stargardt Disease (Fundus Flavimaculatus) Best Vitelliform Degeneration Cherry-Red Spot Phakomas Retinoschisis Retinal Detachment Coats Disease Familial Exudative Vitreoretinopathy Hypertensive Retinopathy Diabetic Retinopathy Treatment Subacute Bacterial Endocarditis Blood Disorders Trauma-Related Retinopathy Myelinated Nerve Fibers Coloboma of the Fundus Bibliography Chapter 649 - Abnormalities of the Optic Nerve 649 Abnormalities of the Optic Nerve Keywords Optic Nerve Aplasia Optic Nerve Hypoplasia Optic Nerve Coloboma Morning Glory Disc Anomaly Tilted Disc Drusen of the Optic Nerve Papilledema Optic Neuritis Leber Optic Neuropathy Optic Atrophy Optic Nerve Glioma Traumatic Optic Neuropathies Bibliography Chapter 650 - Childhood Glaucoma 650 Childhood Glaucoma Keywords Clinical Manifestations Diagnosis and Treatment Bibliography Chapter 651 - Orbital Abnormalities 651 Orbital Abnormalities Keywords Hypertelorism and Hypotelorism Exophthalmos and Enophthalmos Orbital Inflammation Tumors of the Orbit Bibliography Chapter 652 - Orbital Infections 652 Orbital Infections Keywords Dacryoadenitis Dacryocystitis Preseptal Cellulitis Orbital Cellulitis Bibliography Chapter 653 - Injuries to the Eye 653 Injuries to the Eye Keywords Ecchymosis and Swelling of the Eyelids Lacerations of the Eyelids Superficial Abrasions of the Cornea Foreign Body Involving the Ocular Surface Hyphema Open Globe Optic Nerve Trauma Chemical Injuries Orbital Fractures Penetrating Wounds of the Orbit Child Abuse Fireworks-Related Injuries Sports-Related Ocular Injuries and Their Prevention Handheld Laser Retinal Injury Bibliography 29- XXIX The Ear Chapter 654 - General Considerations and Evaluation of the Ear XXIX The Ear 654 General Considerations and Evaluation of the Ear Keywords Clinical Manifestations Facial Paralysis Physical Examination Bibliography Chapter 655 - Hearing Loss 655 Hearing Loss Keywords Incidence and Prevalence Types of Hearing Loss Etiology Infectious Causes Genetic Causes Physical Causes Effects of Hearing Impairment Hearing Screening Identification of Hearing Impairment Clinical Audiologic Evaluation Audiometry Speech-Recognition Threshold Play Audiometry Visual Reinforcement Audiometry Behavioral Observation Audiometry Acoustic Immittance Testing Tympanometry Tympanometry in Otitis Media With Effusion Acoustic Reflex Threshold Test Auditory Brainstem Response Otoacoustic Emissions Treatment Genetic Counseling Bibliography Chapter 656 - Congenital Malformations of the Ear 656 Congenital Malformations of the Ear Keywords Pinna Malformations Congenital Stenosis or Atresia of the External Auditory Canal Congenital Middle-Ear Malformations Congenital Inner Ear Malformations Congenital Cholesteatoma Bibliography Chapter 657 - External Otitis (Otitis Externa) 657 External Otitis (Otitis Externa) Keywords Etiology Clinical Manifestations Diagnosis Treatment Prevention Other Diseases of the External Ear Furunculosis Acute Cellulitis Perichondritis and Chondritis Dermatoses Herpes Simplex Virus Bullous Myringitis Exostoses and Osteomas Bibliography Chapter 658 - Otitis Media 658 Otitis Media Keywords Epidemiology Age Gender Race Genetic Background Socioeconomic Status Breast Milk Compared With Formula Feeding Exposure to Tobacco Smoke Exposure to Other Children Season Congenital Anomalies Other Factors Etiology Acute Otitis Media Otitis Media With Effusion Pathogenesis Anatomic Factors Host Factors Viral Pathogens Allergy Clinical Manifestations Examination of the Tympanic Membrane Otoscopy Clearing the External Auditory Canal Tympanic Membrane Findings Diagnosis Conjunctivitis-Associated Otitis Media Asymptomatic Purulent Otitis Media Tympanometry Prevention Immunoprophylaxis and Vaccination Status Treatment Management of Acute Otitis Media Bacterial Resistance First-Line Antimicrobial Treatment Duration of Treatment Follow-Up Unsatisfactory Response to First-Line Treatment Second-Line Treatment Antimicrobial Prophylaxis Myringotomy and Tympanocentesis Early Recurrence After Treatment Myringotomy and Insertion of Tympanostomy Tubes Tube Otorrhea Management of Otitis Media With Effusion Variables Influencing Otitis Media With Effusion Management Decisions Medical Treatment Myringotomy and Insertion of Tympanostomy Tubes Adenoidectomy Complications of Acute Otitis Media Intratemporal Complications Infectious Dermatitis Tympanic Membrane Perforation Chronic Suppurative Otitis Media Mastoiditis Facial Paralysis Cholesteatoma Labyrinthitis Intracranial Complications Physical Sequelae Possible Developmental Sequelae Bibliography Chapter 659 - Acute Mastoiditis 659 Acute Mastoiditis Keywords Anatomy Epidemiology Microbiology Clinical Manifestations Imaging Management Special Situations Bibliography Chapter 660 - The Inner Ear and Diseases of the Bony Labyrinth 660 The Inner Ear and Diseases of the Bony Labyrinth Keywords Other Diseases of the Inner Ear Bibliography Chapter 661 - Traumatic Injuries of the Ear and Temporal Bone 661 Traumatic Injuries of the Ear and Temporal Bone Keywords Auricle and External Auditory Canal Tympanic Membrane and Middle Ear Temporal Bone Fractures Acoustic Trauma Bibliography Chapter 662 - Tumors of the Ear and Temporal Bone 662 Tumors of the Ear and Temporal Bone Keywords Bibliography Volume 5 - Nelson Textbook of Pediatrics 21th ed 2020 Original PDF.pdf (p.6126-6882) cover Contents 30- XXX The Skin Chapter 663 - Morphology of the Skin XXX The Skin 663 Morphology of the Skin Keywords Epidermis Dermis Subcutaneous Tissue Appendageal Structures Hair Follicles Sebaceous Glands Apocrine Glands Eccrine Sweat Glands Nails Bibliography Chapter 664 - Dermatologic Evaluation of the Patient 664 Dermatologic Evaluation of the Patient Keywords History and Physical Examination Biopsy of Skin Wood Lamp Potassium Hydroxide Preparation Tzanck Smear Immunofluorescence Studies 664.1 Cutaneous Manifestations of Systemic Diseases Connective Tissue Diseases Lupus Erythematosus Systemic Lupus Erythematosus Neonatal Lupus Erythematosus Discoid Lupus Erythematosus Juvenile Dermatomyositis Systemic Sclerosis Morphea Vasculitides Henoch-Schönlein Purpura (Immunoglobulin A Vasculitis) Kawasaki Disease Behçet Disease Gastrointestinal Diseases Inflammatory Bowel Disease Cutaneous Manifestations of Malignancy Sweet Syndrome Langerhans Cell Histiocytosis Necrolytic Migratory Erythema (Glucagonoma Syndrome) Erythromelalgia Cutaneous Reactions in the Setting of Immunosuppression Medication Reactions Graft Versus Host Disease 664.2 Multisystem Medication Reactions Drug Rash With Eosinophilia and Systemic Symptoms (DRESS Syndrome) Serum Sickness–Like Reaction Fixed-Drug Eruption Acute Generalized Exanthematous Pustulosis Bibliography Chapter 665 - Principles of Dermatologic Therapy 665 Principles of Dermatologic Therapy Keywords Wet Dressings Bath Oils, Colloids, Soaps Lubricants Shampoos Shake Lotions Powders Pastes Keratolytic Agents Tar Compounds Antifungal Agents Topical Antibiotics Topical Corticosteroids Topical Nonsteroidal Antiinflammatory Agents Sunscreens Laser Therapy Bibliography Chapter 666 - Dermatologic Diseases of the Neonate 666 Dermatologic Diseases of the Neonate Keywords Sebaceous Hyperplasia Milia Sucking Blisters Cutis Marmorata Harlequin Color Change Nevus Simplex (Salmon Patch) Dermal Melanocytosis (Mongolian Spots) Erythema Toxicum Transient Neonatal Pustular Melanosis Infantile Acropustulosis Eosinophilic Pustular Folliculitis Bibliography Chapter 667 - Cutaneous Defects 667 Cutaneous Defects Keywords Skin Dimples Redundant Skin Amniotic Constriction Bands Preauricular Sinuses and Pits Accessory Tragi Branchial Cleft and Thyroglossal Cysts and Sinuses Supernumerary Nipples Aplasia Cutis Congenita (Congenital Absence of Skin) Focal Facial Dermal Dysplasias Focal Dermal Hypoplasia (Goltz-Gorlin Syndrome) Dyskeratosis Congenita (Zinsser-Engman-Cole Syndrome) Cutis Verticis Gyrata Bibliography Chapter 668 - Ectodermal Dysplasias 668 Ectodermal Dysplasias Keywords Hypohidrotic Ectodermal Dysplasia Hidrotic Ectodermal Dysplasia (Clouston Syndrome) Bibliography Chapter 669 - Vascular Disorders 669 Vascular Disorders Keywords Vascular Malformations Capillary Malformation (Port-Wine Stain) Venous Malformation Lymphatic Malformations Arteriovenous Malformation Klippel-Trenaunay and Parkes-Weber Syndromes Angiokeratoma Circumscriptum Cutis Marmorata Telangiectatica Congenita Blue Rubber Bleb Nevus Syndrome Phakomatosis Pigmentovascularis Nevus Anemicus Vascular Tumors Infantile Hemangioma Multifocal Infantile Hemangioma Congenital Hemangioma Kaposiform Hemangioendothelioma Kasabach-Merritt Phenomenon Pyogenic Granuloma (Lobular Capillary Hemangioma) Angiokeratoma of Mibelli Spider Angioma Maffucci Syndrome Hereditary Hemorrhagic Telangiectasia (Osler-Weber-Rendu Disease) Ataxia-Telangiectasia Angiokeratoma Corporis Diffusum (Fabry Disease) Bibliography Chapter 670 - Cutaneous Nevi 670 Cutaneous Nevi Keywords Acquired Melanocytic Nevus Epidemiology Clinical Manifestations Prognosis and Treatment Atypical Melanocytic Nevus Congenital Melanocytic Nevus Melanoma Halo Nevus Spitz Nevus (Spindle and Epithelioid Cell Nevus) Zosteriform Lentiginous Nevus (Agminated Lentigines) Nevus Spilus (Speckled Lentiginous Nevus) Nevus of Ota and Nevus of Ito Blue Nevi Nevus Depigmentosus (Achromic Nevus) Epidermal Nevi Nevus Sebaceus (Jadassohn) Becker Nevus (Becker Melanosis) Nevus Comedonicus Connective Tissue Nevus Smooth Muscle Hamartoma Bibliography Chapter 671 - Hyperpigmented Lesions 671 Hyperpigmented Lesions Keywords Disorders of Pigment Ephelides (Freckles) Lentigines Café-Au-Lait Spots Neurofibromatosis Type 1 (Von Recklinghausen Disease) Incontinentia Pigmenti (Bloch-Sulzberger Disease) PostInflammatory Pigmentary Changes Bibliography Chapter 672 - Hypopigmented Lesions 672 Hypopigmented Lesions Keywords Albinism Oculocutaneous Albinism With Melanosomal Abnormalities Melanoblast Migration Abnormalities Piebaldism Waardenburg Syndrome Tuberous Sclerosis Complex (TSC1, TSC2 Genes) Hypomelanosis of Ito Vitiligo Epidemiology and Etiology Clinical Manifestations Treatment Bibliography Chapter 673 - Vesiculobullous Disorders 673 Vesiculobullous Disorders Keywords 673.1 Erythema Multiforme Keywords Etiology Clinical Manifestations Pathogenesis Pathology Differential Diagnosis Treatment Bibliography 673.2 Stevens-Johnson Syndrome Keywords Etiology Clinical Manifestations Pathogenesis Differential Diagnosis Treatment Bibliography 673.3 Toxic Epidermal Necrolysis Keywords Epidemiology and Etiology Clinical Manifestations Treatment Bibliography 673.4 Mechanobullous Disorders Keywords Epidermolysis Bullosa Epidermolysis Bullosa Simplex Junctional Epidermolysis Bullosa Dystrophic Epidermolysis Bullosa Kindler Syndrome Bibliography 673.5 Pemphigus Keywords Pemphigus Vulgaris Etiology/Pathogenesis Clinical Manifestations Pathology Differential Diagnosis Treatment Pemphigus Foliaceus Etiology/Pathogenesis Clinical Manifestations Pathology Differential Diagnosis Bullous Pemphigoid Etiology/Pathogenesis Clinical Manifestations Pathology Diagnosis and Differential Diagnoses Treatment Bibliography 673.6 Dermatitis Herpetiformis Keywords Etiology/Pathogenesis Clinical Manifestations Pathology Differential Diagnosis Treatment Bibliography 673.7 Linear Immunoglobulin A Dermatosis (Chronic Bullous Dermatosis of Childhood) Keywords Etiology/Pathogenesis Clinical Manifestations Pathology Differential Diagnosis Treatment Bibliography Chapter 674 - Eczematous Disorders 674 Eczematous Disorders Keywords 674.1 Contact Dermatitis Irritant Contact Dermatitis Diaper Dermatitis Allergic Contact Dermatitis Bibliography 674.2 Nummular Eczema Bibliography 674.3 Pityriasis Alba Bibliography 674.4 Lichen Simplex Chronicus 674.5 Acute Palmoplantar Eczema (Dyshidrotic Eczema, Dyshidrosis, Pompholyx) Bibliography 674.6 Seborrheic Dermatitis Etiology Clinical Manifestations Differential Diagnosis Treatment Bibliography Chapter 675 - Photosensitivity 675 Photosensitivity Keywords Acute Sunburn Reaction Photosensitive Reactions Porphyrias Colloid Milium Hydroa Vacciniforme Solar Urticaria Polymorphous Light Eruption Actinic Prurigo Cockayne Syndrome Xeroderma Pigmentosum Rothmund-Thomson Syndrome Bloom Syndrome Hartnup Disease Bibliography Chapter 676 - Diseases of the Epidermis 676 Diseases of the Epidermis Keywords 676.1 Psoriasis Etiology/Pathogenesis Clinical Manifestations Differential Diagnosis Pathology Treatment Prognosis Bibliography 676.2 Pityriasis Lichenoides Etiology/Pathogenesis Clinical Manifestations Pathology Differential Diagnosis Treatment Bibliography 676.3 Keratosis Pilaris 676.4 Lichen Spinulosus 676.5 Pityriasis Rosea Etiology/Pathogenesis Clinical Manifestations Differential Diagnosis Treatment Bibliography 676.6 Pityriasis Rubra Pilaris Etiology/Pathogenesis Clinical Manifestations Differential Diagnosis Histology Treatment Bibliography 676.7 Darier Disease (Keratosis Follicularis) Etiology/Pathogenesis Clinical Manifestations Histology Differential Diagnosis Treatment Bibliography 676.8 Lichen Nitidus Etiology/Pathogenesis Clinical Manifestations Differential Diagnosis Histology Treatment Bibliography 676.9 Lichen Striatus Etiology/Pathogenesis Clinical Manifestations Differential Diagnosis Treatment Bibliography 676.10 Lichen Planus Etiology/Pathogenesis Clinical Manifestations Histology Treatment Bibliography 676.11 Porokeratosis Etiology/Pathogenesis Clinical Manifestations Histology Differential Diagnosis Treatment Prognosis Bibliography 676.12 Gianotti-Crosti Syndrome (Papular Acrodermatitis) Etiology/Pathogenesis Clinical Manifestations Histology Differential Diagnosis Treatment Bibliography 676.13 Acanthosis Nigricans Etiology/Pathogenesis Clinical Manifestations Histology Treatment Bibliography Chapter 677 - Disorders of Keratinization 677 Disorders of Keratinization Keywords Disorders of Cornification Collodion Baby Nonsyndromic Ichthyoses Ichthyosis Vulgaris Etiology/Pathogenesis Clinical Manifestations Treatment X-Linked Ichthyosis Etiology/Pathogenesis Clinical Manifestations Treatment Autosomal Recessive Congenital Ichthyoses Harlequin Ichthyosis Etiology/Pathogenesis Clinical Manifestations Treatment Lamellar Ichthyosis and Congenital Ichthyosiform Erythroderma (Nonbullous Congenital Ichthyosiform Erythroderma) Etiology/Pathogenesis Clinical Manifestations Treatment Keratinopathic Ichthyoses Epidermolytic Ichthyosis (Bullous Congenital Ichthyosiform Erythroderma; Epidermolytic Hyperkeratosis) Etiology/Pathogenesis Clinical Manifestations Histopathology Treatment Other Nonsyndromic Ichthyoses Erythrokeratoderma Variabilis Etiology/Pathogenesis Clinical Manifestations Treatment Symmetric Progressive Erythrokeratoderma Etiology/Pathogenesis Clinical Manifestations Treatment Syndromic Ichthyoses Sjögren-Larsson Syndrome Etiology/Pathogenesis Clinical Manifestations Treatment Netherton Syndrome Etiology/Pathogenesis Clinical Manifestations Treatment Refsum Syndrome Etiology/Pathogenesis Clinical Manifestations Treatment Chondrodysplasia Punctata Etiology/Pathogenesis Clinical Manifestations Other Syndromes With Ichthyosis Palmoplantar Keratodermas Diffuse Hyperkeratosis of Palms and Soles (Unna-Thost, Vorner) Mal De Meleda (SLURP-1 Gene) Vohwinkel Palmoplantar Keratoderma (Mutilating Keratoderma) Papillon-Lefèvre Syndrome (Cathepsin C Gene) Other Syndromes Treatment Bibliography Chapter 678 - Diseases of the Dermis 678 Diseases of the Dermis Keywords Keloid Etiology and Pathogenesis Clinical Manifestations Histology Differential Diagnosis Treatment Striae Cutis Distensae (Stretch Marks) Etiology and Pathogenesis Clinical Manifestations Differential Diagnosis Treatment Corticosteroid-Induced Atrophy Etiology and Pathogenesis Clinical Manifestations Histology Treatment Granuloma Annulare Etiology and Pathogenesis Clinical Manifestations Differential Diagnosis Histology Treatment Necrobiosis Lipoidica Etiology and Pathogenesis Clinical Manifestations Histology Differential Diagnosis Treatment Lichen Sclerosus Etiology and Pathogenesis Clinical Manifestations Differential Diagnosis Histology Treatment Morphea Etiology and Pathogenesis Clinical Manifestations Differential Diagnosis Histology Treatment Scleredema (Scleredema Adultorum, Scleredema of Buschke) Etiology and Pathogenesis Clinical Manifestations Differential Diagnosis Histology Treatment Lipoid Proteinosis (Urbach-Wiethe Disease, Hyalinosis Cutis Et Mucosae) Etiology and Pathogenesis Clinical Manifestations Histology Treatment Macular Atrophy (Anetoderma) Etiology and Pathogenesis Clinical Manifestations Histology Differential Diagnosis Treatment Cutis Laxa (Dermatomegaly, Generalized Elastolysis) Etiology and Pathogenesis Clinical Manifestations Histology Treatment Pseudoxanthoma Elasticum Etiology and Pathogenesis Clinical Manifestations Pathology Treatment Elastosis Perforans Serpiginosa Etiology and Pathogenesis Clinical Manifestations Histology Differential Diagnosis Treatment Reactive Perforating Collagenosis Etiology and Pathogenesis Clinical Manifestations Histology Differential Diagnosis Treatment Xanthomas Fabry Disease Mucopolysaccharidoses Mastocytosis Etiology and Pathogenesis Clinical Manifestations Differential Diagnosis Prognosis Treatment 678.1 Mast Cell Activation Syndrome Keywords Bibliography Bibliography Chapter 679 - Ehlers-Danlos Syndrome 679 Ehlers-Danlos Syndrome Keywords Classification of the 6 Most Common Subtypes of Ehlers-Danlos Syndrome Classic (Genes: COL5a1, COL5a2, COL1a1; Previously EDS Type I—Gravis, EDS Type II—Mitis) Hypermobile (Cause Unknown, Previously EDS Type III) Vascular (vEDS) (Gene: COL3a1; Previously EDS Type IV) Kyphoscoliosis (Gene: PLOD [Lysyl Hydroxylase Deficiency]; Previously EDS Type VI) Arthrochalasia (Gene: COL1a1, COL1a2; Previously EDS Types VIIA and B) Dermatosparaxis (Type 1 Collagen N-Peptidase; Previously EDS Type VIIC) Differential Diagnosis General Approach to Management Bibliography Chapter 680 - Diseases of Subcutaneous Tissue 680 Diseases of Subcutaneous Tissue Keywords Corticosteroid-Induced Atrophy 680.1 Panniculitis and Erythema Nodosum Erythema Nodosum Etiology and Pathogenesis Clinical Manifestations Histology Treatment Post-Steroid Panniculitis Etiology and Pathogenesis Clinical Manifestations Histology Treatment Lupus Erythematosus Profundus (Lupus Erythematosus Panniculitis) Etiology and Pathogenesis Clinical Manifestations Histology Treatment Alpha1-Antitrypsin Deficiency Etiology and Pathogenesis Clinical Manifestations Histology Treatment Pancreatic Panniculitis Etiology and Pathogenesis Clinical Manifestations Histology Treatment Subcutaneous Fat Necrosis Etiology and Pathogenesis Clinical Manifestations Histology Differential Diagnosis Treatment Sclerema Neonatorum Etiology and Pathogenesis Clinical Manifestations Histology Treatment Cold Panniculitis Etiology and Pathogenesis Clinical Manifestations Histology Differential Diagnosis Treatment Chilblains (Pernio) Etiology and Pathogenesis Clinical Manifestations Histology Differential Diagnosis Treatment Factitial Panniculitis Etiology and Pathogenesis Clinical Manifestations Histology Treatment Bibliography 680.2 Lipodystrophy Partial Lipodystrophy Generalized Lipodystrophy Bibliography Chapter 681 - Disorders of the Sweat Glands 681 Disorders of the Sweat Glands Keywords Anhidrosis Hyperhidrosis Etiology and Pathogenesis Clinical Manifestations Treatment Miliaria Etiology and Pathogenesis Clinical Manifestations Histology Differential Diagnosis Treatment Bromhidrosis Hidradenitis Suppurativa Etiology and Pathogenesis Clinical Manifestations Histology Differential Diagnosis Treatment Fox-Fordyce Disease Etiology and Pathogenesis Clinical Manifestations Histology Treatment Bibliography Chapter 682 - Disorders of Hair 682 Disorders of Hair Keywords Hypertrichosis Hypotrichosis and Alopecia Traumatic Alopecia (Traction Alopecia, Hair Pulling, Trichotillomania) Traction Alopecia Hair Pulling Trichotillomania Etiology and Pathogenesis. Clinical Manifestations. Differential Diagnosis. Histology. Treatment. Alopecia Areata Etiology and Pathogenesis Clinical Manifestations Differential Diagnosis Histology Treatment Acquired Diffuse Hair Loss Telogen Effluvium Toxic Alopecia (Anagen Effluvium) Congenital Diffuse Hair Loss Structural Defects of Hair Trichorrhexis Nodosa Acquired Trichorrhexis Nodosa Pili Torti Menkes Kinky Hair Syndrome (Trichopoliodystrophy) Monilethrix Trichothiodystrophy Trichorrhexis Invaginata (Bamboo Hair) Pili Annulati Woolly Hair Disease Uncombable Hair Syndrome (Spun-Glass Hair) Bibliography Chapter 683 - Disorders of the Nails 683 Disorders of the Nails Keywords Abnormalities in Nail Shape or Size Changes in Nail Color Nail Separation Nail Changes Associated With Skin Disease Trachyonychia (20-Nail Dystrophy) Nail Infection Paronychial Inflammation Paronychial Tumors Bibliography Chapter 684 - Disorders of the Mucous Membranes 684 Disorders of the Mucous Membranes Keywords Angular Cheilitis Aphthous Stomatitis (Canker Sores) Fordyce Spots Epstein Pearls (Gingival Cysts of the Newborn) Mucocele Fissured Tongue Geographic Tongue (Benign Migratory Glossitis) Black Hairy Tongue Oral Hairy Leukoplakia Acute Necrotizing Ulcerative Gingivitis (Vincent Stomatitis, Fusospirochetal Gingivitis, Trench Mouth) Noma Cowden Syndrome (Multiple Hamartoma Syndrome) Bibliography Chapter 685 - Cutaneous Bacterial Infections 685 Cutaneous Bacterial Infections Keywords 685.1 Impetigo Etiology/Pathogenesis Clinical Manifestations Nonbullous Impetigo Bullous Impetigo Differential Diagnosis Complications Treatment Bibliography 685.2 Subcutaneous Tissue Infections Cellulitis Etiology Clinical Manifestations Diagnosis Treatment Necrotizing Fasciitis Etiology Clinical Manifestations Diagnosis Treatment Prognosis Bibliography 685.3 Staphylococcal Scalded Skin Syndrome (Ritter Disease) Etiology and Pathogenesis Clinical Manifestations Differential Diagnosis Histology Treatment Bibliography 685.4 Ecthyma Bibliography 685.5 Other Cutaneous Bacterial Infections Blastomycosis-Like Pyoderma (Pyoderma Vegetans) Blistering Distal Dactylitis Perianal Infectious Dermatitis Erysipelas Folliculitis Abscesses and Furuncles Etiology Clinical Manifestations Treatment Pitted Keratolysis Erythrasma Erysipeloid Tuberculosis of the Skin Bibliography Chapter 686 - Cutaneous Fungal Infections 686 Cutaneous Fungal Infections Keywords Tinea Versicolor Etiology Clinical Manifestations Differential Diagnosis Treatment Dermatophytoses Etiology Epidemiology Tinea Capitis Clinical Manifestations Differential Diagnosis Treatment Tinea Corporis Clinical Manifestations Differential Diagnosis Treatment Tinea Cruris Clinical Manifestations Differential Diagnosis Treatment Tinea Pedis Clinical Manifestations Differential Diagnosis Treatment Tinea Unguium Clinical Manifestations Differential Diagnosis Treatment Tinea Nigra Palmaris Candidal Infections (Candidosis, Candidiasis, and Moniliasis) Oral Candidiasis (Thrush) Vaginal Candidiasis Congenital Cutaneous Candidiasis Candidal Diaper Dermatitis Intertriginous Candidiasis Perianal Candidiasis Candidal Paronychia and Onychia Candidal Granuloma Bibliography Chapter 687 - Cutaneous Viral Infections 687 Cutaneous Viral Infections Keywords Wart (Verruca) Etiology Clinical Manifestations Histology Differential Diagnosis Treatment Molluscum Contagiosum Etiology Clinical Manifestations Differential Diagnosis Histology Treatment Bibliography Chapter 688 - Arthropod Bites and Infestations 688 Arthropod Bites and Infestations Keywords 688.1 Arthropod Bites Clinical Manifestations Treatment Bibliography Arthropod Bites 688.2 Scabies Etiology and Pathogenesis Clinical Manifestations Differential Diagnosis Treatment Norwegian (Crusted) Scabies Canine Scabies Other Types of Scabies Bibliography Scabies 688.3 Pediculosis Bibliography Pediculosis 688.4 Seabather’s Eruption Chapter 689 - Acne 689 Acne Keywords Acne Vulgaris Pathogenesis Clinical Manifestations Treatment Diet Climate Cleansing Topical Therapy Retinoids. Benzoyl Peroxide. Topical Antibiotics. Azelaic Acid. Systemic Therapy Surgical Therapy Drug-Induced Acne Halogen Acne Chloracne Neonatal Acne Infantile Acne Mid-Childhood Acne Tropical Acne Acne Conglobata Acne Fulminans (Acute Febrile Ulcerative Acne) Bibliography Chapter 690 - Tumors of the Skin 690 Tumors of the Skin Keywords Epidermal Inclusion Cyst (Epidermoid Cyst) Milium Fibrofolliculomas Pilar Cyst (Trichilemmal Cyst) Pilomatricoma (Pilomatrixoma) Trichoepithelioma Eruptive Vellus Hair Cysts Steatocystoma Multiplex Syringoma Infantile Digital Fibroma Dermatofibroma (Histiocytoma) Juvenile Xanthogranuloma Lipoma Basal Cell Carcinoma Nevoid Basal Cell Carcinoma Syndrome (Basal Cell Nevus Syndrome, Gorlin Syndrome) Melanoma Mucosal Neuroma Syndrome (Multiple Endocrine Neoplasia Type Iib) Bibliography Chapter 691 - Nutritional Dermatoses 691 Nutritional Dermatoses Keywords Acrodermatitis Enteropathica Essential Fatty Acid Deficiency Kwashiorkor Cystic Fibrosis Pellagra Scurvy (Vitamin C or Ascorbic Acid Deficiency) Vitamin a Deficiency Bibliography 31- XXXI Bone and Joint Disorders Chapter 692 - Growth and Development XXXI Bone and Joint Disorders 1 Orthopedic Problems 692 Growth and Development Keywords In Utero Positioning Growth and Development Centers of Ossification Anatomic Locations: Descriptive Terms Important Growth and Developmental Milestones Growth Patterns in Upper and Lower Extremities Gait/Functional Maturation Bibliography Chapter 693 - Orthopedic Evaluation of the Child 693 Orthopedic Evaluation of the Child Keywords History Physical Examination Inspection Palpation Range of Motion Gait Assessment Limping Back Pain Neurologic Evaluation Radiographic Assessment Plain Radiographs Ultrasonography Magnetic Resonance Imaging Magnetic Resonance Angiography Computed Tomography Nuclear Medicine Imaging Laboratory Studies Bibliography Chapter 694 - The Foot and Toes 694 The Foot and Toes Keywords 694.1 Metatarsus Adductus Clinical Manifestations Radiographic Evaluation Treatment Bibliography 694.2 Calcaneovalgus Feet Clinical Manifestations Radiographic Evaluation Treatment Bibliography 694.3 Talipes Equinovarus (Clubfoot) Clinical Manifestations Radiographic Evaluation Treatment Bibliography 694.4 Congenital Vertical Talus Clinical Manifestations Radiographic Evaluation Treatment Bibliography 694.5 Hypermobile Pes Planus (Flexible Flatfeet) Clinical Manifestations Radiographic Evaluation Treatment Bibliography 694.6 Tarsal Coalition Clinical Manifestations Radiographic Evaluation Treatment Bibliography 694.7 Cavus Feet Treatment Bibliography 694.8 Osteochondroses/Apophysitis Bibliography 694.9 Puncture Wounds of the Foot Bibliography 694.10 Toe Deformities Juvenile Hallux Valgus (Bunion) Clinical Manifestations Radiographic Evaluation Treatment Curly Toes Overlapping 5Th Toe Polydactyly Syndactyly Hammer Toe Mallet Toe Claw Toe Annular Bands Macrodactyly Subungual Exostosis Ingrown Toenail Bibliography 694.11 Painful Foot 694.12 Shoes Bibliography Chapter 695 - Torsional and Angular Deformities of the Limb 695 Torsional and Angular Deformities of the Limb 695.1 Normal Limb Development Keywords Bibliography 695.2 Evaluation Keywords Foot Progression Angle Femoral Anteversion Tibial Rotation Foot Shape and Position Bibliography 695.3 Torsional Deformities Keywords Femoral Anteversion Medial Tibial Torsion External Femoral Torsion Lateral Tibial Torsion Metatarsus Adductus Bibliography 695.4 Coronal Plane Deformities Keywords Genu Varum Tibia Vara Genu Valgum (Knock-Knees) Bibliography 695.5 Congenital Angular Deformities of the Tibia and Fibula Keywords Posteromedial Tibial Bowing Anteromedial Tibial Bowing (Postaxial Hemimelia) Anterolateral Tibial Bowing Tibial Longitudinal Deficiency Bibliography Chapter 696 - Leg-Length Discrepancy 696 Leg-Length Discrepancy Keywords Diagnosis and Clinical Findings Radiographic Evaluation Treatment Bibliography Chapter 697 - The Knee 697 The Knee Keywords Normal Development of the Knee Anatomy and Range of Motion 697.1 Discoid Lateral Meniscus Clinical Manifestations and Diagnosis Treatment Bibliography 697.2 Popliteal Cysts (Baker Cysts) Clinical Manifestations and Diagnosis Treatment Bibliography 697.3 Juvenile Osteochondritis Dissecans Clinical Manifestations and Diagnosis Treatment Bibliography 697.4 Osgood-Schlatter Disease and Sinding-Larsen-Johansson Syndrome Clinical Manifestations and Diagnosis Treatment Bibliography 697.5 Patellofemoral Pain Syndrome Clinical Manifestations and Diagnosis Treatment Bibliography 697.6 Patellofemoral Instability Clinical Manifestations and Diagnosis Treatment Bibliography 697.7 Anterior Cruciate Ligament Rupture Clinical Manifestations and Diagnosis Treatment Bibliography Chapter 698 - The Hip 698 The Hip Keywords Growth and Development Vascular Supply 698.1 Developmental Dysplasia of the Hip Keywords Classification Etiology and Risk Factors Epidemiology Pathoanatomy Clinical Findings The Neonate The Infant The Walking Child Diagnostic Testing Ultrasonography Radiography Treatment Newborns and Infants Younger Than 6 Months Children 6 Months to 2 Years of Age Children Older Than 2 Years Complications Bibliography 698.2 Transient Monoarticular Synovitis (Toxic Synovitis) Keywords Etiology Clinical Manifestations Diagnosis Treatment Bibliography 698.3 Legg-Calvé-Perthes Disease Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Classification Natural History and Prognosis Treatment Bibliography 698.4 Slipped Capital Femoral Epiphysis Keywords Classification Etiology and Pathogenesis Epidemiology Clinical Manifestations Diagnostic Studies Treatment Complications Bibliography Chapter 699 - The Spine 699 The Spine Keywords Normal Spinal Curvatures 699.1 Idiopathic Scoliosis Keywords Definition Etiology Epidemiology Classification of Idiopathic Scoliosis Clinical Presentation of Idiopathic Scoliosis Physical Examination of Idiopathic Scoliosis Radiographic Evaluation of Idiopathic Scoliosis Natural History of Idiopathic Scoliosis Treatment of Idiopathic Scoliosis Bibliography 699.2 Congenital Scoliosis Keywords Definition Etiology Associated Conditions Classification of Congenital Scoliosis Natural History of Congenital Scoliosis Treatment of Congenital Scoliosis Special Circumstance: Thoracic Insufficiency Syndrome Bibliography 699.3 Neuromuscular Scoliosis, Genetic Syndromes, and Compensatory Scoliosis Keywords Neuromuscular Scoliosis Syndromes and Genetic Disorders Compensatory Scoliosis Bibliography 699.4 Kyphosis Keywords Flexible Kyphosis (Postural Kyphosis) Structural Kyphosis Scheuermann Kyphosis Physical Exam and Clinical Manifestations Radiographic Evaluation Natural History Treatment Congenital Kyphosis Bibliography 699.5 Back Pain in Children Keywords Clinical Evaluation Medical Decision Making Radiographic and Laboratory Evaluation Bibliography 699.6 Spondylolysis and Spondylolisthesis Keywords Clinical Manifestations Physical Exam Radiographic Evaluation Treatment Bibliography 699.7 Spine Infection Keywords Clinical Manifestations Radiographic Evaluation Treatment Bibliography 699.8 Intervertebral Disc Herniation/Slipped Vertebral Apophysis Keywords Apophysis Etiology Clinical Manifestations Radiographic Evaluation Treatment Bibliography 699.9 Tumors Keywords Bibliography Chapter 700 - The Neck 700 The Neck 700.1 Torticollis Keywords Congenital Muscular Torticollis Other Causes of Torticollis Atlantoaxial Rotatory Displacement Bibliography 700.2 Klippel-Feil Syndrome Keywords Etiology and Classification Clinical Presentation Physical Examination Radiologic Investigation Treatment Bibliography 700.3 Cervical Anomalies and Instabilities Keywords OS Odontoideum Down Syndrome 22Q11.2 Deletion Syndrome Bibliography Chapter 701 - The Upper Limb 701 The Upper Limb Keywords Shoulder Sprengel Deformity Treatment Congenital Pseudoarthrosis of the Clavicle Treatment Elbow Panner Disease Treatment Radial Longitudinal Deficiency Treatment Nursemaid Elbow Treatment Wrist Madelung Deformity Treatment Gymnast’s Wrist Treatment Ganglion Treatment Hand Camptodactyly Treatment Clinodactyly Treatment Polydactyly Treatment Thumb Hypoplasia Treatment Syndactyly Treatment Fingertip Injuries Trigger Thumb and Fingers Treatment Bibliography Chapter 702 - Arthrogryposis 702 Arthrogryposis Keywords Etiology Neurologic Abnormalities Muscular Abnormalities Limited Intrauterine Spacing Connective Tissue Abnormalities Maternal Diseases Intrauterine Vascular Compromise Classification Management of Orthopedic Problems of Arthrogryposis Foot Problems Knee Problems Hip Problems Ambulation Upper-Extremity Problems Surgery of the Upper Extremity Shoulder Elbow Wrist Scoliosis Surgical Staging Bibliography Chapter 703 - Common Fractures 703 Common Fractures Keywords 703.1 Unique Characteristics of Pediatric Fractures Keywords Fracture Remodeling Overgrowth Progressive Deformity Rapid Healing Bibliography 703.2 Pediatric Fracture Patterns Keywords Plastic Deformation Buckle or Torus Fracture Greenstick Fracture Complete Fractures Epiphyseal Fractures Child Abuse Bibliography 703.3 Upper Extremity Fractures Keywords Phalangeal Fractures Forearm Fractures Distal Humeral Fractures Proximal Humerus Fractures Clavicular Fractures Bibliography 703.4 Lower Extremity Fractures Keywords Hip Fracture Femoral Shaft Fractures Proximal Tibia Fractures Tibia and Fibula Shaft Fractures Toddler Fracture Triplane and Tillaux Fractures Metatarsal Fractures Toe Phalangeal Fractures Bibliography 703.5 Operative Treatment of Fractures Keywords Surgical Techniques Bibliography 703.6 Complications of Fractures in Children Keywords Complications Resulting From Injury Complications of Treatment Late Complications of Trauma Chapter 704 - Osteomyelitis 704 Osteomyelitis Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Radiographic Evaluation Plain Radiographs Magnetic Resonance Imaging and Computed Tomography Radionuclide Studies Differential Diagnosis Treatment Antimicrobial Therapy Surgical Therapy Physical Therapy Prognosis Bibliography Chapter 705 - Septic Arthritis 705 Septic Arthritis Keywords Etiology Epidemiology Pathogenesis Clinical Manifestations Diagnosis Radiographic Evaluation Plain Radiographs Ultrasonography Magnetic Resonance Imaging and Computed Tomography Radionuclide Imaging Differential Diagnosis Treatment Antimicrobial Therapy Surgical Therapy Prognosis Bibliography Chapter 706 - Epidemiology and Prevention of Injuries 2 Sports Medicine 706 Epidemiology and Prevention of Injuries Keywords Preparticipation Sports Examination History and Physical Examination Bibliography Chapter 707 - Management of Musculoskeletal Injury 707 Management of Musculoskeletal Injury Keywords Mechanism of Injury Acute Injuries Overuse Injuries Initial Evaluation of the Injured Extremity Transition From Immediate Management to Return to Play Phase 1 Phase 2 Phase 3 Phase 4 Relative Rest and Return-to-Play Guidelines Imaging Differential Diagnoses of Musculoskeletal Pain 707.1 Growth Plate Injuries Bibliography 707.2 Shoulder Injuries Clavicle Fractures Acromioclavicular Joint Separation Anterior Glenohumeral Dislocation Rotator Cuff Injury Bibliography 707.3 Elbow Injuries Acute Injuries Chronic Injuries Bibliography 707.4 Low Back Injuries Spondylolysis, Spondylolisthesis, and Facet Syndrome Spondylolysis Spondylolisthesis and Facet Syndrome Lumbar Disk Herniation, Strain, and Contusion Other Causes Bibliography 707.5 Hip and Pelvis Injuries Bibliography 707.6 Knee Injuries Initial Treatment of Acute Knee Injuries Chronic Injuries Patellofemoral Stress Syndrome Osgood-Schlatter Disease Other Chronic Injuries Bibliography 707.7 Lower Leg Exertional Pain: Shin Splints, Stress Fractures, and Chronic Compartment Syndrome Bibliography 707.8 Ankle Injuries Examination and Injury Grading Scale Radiographs Initial Treatment of Ankle Sprains Rehabilitation Bibliography 707.9 Foot Injuries Bibliography Bibliography Chapter 708 - Sports-Related Traumatic Brain Injury (Concussion) 708 Sports-Related Traumatic Brain Injury (Concussion) Keywords Epidemiology Pathophysiology Assessment of the Injured Player Management and Treatment Initial Phase Returning to Sport Prevention Bibliography Chapter 709 - Cervical Spine Injuries 709 Cervical Spine Injuries Keywords Soft Tissue Injury Spear Tackler’s Spine Cervical Fractures Stingers (Burners) Transient Quadriparesis Congenital Spinal Stenosis Spinal Cord Injury Bibliography Chapter 710 - Heat Injuries 710 Heat Injuries Keywords Bibliography Chapter 711 - Female Athletes-Menstrual Problems and the Risk of Osteopenia 711 Female Athletes Keywords Bibliography Chapter 712 - Performance-Enhancing Aids 712 Performance-Enhancing Aids Keywords Bibliography Chapter 713 - Specific Sports and Associated Injuries 713 Specific Sports and Associated Injuries Keywords Sports Participation, Early Specialization, Injury Risk and Burnout Football Baseball/Softball Basketball/Volleyball Tennis Lacrosse Swimming/Diving Soccer Ice Hockey Field Hockey Skiing and Snowboarding Skateboarding Cycling and Motocross Wrestling Running Cheerleading Gymnastics Dance Adaptive Sports Bibliography Sports Participation, Early Specialization, Injury Risk and Burnout Football Baseball/Softball Basketball/Volleyball Tennis Lacrosse Swimming/Diving Soccer Ice Hockey Field Hockey Skiing and Snowboarding Skateboarding Cycling and Motocross Wrestling Running Cheerleading Gymnastics Dance Adaptive Sports Chapter 714 - General Considerations in Skeletal Dysplasias 3 The Skeletal Dysplasias 714 General Considerations in Skeletal Dysplasias Keywords Clinical Manifestations Growth Non-Growth-Related Manifestations Family and Reproductive History Radiographic Features Diagnosis Molecular Genetics Pathophysiology Treatment Bibliography Chapter 715 - Disorders Involving Cartilage Matrix Proteins 715 Disorders Involving Cartilage Matrix Proteins Keywords Spondyloepiphyseal Dysplasias/Type 2 Collagenopathies Lethal Spondyloepiphyseal Dysplasias Spondyloepiphyseal Dysplasia Congenita Kniest Dysplasia Late-Onset Spondyloepiphyseal Dysplasia Aggrecan-Related Spondyloepiphyseal Dysplasias Stickler Syndrome/Dysplasia (Hereditary Osteoarthroophthalmopathy) Schmid Metaphyseal Dysplasia Pseudoachondroplasia and Multiple Epiphyseal Dysplasia Bibliography Chapter 716 - Disorders Involving Transmembrane Receptors 716 Disorders Involving Transmembrane Receptors Keywords Achondroplasia Group Thanatophoric Dysplasia Achondroplasia Diagnosis Clinical Manifestations Genetics Hypochondroplasia Jansen Metaphyseal Dysplasia Bibliography Chapter 717 - Disorders Involving Ion Transporters 717 Disorders Involving Ion Transporters Keywords Autosomal Recessive Multiple Epiphyseal Dysplasia Diastrophic Dysplasia Achondrogenesis Type 1B and Atelosteogenesis Type 2 Bibliography Chapter 718 - Disorders Involving Transcription Factors 718 Disorders Involving Transcription Factors Keywords Campomelic Dysplasia Cleidocranial Dysplasia Nail-Patella Syndrome Bibliography Chapter 719 - Disorders Involving Defective Bone Resorption 719 Disorders Involving Defective Bone Resorption Keywords Osteopetrosis Clinical Manifestations Treatment Pyknodysostosis Bibliography Chapter 720 - Other Inherited Disorders of Skeletal Development 720 Other Inherited Disorders of Skeletal Development Keywords Ellis–Van Creveld Syndrome Asphyxiating Thoracic Dystrophy (See Also Chapter 445.3) Short-Rib Polydactyly Syndromes Cartilage-Hair Hypoplasia–Anauxetic Spectrum Disorders Cartilage-Hair Hypoplasia Metatropic Dysplasia Spondylometaphyseal Dysplasia, Kozlowski Type Disorders Involving Filamins Juvenile Osteochondroses Caffey Disease (Infantile Cortical Hyperostosis) Fibrodysplasia Ossificans Progressiva Bibliography Chapter 721 - Osteogenesis Imperfecta 721 Osteogenesis Imperfecta Keywords Etiology Epidemiology Pathology Pathogenesis Clinical Manifestations Osteogenesis Imperfecta Type I (Mild) Osteogenesis Imperfecta Type II (Perinatal Lethal) Osteogenesis Imperfecta Type III (Progressive Deforming) Osteogenesis Imperfecta Type IV (Moderately Severe) Osteogenesis Imperfecta Type V (Hyperplastic Callus) and Type VI Hyperosteoidosis (Mineralization Defect) Osteogenesis Imperfecta Types VII, VIII, and IX (Autosomal Recessive) Osteogenesis Imperfecta Types X and XI (Autosomal Recessive) High Bone Mass Osteogenesis Imperfecta (Cleavage of the Procollagen C-Propeptide) Defects in Osteoblast Differentiation (Types XIII-XVIII OI) Other Genes for Osteogenesis Imperfecta Laboratory Findings Complications Treatment Prognosis Genetic Counseling Bibliography Chapter 722 - Marfan Syndrome 722 Marfan Syndrome Keywords Epidemiology Pathogenesis Clinical Manifestations Skeletal System Cardiovascular System Ocular System Other Systems Diagnosis Differential Diagnosis Aortic Aneurysm Syndromes Ectopia Lentis Syndromes Syndromes With Systemic Manifestations of MFS Laboratory Findings Management Current Therapies Activity Restrictions Aortic Surgery Pregnancy Endocarditis Prophylaxis Current Pharmacological Approaches Emerging Therapeutic Strategies Angiotensin II Receptor Type 1 Blockers ACE Inhibitors ERK Inhibitors Prognosis Genetic Counseling Bibliography Chapter 723 - Bone Structure, Growth, and Hormonal Regulation 4 Metabolic Bone Disease 723 Bone Structure, Growth, and Hormonal Regulation Keywords Bibliography Chapter 724 - Hypophosphatasia 724 Hypophosphatasia Keywords Bibliography Chapter 725 - Hyperphosphatasia 725 Hyperphosphatasia Keywords Bibliography Chapter 726 - Osteoporosis 726 Osteoporosis Keywords Bibliography 32- XXXII Rehabilitation Medicine Chapter 727 - Evaluation of the Child for Rehabilitative Services XXXII Rehabilitation Medicine 727 Evaluation of the Child for Rehabilitative Services Keywords Child Characteristics Family Characteristics The Physical Environment The Previously Healthy Child Chapter 728 - Rehabilitation for Severe Traumatic Brain Injury 728 Rehabilitation for Severe Traumatic Brain Injury Keywords Pathophysiology Severity Medical Complications Disorders of Consciousness Cognitive-Behavioral Disorders Agitation Posttraumatic Seizure Paroxysmal Sympathetic Hyperactivity Neuroendocrine Disorders Spasticity Outcomes Associated With Severe Traumatic Brain Injury Bibliography Chapter 729 - Spinal Cord Injury and Autonomic Dysreflexia Management 729 Spinal Cord Injury and Autonomic Dysreflexia Management Keywords Clinical Manifestations Prognosis Bibliography Chapter 730 - Spasticity 730 Spasticity Keywords Oral Medications GABAergic Medications α2-Adrenergic Agents Peripherally Acting Calcium Blockers Surgical Management Bibliography Chapter 731 - Birth Brachial Plexus Palsy 731 Birth Brachial Plexus Palsy Keywords Physical Examination Evaluation Treatment Bibliography Chapter 732 - Meningomyelocele (Spina Bifida) 732 Meningomyelocele (Spina Bifida) Keywords Etiology Prevention Prenatal Screening Clinical Implications Adolescence and Transition to Adulthood Bibliography Chapter 733 - Ambulation Assistance 733 Ambulation Assistance Keywords Orthoses Prostheses Assistive Mobility Devices Wheelchair Bibliography Chapter 734 - Health and Wellness for Children With Disabilities 734 Health and Wellness for Children With Disabilities Keywords Health Promotion Definitions and Background for Disability Anticipatory Guidance, Counseling, and Preventive Care Physical Activity and Exercise Nutrition and Obesity Emotional Health and Leisure Activities Dental Care Role of Healthcare Providers 734.1 Home Mechanical Ventilation and Technology Dependence Keywords Preparation Community Resources Subacute Care Emergency and Acute Care Quality of Life Bibliography Bibliography 33- XXXIII Environmental Health Chapter 735 - Overview of Environmental Health and Children XXXIII Environmental Health 735 Overview of Environmental Health and Children Keywords Global Climate Change Localized Environmental Hazards Toxins Versus Toxicants Mycotoxins Pediatric Conditions Linked to Mycotoxin Exposures Neural Tube Defects Infant Pulmonary Hemorrhage Food-Borne Diseases Caused by Environmental Exposures Aflatoxins Ochratoxin A Fumonisins Deoxynivalenol Bibliography Chapter 736 - Biologic Effects of Ionizing Radiation on Children 736 Biologic Effects of Ionizing Radiation on Children Keywords Basic Principles Biologic Effects of Radiation Radiation Exposure in Diagnostic Imaging of Children Decreasing Unnecessary Diagnostic Radiation in Children While Still Obtaining Diagnostic Images Reducing Radiation From the CT Examination Radiation Therapy—Acute and Late Effects Whole-Body Irradiation Uncontrolled Large- or Small-Scale Exposure to Radiation Clinical Manifestations Treatment Localized Irradiation Clinical Manifestations Treatment Internal Contamination Epidemiology Clinical Manifestations Treatment External Contamination Bibliography Chapter 737 - Chemical Pollutants 737 Chemical Pollutants Keywords Synthetic Chemicals and Human Health Children’s Unique Susceptibility to Synthetic Chemicals Safety Testing of Synthetic Chemicals Synthetic Chemicals and Disease in Children Chemical Pollutants of Major Concern Air Pollutants Health Hazards of Unconventional Natural Gas Development (Fracking) Lead Mercury Asbestos Pesticides Polychlorinated Biphenyls, DDT, Dioxins, Brominated Flame Retardants, and Other Halogenated Hydrocarbons Endocrine Disruptors Environmental Carcinogens Routes of Exposure Transplacental. Water. Air. Food. Work Clothes. School. Child Labor. The Physician’s Role 737.1 Tobacco Keywords Composition of Second-Hand Smoke and Toxicities Tobacco Use and Exposure Is A Health Risk Disparity Maternal Smoking During Pregnancy and Tobacco Smoke Exposure During Pregnancy Maternal Smoking During Pregnancy and Lung Development Postnatal Second-Hand Smoke Exposure—Effects on the Child Treatment for Second-Hand Tobacco Smoke Exposure Bibliography Bibliography Chapter 738 - Heavy Metal Intoxication 738 Heavy Metal Intoxication Keywords Arsenic Epidemiology Pharmacokinetics Pathophysiology Clinical Manifestations Laboratory Findings Mercury Epidemiology Pharmacokinetics Pathophysiology Clinical Manifestations Laboratory Findings Treatment of Arsenic and Mercury Intoxication Bibliography Chapter 739 - Lead Poisoning 739 Lead Poisoning Keywords Public Health History Sources of Exposure Metabolism Clinical Effects Clinical Symptoms Diagnosis Screening Other Tools for Assessment Treatment Bibliography Chapter 740 - Nonbacterial Food Poisoning 740 Nonbacterial Food Poisoning 740.1 Mushroom Poisoning Keywords Gastrointestinal: Delayed Onset Amanita Poisoning Treatment Monomethylhydrazine Intoxication Treatment Renal: Delayed Onset Orellanine Poisoning Treatment Autonomic Nervous System: Rapid Onset Muscarine Poisoning Treatment Coprine Ingestion Central Nervous System: Rapid Onset Isoxazole Intoxication Indole Intoxication Gastrointestinal: Rapid Onset Bibliography 740.2 Solanine Poisoning Keywords Bibliography 740.3 Seafood Poisoning Keywords Ciguatera Fish Poisoning Treatment Scombroid (Pseudoallergic) Fish Poisoning Treatment Paralytic Shellfish Poisoning Treatment Neurotoxic Shellfish Poisoning Treatment Diarrhetic Shellfish Poisoning Amnesic Shellfish Poisoning Pufferfish Poisoning Azaspiracid Poisoning Bibliography Ciguatera Fish Poisoning Scombroid Fish Poisoning Shellfish Poisoning Fish Poisoning 740.4 Melamine Poisoning Keywords Bibliography Chapter 741 - Biologic and Chemical Terrorism 741 Biologic and Chemical Terrorism* Keywords Etiology Epidemiology and Pediatric-Specific Concerns Clinical Manifestations Sudden-Onset Neuromuscular Syndrome: Nerve Agents Delayed-Onset Neuromuscular Syndrome: Botulism Sudden-Onset Respiratory Syndrome: Chlorine, Phosgene, and Cyanide Delayed-Onset Respiratory Syndrome: Anthrax, Plague, Tularemia, and Ricin Intermediate-Onset Dermatologic Syndrome: Mustard and Lewisite Delayed-Onset Dermatologic Syndrome: Smallpox Diagnosis Prevention Treatment Bibliography Chapter 742 - Mass Psychogenic Illness 742 Mass Psychogenic Illness Keywords Clinical Features and Diagnosis Treatment Strategies Bibliography Chapter 743 - Animal and Human Bites 743 Animal and Human Bites Keywords Epidemiology Clinical Manifestations Diagnosis Complications Treatment Prevention Bibliography Chapter 744 - Rat Bite Fever 744 Rat Bite Fever Keywords Etiology Clinical Course Diagnosis Treatment Bibliography Chapter 745 - Monkeypox 745 Monkeypox Keywords Etiology Clinical Course Treatment Bibliography Chapter 746 - Envenomations 746 Envenomations Keywords General Approach to the Envenomated Child General Management General Wound Care Snake Bites Venoms and Effects Management Disposition Spider Bites Latrodectus Spiders Venoms and Effects Management Loxosceles Spiders Venoms and Effects Management Disposition Scorpion Stings Venoms and Effects Management Disposition Hymenoptera Stings Venoms and Effects Management Disposition Marine Envenomation Venoms and Effects Management Disposition Bibliography 34- XXXIV Laboratory Medicine Chapter 747 - Laboratory Testing in Infants and Children XXXIV Laboratory Medicine 747 Laboratory Testing in Infants and Children Accuracy and Precision of Laboratory Tests Sensitivity, Accuracy, and Analytic Testing Predictive Value of Laboratory Tests Neonatal Screening Tests Testing in Refining a Differential Diagnosis Serologic Testing Laboratory Screening Bibliography Chapter 748 - Reference Intervals for Laboratory Tests and Procedures 748 Reference Intervals for Laboratory Tests and Procedures Bibliography (for Table 748.5)