Clinical Examination Skills in Paediatrics: For MRCPCH Candidates and Other Practitioners

Description

Examining children presents unique challenges for trainees and new doctors in paediatrics. Paediatric patients vary greatly in age and development, often find it difficult to describe their symptoms, and can behave unpredictably in clinical settings. Clinical Examination Skills in Paediatrics helps MRCPCH candidates and other practitioners learn effective history taking and fundamental examination techniques.

Clear and concise chapters–with contributions from a team of paediatric specialists–demonstrate the clinical examination and questioning techniques used in daily practice. Emphasis on the intellectual processes involved in decision making assists both trainees preparing for a formal examination as well as new clinicians faced with a difficult diagnostic problem. Topics include cardiovascular and respiratory examination, examining a child with a neuromuscular disorder, musculoskeletal examination, and taking history from a child with diabetes and a rheumatological condition.

• Includes access to a companion website containing high-quality videos that demonstrate techniques, procedures and approaches
• Features commentary by experienced practitioners which offer observations and deductions at each stage of the examination process
• Offers tips for communicating effectively with the patients using appropriate lay terms
• Helps translate the symptoms and signs experienced by patients into medical-speak
• Covers all the skills tested in the MRCPCH Clinical exam

Clinical Examination Skills in Paediatrics is the perfect study and reference guide for paediatrics trainees, MRCPCH candidates, foundation doctors, allied healthcare professionals, and anyone looking to improve their clinical and communication skills in paediatrics.

Table of Contents

1. List of contributors viii
2. How to use this book xiii – Ian Sinha and A. Mark Dalzell
3. About the companion website xvi
4. Chapter 1 Rules of engagement (with the clinical examination and the examiners) 1 – Richard E. Appleton
5. Chapter 2 Tips for the communication station 4 – Andrew Riordan
6. Chapter 3 Translating into medical-speak 7 – Daniel B. Hawcutt and Ian Sinha
7. Chapter 4 Cardiovascular examination 11 – Michael T. Bowes and Caroline B. Jones
8. Chapter 5 Respiratory examination 18 – Anna Shawcross and Sarah J. Mayell
9. Chapter 6 Respiratory examination in a child with neurodisability 23 – Clare P. Halfhide
10. Chapter 7 Gastrointestinal examination 28 – Anastasia Konidari and A. Mark Dalzell
11. Chapter 8 Examining a child with a renal transplant 33 – Dean Wallace
12. Chapter 9 Examining a child with cerebral palsy 37 – Rachel Kneen and Anand S. Iyer
13. Chapter 10 Cranial nerve and ocular examination 43 – Richard E. Appleton
14. Chapter 11 Examining a child with a neuromuscular disorder (focusing on Duchenne muscular dystrophy) 50 – Stefan Spinty and Anand S. Iyer
15. Chapter 12 Musculoskeletal examination 58 – Liza J. McCann
16. Chapter 13 Examining a child with endocrine problems 76 – Poonam Dharmaraj, Urmi Das and Renuka Ramakrishnan
17. Chapter 14 Examining a child with diabetes 82 – Mark Deakin
18. Chapter 15 Examining a toddler with motor delay 85 – Melissa Gladstone and Ruairi Gallagher
19. Chapter 16 Examining a toddler with speech delay 89 – Ruairi Gallagher and Melissa Gladstone
20. Chapter 17 Examining a child with autism 93 – Ruairi Gallagher and Melissa Gladstone
21. Chapter 18 Taking a history from a child with cardiovascular disease 96 – Michael T. Bowes and Caroline B. Jones
22. Chapter 19 Taking a history from a child with asthma 100 – Sarah J. Mayell and Anna Shawcross
23. Chapter 20 Taking a history from a child with cystic fibrosis 103 – Antonia K.S. McBride and Kevin W. Southern
24. Chapter 21 Taking a history from a child with inflammatory bowel disease (Crohn disease and ulcerative colitis) 110 – Anastasia Konidari and A. Mark Dalzell
25. Chapter 22 Taking a history from a child with renal transplant 113 – Dean Wallace
26. Chapter 23 Taking a history from a child with diabetes 117 – Mark Deakin
27. Chapter 24 Taking a history from a child with a rheumatological condition 122 – Gavin Cleary
28. Index 129

Editors Biography

A. MARK DALZELL is a retired Consultant in Paediatric Gastroenterology at Alder Hey Children’s NHS Foundation Trust, Liverpool, UK.

IAN SINHA is Consultant in Paediatric Respiratory Medicine and Honorary Senior Lecturer in Child Health at Alder Hey Children’s NHS Foundation Trust, Liverpool, UK.