By Anthony D. Slonim MD DrPH
This notebook succinctly describes 250 error normally made by means of physicians taking good care of teenagers in all medical settings and provides useful, easy-to-remember tips for heading off those mistakes. effortless to learn in the course of a quick rotation, the e-book identifies the entire key pitfalls in info accumulating, interpretation, and medical determination making. every one mistakes is defined in a brief, clinically correct vignette, through a listing of items that are meant to constantly or by no means be performed in that context and how one can stay away from or ameliorate difficulties. assurance contains all parts proven at the American Board of Pediatrics certification and recertification assessments.
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Extra info for Avoiding Common Pediatric Errors (Avoiding Common Errors)
In survivors, the most common sequelae are pulmonary, including prolonged oxygen requirement, exercise-induced bronchospasm, reactive airway disease, and chronic lung disease. Neurologic sequelae, including hypoxic ischemic encephalopathy, can occur but are more closely related to the occurrence of intrauterine asphyxia. To prevent MAS, traditional teaching has encouraged two methods of suctioning for neonates born through MSAF. The first is intrapartum suctioning, which entails suctioning of the neonate's nasopharynx and oropharynx after the delivery of the head but prior to the delivery of the shoulders.
In addition, newborns have an immature counter-regulatory response, which limits the use of alternate fuels, such as lactate and ketone bodies, in meeting basic metabolic requirements. Immediate consequences of hypoglycemia in the neonate include poor outcomes, worsening sepsis, and asphyxia. In the longterm, neonatal hypoglycemia may lead to impaired neurodevelopmental outcomes; some studies suggest that recurrent severe hypoglycemia may result in neuronal necrosis, contributing to impaired neurodevelopment.
This anatomy creates obligate mixing in the heart which results in cyanosis. Other examples of cyanotic CHD resulting from intracardiac mixing include total anomalous pulmonary venous return, hypoplastic left heart syndrome, and certain forms of double outlet right ventricle. 51 Suggested Readings Kuehl KS, Loffredo CA, Ferencz C. Failure to diagnose congenital heart disease in infancy. Pediatrics. 1999;103(4 Pt 1):743–747. Reich JD, Miller S, Brogdon B, et al. The use of pulse oximetry to detect congenital heart disease.
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