Pediatric Physical Examination

This portable, photo-rich guide to physical examination for Nurse Practitioners and other primary care providers will help you develop the unique range of skills required to assess children of all ages. System chapters begin with embryological development and review the key developmental stages of childhood. For infants and young children, this step-by-step guide uses the "quiet-to-active" approach favored by pediatric experts and considered more effective for this age-group than the traditional head-to-toe approach used for adults. Other key topics include pediatric mental health assessment and growth and development screening and surveillance. New to this edition NEW! Expanded coverage of growth and development screening and surveillance reviews the methods and tools used for screening children for developmental delays and emotional and behavioral problems - one of the most challenging aspects of well-child care. NEW! Expanded coverage of history-taking and charting, with special emphasis on electronic charting, dermatologic assessment of more darkly pigmented skin, and adolescent assessment, provides valuable, need-to-know information. NEW! Expanded coverage of pediatric mental health assessment, including depression and anxiety, better equips you to assess for the 70% of adolescent mental health disorders that are thought to be unrecognized and untreated. NEW! Family, Cultural, and Racial Considerations sections address the increasingly important areas of family and cultural assessment to prepare you for differences to anticipate when assessing children of different cultural or racial groups. NEW! Enhanced illustration program featuring more than 50 new photos and illustrations better prepares you for clinical practice. NEW Summary of Examination lists at the end of each examination chapter highlight key assessment points associated with each body system and serve as a convenient quick reference and learning aid. NEW! Evidence-Based Practice Tips highlight useful research findings that guide you in your clinical practice. NEW! New and updated content on congenital and acquired heart disease, disorders of sexual differentiation, and sports-related concussions, as well as updated autism screening guidelines and World Health Organization (WHO) growth charts, highlights important trends in pediatric primary care practice. NEW! Improved Environmental Health History chapter, with new information on exposure to lead and endocrine-disrupting chemicals, culture-specific exposures, and diagnostic testing, addresses key toxicants and guides you in performing an environmental health screening history and establishing a risk profile for exposure to environmental pollutants. NEW! Attractive new design improves readability and usability, as well as learning and reference value. By Karen Duderstadt, RN, PhD, CPNP, PCNS, Clinical Professor, Department of Family Health Care Nursing, University of California - San Francisco; Pediatric Nurse Practitioner, Children's Health Center, San Francisco General Hospital, San Francisco, California Table of Contents: Unit I: General Assessment Approach to Care and Assessment of Children and Adolescents Assessment Parameters Developmental Surveillance and Screening Comprehensive Information Gathering Environmental Health History Unit II: System-Specific Assessment Skin Heart and Vascular System Chest and Respiratory System Head and Neck Lymphatic System Eyes Ears Nose, Mouth, and Throat Abdomen and Rectum Male Genitalia Male and Female Breast Female Genitalia Musculoskeletal System Neurological System Unit III: Charting Pediatric Health Care Visits Charting Pediatric Comprehensive and Symptom-Focused Health Care Visits Appendixes Appendix A Gender- and Age-Specific Growth Charts and Preterm Growth Chart Appendix B Body Mass Index-for-Age Growth Charts Appendix C Modified Checklist for Autism in Toddlers (M-CHAT) Appendix D Pediatric Symptom Checklist Appendix E Children with Special Health Care Needs (CSHCN) Screener Appendix F Pediatric Environmental History Appendix G Sports Concussion Assessment Tool 2 (SCAT 2)