Examination Paediatrics book cover

Examination Paediatrics

A practical study guide to help candidates pass clinical examinations in paediatrics, particularly at postgraduate level

Examination Paediatrics, 4th Edition is written for candidates preparing for the Fellowship Examination of the Royal Australasian College of Physicians (FRACP). This includes both Australian and New Zealand candidates as well as candidates taking the Australian examination in other countries.

This invaluable paediatric study guide is also aimed at candidates preparing for the Membership Examination for the Royal College of Paediatrics and Child Health (UK) (Part II) (MRCPCH).

Additionally, Examination Paediatrics will be a useful medical reference for all undergraduate and postgraduate students preparing for any paediatric exam with a clinical component - including those with an OSCE format.

The new sections and expanded text in this fourth edition will assist General Practitioners, paediatric residents, house officers, registrars and doctors sitting the Australian Medical Council examination.

Examination Paediatrics, 4th Edition contains ample information on history-taking, examination procedure, relevant investigations, memory aids, lists and mnemonics, and management for the majority of chronic paediatric clinical problems seen in hospital-based practice.

This new edition retains a key feature popular in previous editions of Examination Paediatrics - a detailed explanation of the attitudinal skills, body language, and motivation necessary to complete clinical examinations successfully.


Published: August 2011

Imprint: Churchill Livingstone

ISBN: 978-0-7295-7940-7


  • Dedication v
    Foreword ix
    Preface xi
    Preface to the first edition xiii
    Acknowledgements xv
    Abbreviation xvii
    Introduction xxxiii

    1 Approach to the examination 1

    2 The long case 7

    3 The short case 14

    4 Achievement psychology 17

    5 Behavioural and developmental paediatrics 25
    Long Cases
    Anorexia nervosa 25
    Attention deficit hyperactivity disorder (ADHD) 35
    Autistic disorder (autism) 49
    Short Cases
    Child suspected of having
    ADHD 61
    Child with possible autism/autistic spectrum disorder (ASD) 64

    6 Cardiology 67
    Long Case
    Cardiac disease 67
    Short Case
    The cardiovascular system 91

    7 Endocrinology 107
    Long Cases
    Congenital adrenal hyperplasia 107
    Diabetes mellitus 116
    Short Cases
    Disorders of Sexual Development (ambiguous genitalia) 132
    Diabetes 135
    Short stature 136
    Tall stature 150
    Obesity 157
    Normal puberty 163
    Precocious puberty 164
    Delayed puberty 169
    Disorders of Sexual Development
    (virilisation in the postneonatal period) 177
    Thyroid disorders 182
    Thyroid disorders in infants 186

    8 Gastroenterology 190
    Long Cases
    Inflammatory bowel disease 190
    Chronic liver disease (CLD) 200
    Malabsorption/maldigestion 212
    Short Cases
    Gastrointestinal system 217
    The abdomen 222
    Jaundice 229
    Nutritional assessment 236
    Failure to thrive 244
    Poor feeding 246
    Weight loss-older child/adolescent 246

    9 Genetics and dysmorphology 253
    Long Cases
    Down syndrome 253
    Turner syndrome 265
    Short Case
    The dysmorphic child 277

    10 Haematology 287
    Long Cases
    Haemophilia 287
    Sickle cell disease (SCD) 297
    Th alassaemia: β-thalassaemia major 311
    Short Cases
    The haematological system 321
    Thalassaemia 329

    11 Neonatology 332
    Short Cases
    The neonatal examination 332
    The 6-week check 337

    12 Nephrology 338
    Long Cases
    Chronic kidney disease (CKD) 338
    Nephrotic syndrome 356
    Short Cases
    Renal examination 365
    Hypertension 369
    Oedema 374

    13 Neurology 377
    Long Cases
    Cerebral palsy 377
    Dystrophinopathies: Duchenne muscular dystrophy (DMD) 391
    Seizures and epileptic syndromes 403
    Spina bifi da 420
    Short Cases
    Developmental assessment 430
    Eye examination 432
    Motor cranial nerves 438
    Neurological assessment of the upper limbs 439
    Gait: a short-case approach 443
    Neurological assessment of the lower limbs 444
    Cerebellar function 447
    Large head 447
    Small head 450
    Seizures 459
    Facial weakness 462
    Floppy infant 464
    Hemiplegia 469
    Intellectual impairment 472
    Involuntary movements 475
    Neurofi bromatosis, type 1 (NF-1) 477
    Neuromuscular assessment 479
    Scoliosis 480
    Spina bifida 482

    14 Oncology 487
    Long Case
    Oncology 487
    Short Case
    Late effects of oncology treatment 498

    15 The respiratory system 503
    Long Cases
    Asthma 503
    Neonatal intensive care unit graduate: chronic lung disease/bronchopulmonary dysplasia (CLD/BPD) 513
    Cystic fi brosis (CF) 521
    Obstructive sleep apnoea (OSA) 546
    Short Cases
    The respiratory system 552
    The chest 556
    Stridor 556
    Chest X-rays 558

    16 Rheumatology 561
    Long Cases
    Juvenile idiopathic arthritis (JIA) 561
    Juvenile idiopathic inflamatory myopathies (JIIMs): juvenile dermatomyositis (JDM) 577
    Systemic lupus erythematosus (SLE) 587
    Short Case
    Joints 598
    Suggested reading 604
    Quick Reference Mnemonics 607
    Picture Credits 623
    Index 625


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