By Richard E. Appleton, A. C . Boudewyn Peters
The overall pediatrician faces an array of medical conditions in medical perform. This quantity is meant to relieve questions on one quarter the final pediatrician faces: universal neurological difficulties. Emphasizing the problems that this kind of practitioner may well face in daily perform, instead of infrequent or strange stipulations, this ebook describes find out how to continue with the scientific exam, analysis and administration of neurological difficulties in youngsters. It offers a basic evaluation of more than a few subject matters, comparable to matches, complications and studying problems, and it additionally instructs the reader while to consult a pediatric neurologist or different professional. each normal pediatrician must have a duplicate
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Additional info for Paediatric Neurology in Clinical General Practice: Common Neurological Problems in General Pediatrics
Weak limb and trunk muscles; facial muscles normal; fasciculation; normal sensation; absent reflexes 5. Anterior horn cell 6. Weak muscles (proximal Ͼ distal); reduced or absent reflexes 7. Weak; fatiguability; feeding and breathing difficulties 6. Peripheral nerve 7. Neonatal transient or congenital myasthenia; botulism 8. Muscle 9. Connective tissue 5. Spinal muscular atrophy Types 1 or 2 6. Peripheral neuropathies; Guillain–Barre syndrome 7. Neuromuscular junction 8. Weak muscles (proximal Ͼ distal); reflexes normal or reduced; normal sensation 9.
G. 02 30/07/2002 8 15 am Page 28 28 Common Neurological Problems in General Paediatrics The hypotonic (floppy) infant Syndrome/Disorder Signs 1. Spasticity; clonus; brisk reflexes; extensor (upgoing) toes; pseudo-bulbar palsy (drooling, feeding problems) 1. Cerebral cortex 1. Spastic diplegia; spastic tetraplegia; Prader–Willi syndrome 2. Dystonia choreo-athetosis pseudo-bulbar palsy 2. Basal ganglia 2. g. glutaric aciduria Type 1) 3. Ataxia; nystagmus 3. Cerebellum 3. g. ataxia telangiectasia) 4.
01 30/07/2002 8 15 am Page 21 Fits, faints and funny turns 21 Implicit in the definition of PNES is the idea that individuals do not consciously produce or control their (non-epileptic) events, and thus are not malingerers. The diagnosis is important, not only for unnecessary medical treatment, but also to search for underlying causes, such as anxiety, dysfunctional (family) relationships, history of physical/sexual abuse or neglect, or attention-seeking behaviour. Management intervention by a child psychiatrist or clinical psychologist is frequently successful.
Paediatric Neurology in Clinical General Practice: Common Neurological Problems in General Pediatrics by Richard E. Appleton, A. C . Boudewyn Peters