Lessons from the Grand Rounds: A Pediatric Approach

This unique book is all about the art of clinical analysis. It comprises of 80 actual cases as they presented with their varied symptom complexes, encompassing a wide clinical spectrum in different subspecialties. To begin with, it briefly discusses the basic concepts of symptoms and signs pertaining to a system, before proceeding with representative cases, which are listed according to the presenting symptoms. It describes how a sequential analysis of every point in the history, clinical examination and investigations leads to the correct diagnosis. While reading through the cases, the keywords are highlighted, facilitating a quick revision. Each case ends with key messages that convey critical concepts of clinical medicine. Thus, this book is different and one of its kind in the sense that it does not intend to teach pediatrics at all; it purely stimulates the reader to develop a fine sense of rational thinking that facilitates clinical diagnosis in the field of pediatrics, through a self-learning, totally case-based format. Extremely interesting for clinicians, physicians, pediatricians, hematologists, nephrologists, hepatologists, rheumatologists, cardiologists, endocrinologists, neurologists, etc. as well as medical students, teachers and practitioners.

Table of Contents:
CLINICAL HEPATOLOGY Case 1 Abdominal Distention with Hematemesis for Years Case 2 Recurrent Hematemesis Case 3 Abdominal Distention with Breathlessness in an Infant Case 4 Abdominal Distention with Puffiness of Face Case 5 Puffiness of Face with Edema Feet Case 6 Abdominal Distention with Developmental Delay Case 7 Acute Severe Jaundice Case 8 Severe Jaundice with High Fever Case 9 Fluctuating Jaundice Case 10 Jaundice with Pleural Effusion Case 11 Progressive Jaundice with Failure to Thrive in an Infant CLINICAL PULMONOLOGY Case 12 Breathlessness and Fever for a Day Case 13 Breathlessness and Fever over 5 Days Case 14 Breathlessness after few Days of Fever Case 15 Breathlessness in a Child with Arthritis Case 16 Sudden Onset Breathlessness in a 5-year-old Case 17 Gradually Progressive Breathlessness in an Infant Case 18 Breathlessness, Palpitations and Chest Pain Case 19 Fever with Chest Pain Case 20 Chest Pain with Fever Case 21 Chest Pain after 2 Weeks of Fever and Cough Case 22 Hemoptysis in a 10-year-old Case 23 Cyanosis on Crying in an Infant Case 24 Recent Onset Cyanosis in a 9-year-old CLINICAL HEMATOLOGY Case 25 Ecchymosis in an Infant Case 26 Ecchymosis in an Older Child Case 27 Bluish Patches in an 8-year-old Child Case 28 Ecchymosis with Fever Case 29 Ecchymosis with Joint Swellings Case 30 Anemia in a 15-month-old Case 31 Severe Anemia Noticed Incidentally PYREXIA Case 32 Fever for 2 Months Case 33 Low Fever, Cough and Failure to Thrive Case 34 High Fever, Cough and Failure to Thrive Case 35 Fever for 2 Months (Case First) Case 36 Fever for 2 Months (Case Second) Case 37 Fever for 3 Months Case 38 Fever for 6 Months Case 39 Fever for 12 Months Case 40 Fever and Cough for a Few Days Case 41 Fever and Cough with Large Expectoration Case 42 Fever with ‘Changing Pneumonia’ Case 43 Fever with Irritability in an Infant Case 44 Fever with Irritability Case 45 Fever Followed by Generalized Convulsion Case 46 Frequent Fever with Inability to Walk Case 47 Fever, Lethargy and Refusal to Feed Case 48 Fever with Neck Swelling Case 49 Fever with Severe Abdominal Pain Case 50 Prolonged Fever with Jaundice Later in the Illness Case 51 Fever with Weakness of the Right Side Case 52 Frequent Wheezing in an Infant Case 53 Recurrent Hematuria in a 4-year-old Case 54 Recurrent Hematuria in a 10-year-old Case 55 Increased Precordial Activity Since Infancy Case 56 Incidentally Noticed Murmur in an Infant Case 57 Failure to Gain Height Case 58 Failure to Gain Height with Onset of Puberty Case 59 Breast Development in an 8-year-old Case 60 Pubic Hair Development in a 3½-year-old Case 61 Excessive Weight Gain in a 10-year-old Case 62 Progressive Deformity of Lower Limbs CLINICAL RHEUMATOLOGY Case 63 Limb Pain with Difficulty in Walking Case 64 Limb Pain for a Year Case 65 Joint Pains—Recurrent Case 66 Joint Pains with Constitutional Symptoms CLINICAL NEUROLOGY Case 67 Developmental Delay Since Birth Case 68 Regression of Milestones Case 69 Differential Developmental Delay Case 70 Delayed Speech in a 2½-year-old Case 71 Focal Convulsion in a 2-month-old Case 72 Headache and Vomiting for a Year Case 73 Gradually Progressive Hemiparesis Case 74 Paucity of Left Sided Movements for 5 Days Case 75 Irritability with Refusal to Walk Case 76 Difficulty in Walking for 5 Years Case 77 Difficulty in Walking, ‘Head Nodding’ for 8 Days Case 78 Clumsiness of Gait Since Last 4 Years Case 79 Fever Followed by Prolonged Seizures Case 80 Unusual Case of Altered Sensorium Index