By Victor C. Strasburger
Designed for speedy reference in a hectic place of work, this instruction manual is a concise, functional consultant to daily scientific difficulties in adolescent drugs. This ready-reference handbook is written by means of famous specialists to supply instant, authoritative solutions to questions about universal clinical and behavioral difficulties in young ones. a number of tables, bulleted lists, and charts aid practitioners locate info quick, and a formulary deals assistance in prescribing for teenagers.
Coverage comprises each vital subject in adolescent gynecology and updated techniques for comparing and treating overweight little ones. different key issues addressed comprise activities drugs, substance abuse, and adolescent violence and suicide.
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Extra info for Adolescent Medicine : A Handbook for Primary Care
Positive responses include dizziness, lightheadedness, nausea, visual changes, and frank syncope. Management: The etiology of the syncopal event determines the appropriate therapy. Cardiac disease may require antiarrhythmics or surgery. For situational syncope, the precipitating stimulus should be avoided. For patients with typical features of neurocardiac syncope, reassurance and instructions regarding avoidance of both dehydration and postural hypotension should be provided. Specific therapy is seldom necessary.
Potentially it can be helped with an implantable vagus nerve stimulator. Finally, clinicians should remember that the blood levels of some AEDs can be affected by combined hormonal contraceptives, and there can be a converse effect as well. Clinical pearls and pitfalls: • Puberty: Obviously, puberty is the major physical milestone of adolescence, with its attendant changes in body size and configuration and with the onset of reproductive capability. With the change in body mass and surface area, there is increased opportunity for underdosing of AEDs.
This may result in infection of the orbit, especially in younger children because of the thin partition between their ethmoid sinuses and the orbit. Viral upper respiratory tract infections and, less frequently, allergic inflammation, are by far the most common causes of mucosal swelling and lead to ostial obstruction. In general the pathophysiology of bacterial sinusitis is related to poor drainage of secretions in the paranasal sinuses as a result of obstruction of the sinus ostia, reduction in the number or impaired function of the cilia, or increase in the viscosity of secretions.
Adolescent Medicine : A Handbook for Primary Care by Victor C. Strasburger