Sezione 1: Assessment of the Acutely Ill Child
Capitolo 1: Assessment of the Acutely Ill Child
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Capitolo 2: Resuscitation
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Capitolo 3: Shock and Sepsis
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Capitolo 4: Acute Abdominopelvic Emergencies
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Capitolo 5: Drowning in Children
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Capitolo 6: Burns
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Capitolo 7: Injury and Trauma
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Capitolo 8: Poisoning and Ingestion
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Capitolo 9: Brief Resolved Unexplained Event and Sudden Infant Death Syndrome
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Capitolo 10: Child Abuse and Neglect
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Sezione 2: Care of the Complex Child
Capitolo 11: Symptom Evaluation and Management in Children With Medical Complexity
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Capitolo 12: Respiratory Considerations in Children With Medical Complexity
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Capitolo 13: Feeding and Nutrition in Children With Medical Complexity
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Capitolo 14: Devices and Technology for Children With Medical Complexity
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Sezione 3: Adolescent Medicine
Capitolo 15: Behavioral Health Conditions
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Capitolo 16: Behavioral Health Conditions
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Capitolo 17: Polycystic Ovarian Syndrome in Adolescents
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Capitolo 18: Transgender and Gender Diverse Youth
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.
Capitolo 19: Adolescent Sexual Health
Today, pediatric primary care offices and urgent care centers see unprecedented patient volumes, challenging pediatricians to balance workflow efficiency with meticulous care. It is critical that providers recognize the often-subtle signs of early severe illness, which may necessitate patient transport to a higher level of care. The initial assessment during a sick visit begins by obtaining vital signs, including temperature, heart rate, respiratory rate, oxygen saturation, and blood pressure. History taking, including the present illness and medical history, should follow. Based on the history, vital signs, and child’s general appearance, a focused physical examination is then completed. The provider should then begin the appropriate intervention; if the patient destabilizes or displays a declining trajectory at any point, the provider should start necessary resuscitative measures while facilitating transport to a higher level of care. Here, we discuss five of the most common chief complaints—fever, respiratory distress, headache, abdominal pain, and altered mental status—and related “red flags” that providers cannot miss on history and examination.
- Pediatrics
- Netter’s Pediatrics
- Netter Pediatrics
- Netters Pediatrics
- Tenney
- Sick child
- ill child
- vital signs
- history of present illness
- physical examination
- fever respiratory distress
- headache
- abdominal pain
- altered mental status
Anderson J.L, Kiefer C.S, Colletti J.E. Child with a fever. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:141–148.
Drayna P.C, Gorelick M.H. Evaluation of the sick child in the office and clinic. In: Kliegman R.M, Stanton B.F, St Geme III. J.W, Schor N.F, Berhman R.E, eds. Nelson Textbook of Pediatrics . Philadelphia, PA: Elsevier; 2016:474–476.
Huang M.G, Santillanes G. General approach to the pediatric patient. In: Walls R.M, Hockberger R.M, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice . 9th ed. Philadelphia, PA: Elsevier; 2018:1985–1993.
McIntosh M, Wylie T. Emergencies in infants and toddlers. In: Adams J, Barton E.D, Collings J.L, DeBlieux P.M, Gisondi M.A, Nadel E.S, eds. Emergency Medicine: Clinical Essentials . 2nd ed. Philadelphia, PA: Elsevier Saunders; 2013:129–140.
Nye B.L, Ward T.N. Clinic and emergency room evaluation and testing of headache. Headache . 2015;55(9):1301–1308.
Sidell D.R, Messner A.H. Evaluation and management of the pediatric airway. In: Flint P.W, Francis H.W, Haughey B.H, et al., eds. Cummings Otolaryngology: Head and Neck Surgery . 7th ed. Philadelphia, PA: Elsevier; 2021:3053–3067.
Smith J, Fox S.M. Pediatric abdominal pain: an emergency medicine perspective. Emerg Med Clin . 2016;34(2):341–361.