Oxford Handbook of Paediatrics – Now fully revised and updated with the latest guidelines, this new edition of the Oxford Handbook of Paediatrics is a compact guide to all aspects of acute and chronic pediatrics. The handbook’s team of specialist contributors and editors have successfully condensed many years of clinical experience into a pocket-sized compendium of clinical problems and treatment options.
Taking a child-centred approach to the subject, the authors have provided comprehensive coverage of areas such as neonatology, surgery, genetics and congenital malformations, and child protection in a user-friendly and succinct style. Sections are also devoted to covering the treatment of children in the community, and the psychological effects of illness on both the child and their family. All chapters have been updated for this new edition, with completely overhauled chapters on neurology and respiratory medicine, the latest management guidelines on inherited metabolic disease, further information on medical and research ethics, and enhanced usage of diagnostic and treatment algorithms. With practical advice and space for personalized notes, this handbook will be invaluable to all those involved in the care of the younger patient.
Table of Contents
Features – Oxford Handbook of Paediatrics
- Provides a child-centred approach to the care of the paediatric patient
- Includes hands-on advice on common dilemmas in paediatric medicine
- A convenient and practical guide to successful evidence-based clinical paediatrics
- A must-have resource at all stages of training and in various clinical practice settings
- App available from the App Store, Google Play, and MedHand Bookstore.
New to this Edition:
- Includes completely revised chapters on neurology and respiratory medicine
- Covers management guidelines on inherited metabolic disease
- Provides further information on medical and research ethics
- Enhanced usage of diagnostic and treatment algorithms
Review – Oxford Handbook of Paediatrics
Review from previous edition: “It’s changeover day, you’re on the special baby care unit for the first time ever…what you want is the paediatric equivalent of the Oxford Handbook of Clinical Medicine to help steer you through the rapids of paediatrics…this handbook…gives succinct
guidance [and] is the book I want in my back pocket on changeover day.”
–C K Bird, Archives of Diseases in Childhood March 2009
About the Author
After undergraduate studies in Cambridge University Robert Tasker undertook his graduate medical education in London and higher professional specialist training at Great Ormond Street Hospital for Children, London, and The Johns Hopkins Hospital, Baltimore, USA. His first Hospital Consultant post was in Paediatric Respiratory Medicine and Intensive Care at Great Ormond Street. After 7 years he moved back to Cambridge where he is now University Senior Lecturer in Paediatrics and Honorary Consultant Paediatrician specialising in Intensive Care. For the last 9 years he has directed undergraduate education in paediatrics at the Cambridge University Clinical School, and more recently he has been extensively involved in developing a new undergraduate curriculum and examination in Paediatrics. He is Director of Medical Studies for undergraduates at Selwyn College, Cambridge. He is educational supervisor for higher professional trainees in Paediatrics in his Department.
After studying medicine at the University of Leeds Rob McClure trained both as a Paediatrician and then a Neonatologist at various centres including Leeds, Liverpool, Great Ormond Street Hospital for Children in London, and in both Perth and Sydney in Australia. His first consultant post was in Neonatal Medicine at Addenbrookes Hospital, Cambridge, where he also ran the Paediatric Gastroenterology service for several years. After 6 years he moved to St John of God Hospital in Perth, Australia where he is currently Head of the Neonatal Department. He is a clinician and clinical researcher into Neonatal Nutrition.
Dr Carlo Acerini studied pharmacology (BSc Hons, 1984) and medicine (MBChB, 1988) at the University of Dundee, Scotland. After postgraduate training in paediatric medicine in the West of Scotland, he trained and undertook research in paediatric endocrinology and diabetes at the University of Oxford and at the University of Cambridge. Dr Acerini is currently University Senior Lecturer at the University of Cambridge and a Consultant Paediatrician (Endocrinology & Diabetes) at Addenbrooke’s Hospital, Cambridge. His research interests are in Type 1 diabetes and endocrinology in children and adolescents. Oxford Handbook of Paediatrics
Table of Contents
1: Practising paediatrics
2: Epidemiology and statistics
3: Clinical assessment
4: Resuscitation
5: Emergency and High Dependency care
6: Neonatology
7: Practical procedures
8: Cardiology
9: Respiratory
10: Gastroenterology and nutrition
11: Nephrology
12: Endocrinology, diabetes and metabolism
13: Growth and sexual development
14: Neurology
15: Child development
16: Child and family psychiatry
17: Haematology
18: Oncology
19: Infectious diseases
20: Joints and bones
21: Adolescent medicine
22: Dermatology
23: Paediatric surgery
24: Special senses
25: Genetics and congenital malformations
26: Inherited metabolic disease
27: Community child health
28: Child protection
29: Pharmacology and therapeutics
30: International child health
31: Paediatric ethics and law
Foreword to the first edition
Textbooks have been the mainstay of medical education for centuries. Clearly, the development of the information superhighway via the Internet has changed how we learn, fi nd information, and communicate. What does yet another paediatric textbook add to the current long list of titles? Drs Tasker, McClure, and Acerini have conceived of and edited a new book. It is a handbook of paediatrics that joins a stable of similar publications from Oxford University Press. There are 23 contributing editors. Using a well-tested format for presentation, the handbook consists of 31 chapters, ranging from sections on epidemiology, evidence, and practice, through the more traditional topics, such as nephrology and neurology, and concluding with international health and travel, and paediatrics, ethics, and the law. Each chapter follows the same format, 5–40 sections, followed by bulleted points. Both signs and symptoms of illness, as well as specifi c diseases are covered. Virtually all topics are limited to 1–2 pages of important information. Tables are carefully inserted, and complement the text. Doses of important drugs are included in the text and/or the tables. There are a limited number of fi gures, but like the tables, they supplement the text and have been carefully chosen to add clarity. The Oxford Handbook of Paediatrics is a worthy addition to your library. It will be particularly appealing to medical students and younger physicians, who have learned to digest a great deal of information quickly and in an abbreviated format. Its availability on a CD-ROM is an added and necessary benefi t. Drs Tasker, McClure, and Acerini have done a wonderful job in ensuring consistency, clarity, and completeness.
Preface – Oxford Handbook of Paediatrics
The fi rst ‘boke’ of paediatrics printed in English was written by Thomas Phaire (1510–1560), a man from East Anglia who studied medicine at Oxford University. The book had 56 pages, measured 3 7/8 inches (9.8cm) by 2 5/8 inches (6.7cm), and covered ‘. . . innumerable passions & diseases, wherunto the bodye of man is subiecte, and as well moste commonly the tender age of chyldren is chefely vexed and greued with these diseases folowyng. Apostume of the brayne, swellyng of the head . . .’.1 In 1553, the ‘innumerable passions & diseases’ came to 39 presenting clinical problems. As clinicians, we fi rst met and worked in the heart of East Anglia (Cambridge University) and have now collaborated with Oxford University Press in this venture, a new handbook of paediatrics. Our similarity with Thomas Phaire has not escaped us, particularly as we see the importance of basing a text on common presenting clinical problems. Our principal aim is to provide a compact source of information and clinical thinking that can be used in the clinic or hospital ward, at a time when the child is being seen. Oxford Handbook of Paediatrics
The challenge, therefore, was to distil the content of information found in several textbooks into a conveniently sized handbook without the loss of important information. We easily reached the limit in pages given to us, and so we have had to be strict in sifting out key facts crucial to clinical practice. Our intention is that the handbook be used from the start of one’s education in paediatrics all the way through to higher general training in the fi eld. We have kept with the tradition of providing content and text that often exceeds that required by the generalist—we believe it important for learners and readers to see the full landscape. There are spaces where more notes can be added from lectures, other reading, and personal experience. This is intended. It means that the handbook can be made personal, develop with you, and be used in whatever your chosen practice— hospitalist, generalist, or community and family practice. Above all, we hope that the handbook will give you confi dence to manage paediatric clinical problems effectively and safely
Author Information – Oxford Handbook of Paediatrics
Edited by Robert C. Tasker, Professor of Neurology and Anaesthesia (Pediatrics), Harvard Medical School, Boston, Massachusetts, USA, Robert J. McClure, Neonatologist, Paediatrician, and Anatomical Pathologist, Queen Elizabeth Medical Centre, Nedlands, Perth, Western Australia, Australia, and Carlo L. Acerini, University Senior Lecturer and Consultant Paediatrician, University of Cambridge, UK
After undergraduate studies in Cambridge University Robert Tasker undertook his graduate medical education in London and higher professional specialist training at Great Ormond Street Hospital for Children, London, and The Johns Hopkins Hospital, Baltimore, USA. His first Hospital Consultant post was in Paediatric Respiratory Medicine and Intensive Care at Great Ormond Street. After 7 years he moved back to Cambridge where he is now University Senior Lecturer in Paediatrics and Honorary Consultant Paediatrician specialising in Intensive Care. For the last 9 years he has directed undergraduate education in paediatrics at the Cambridge University Clinical School, and more recently he has been extensively involved in developing a new undergraduate curriculum and examination in Paediatrics. He is Director of Medical Studies for undergraduates at Selwyn College, Cambridge. He is educational supervisor for higher professional trainees in Paediatrics in his Department.
After studying medicine at the University of Leeds Rob McClure trained both as a Paediatrician and then a Neonatologist at various centres including Leeds, Liverpool, Great Ormond Street Hospital for Children in London, and in both Perth and Sydney in Australia. His first consultant post was in Neonatal Medicine at Addenbrookes Hospital, Cambridge, where he also ran the Paediatric Gastroenterology service for several years. After 6 years he moved to St John of God Hospital in Perth, Australia where he is currently Head of the Neonatal Department. He is a clinician and clinical researcher into Neonatal Nutrition.
Dr Carlo Acerini studied pharmacology (BSc Hons, 1984) and medicine (MBChB, 1988) at the University of Dundee, Scotland. After postgraduate training in paediatric medicine in the West of Scotland, he trained and undertook research in paediatric endocrinology and diabetes at the University of Oxford and at the University of Cambridge. Dr Acerini is currently University Senior Lecturer at the University of Cambridge and a Consultant Paediatrician (Endocrinology & Diabetes) at Addenbrooke’s Hospital, Cambridge. His research interests are in Type 1 diabetes and endocrinology in children and adolescents.
Acknowledgements
We would like to extend our thanks and gratitude to all the contributors. We would also like to thank our colleagues who reviewed and advised on the content of our chapters, in particular Dr Robert Ross-Russell, Dr Roddy O’Donnell, Jenny Pool, Amy Stewart, Clare Bradley Stevenson, and Liesje Cornwell for their helpful comments. We are also indebted to Dr Stephan Sanders for his comments and criticisms of our draft manuscript. We would also like to thank Drs Kim Jones and Tony Jaffa, Profs Deirdre Kelly and Brett McDermott, and Ms Julia Smith, Kelly Lamour, and Lynne Radbone for their contribution to the last edition. We are especially grateful to Beth Womack and Elizabeth Reeve at OUP for their help and assistance, and for their patience with us. Finally, but not least, a special thanks goes to our respective families for their encouragement, support, and understanding throughout the preparation of this book
Contributors:
Mr David Albert
Consultant Otolaryngologist, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
Miss Louise Allen
Consultant Paediatric Ophthalmologist, Cambridge University Hospitals NHS Foundation Trust, Cambridge, and Associate Lecturer, University of Cambridge, UK
Dr R Mark Beattie
Consultant Paediatric Gastroenterologist, University Hospital Southampton, UK
Mr Yogesh Bajaj
Consultant Paediatric Otolaryngologist, Bart’s and the London Children’s Hospital, London, UK
Dr Ian Balfour-Lynn
Consultant in Respiratory Paediatrics, Royal Brompton Hospital, London, UK
Dr Detlef Bockenhauer
Honorary Consultant, Renal Unit, Great Ormond Street Hospital NHS Trust; HEFCE Clinical Senior Lecturer, UCL Institute of Child Health, London, UK
Dr Tony Caccetta
Dermatology Registrar, Princess Margaret Hospital, Perth, Western Australia
Professor Imti Choonara
Professor in Child Health, Academic Division of Child Health, University of Nottingham, Derbyshire Children’s Hospital
Derby, UK
Dr David Coghill
Ninewells Hospital and Medical School, Dundee, UK
Mr David Crabbe
Consultant Paediatric Surgeon, Leeds Teaching Hospitals NHS Trust, and Bradford Teaching Hospitals NHS Foundation Trust, UK
Dr Saul N Faust
Reader in Paediatric Immunology and Infectious Diseases, and Director, NIHR Wellcome Trust Clinical Research Facility, University of Southampton, UK
Dr Rob Freeman
Consultant Orthopaedic Surgeon, Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Trust, Shropshire, UK
Dr Georgina Hall
Consultant, Paediatric Haematology/Oncology Unit, John Radcliffe Hospital, Oxford, UK
Dr Peter Heinz
Consultant Paediatrician, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
Dr Ewen D Johnston
Consultant Neonatologist, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, UK
Dr Samir Latifi
Consultant in Paediatric Intensive Care, Akron Children’s Hospital Akron, Ohio, USA
Dr Elaine Lewis
Consultant Community Paediatrician, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
Dr James C Nicholson
Consultant Paediatric Oncologist, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
Dr Roddy O’Donnell
Consultant in Paediatric Intensive Care, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
Dr Alasdair Parker
Consultant Paediatric Neurologist, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
Dr Willie Reardon
Consultant Clinical Geneticist, Our Lady’s Hospital for Sick Children, Dublin, Ireland
Dr Lesley Rees
Consultant Paediatric Nephrologist, Great Ormond Street Hospital for Children Foundation Trust, London, UK
Professor Benjamin J Stenson
Consultant Neonatologist, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, UK
Dr Robert M R Tulloh
Consultant in Paediatric Cardiology, Bristol Royal Hospital for Children and Bristol Royal Infirmary, UK
