After more than 75 years, Nelson Textbook of Pediatrics remains your indispensablesource for definitive, state-of-the-art answers on every aspect of pediatric care. Embracing the new advances in science as well as the time-honored art of pediatric practice, this classic reference provides the essential information that practitioners and other care providers involved in pediatric health care throughout the world need to understand to effectively address the enormous range of biologic, psychologic, and social problems that our children and youth may face. Brand-new chapters and comprehensive revisions throughout ensure that you have the most recent information on diagnosis and treatment of pediatric diseases based on the latest recommendations and methodologies.
PART I
The Field of Pediatrics
1 OVERVIEW OF PEDIATRICS
2 QUALITY AND SAFETY IN HEALTHCARE FOR CHILDREN
3 ETHICS IN PEDIATRIC CARE
4 CULTURAL ISSUES IN PEDIATRIC CARE
5 MAXIMIZING CHILDREN?S HEALTH: ?SCREENING, ANTICIPATORY GUIDANCE, AND COUNSELING
PART II
Growth, Development, and Behavior
6 OVERVIEW AND ASSESSMENT OF ?VARIABILITY
7 COGNITIVE DEVELOPMENT: DOMAINS AND THEORIES
8 ASSESSMENT OF FETAL GROWTH AND DEVELOPMENT
9 THE NEWBORN
10 THE FIRST YEAR
11 THE SECOND YEAR
12 THE PRESCHOOL YEARS
13 MIDDLE CHILDHOOD
14 ADOLESCENCE
15 ASSESSMENT OF GROWTH
16 DEVELOPMENTAL-BEHAVIORAL SCREENING AND SURVEILLANCE
17 CHILDCARE: HOW PEDIATRICIANS CAN SUPPORT CHILDREN AND FAMILIES
18 LOSS, SEPARATION, AND BEREAVEMENT
19 SLEEP MEDICINE
PART III
Behavioral and Psychiatric Disorders
20 ASSESSMENT AND INTERVIEWING
21 PSYCHOLOGICAL TREATMENT OF CHILDREN AND ADOLESCENTS
22 SOMATIC SYMPTOM AND RELATED DISORDERS
23 RUMINATION AND PICA
24 MOTOR DISORDERS AND HABITS
25 ANXIETY DISORDERS
26 MOOD DISORDERS
27 SUICIDE AND ATTEMPTED SUICIDE
28 EATING DISORDERS
29 DISRUPTIVE, IMPULSE-CONTROL, AND CONDUCT DISORDERS
30 AUTISM SPECTRUM DISORDER
31 CHILDHOOD PSYCHOSES
PART IV
Learning Disorders
32 NEURODEVELOPMENTAL FUNCTION AND DYSFUNCTION IN THE SCHOOL-AGE CHILD
33 ATTENTION-DEFICIT/HYPERACTIVITY DISORDER
34 DYSLEXIA
35 LANGUAGE DEVELOPMENT AND COMMUNICATION DISORDERS
36 INTELLECTUAL DISABILITY
PART V
Children with Special Needs
37 ADOPTION
38 FOSTER AND KINSHIP CARE
39 IMPACT OF VIOLENCE ON CHILDREN
40 ABUSED AND NEGLECTED CHILDREN
41 FAILURE TO THRIVE
42 CHRONIC ILLNESS IN CHILDHOOD
43 PEDIATRIC PALLIATIVE CARE
PART VI
Nutrition
44 NUTRITIONAL REQUIREMENTS
45 FEEDING HEALTHY INFANTS, CHILDREN, ?AND ADOLESCENTS
46 NUTRITION, FOOD SECURITY, AND HEALTH
47 OVERWEIGHT AND OBESITY
48 VITAMIN A DEFICIENCIES AND EXCESS
49 VITAMIN B COMPLEX DEFICIENCIES AND EXCESS
50 VITAMIN C (ASCORBIC ACID)
51 RICKETS AND HYPERVITAMINOSIS D
52 VITAMIN E DEFICIENCY
53 VITAMIN K DEFICIENCY
54 MICRONUTRIENT MINERAL DEFICIENCIES
PART VII
Fluid and Electrolyte Disorders
55 ELECTROLYTE AND ACID-BASE DISORDERS
56 MAINTENANCE AND REPLACEMENT THERAPY
57 DEFICIT THERAPY
58 FLUID AND ELECTROLYTE TREATMENT OF SPECIFIC DISORDERS
PART VIII
Pediatric Drug Therapy
59 PEDIATRIC PHARMACOGENETICS, PHARMACOGENOMICS, AND PHARMACOPROTEOMICS
60 PRINCIPLES OF DRUG THERAPY
61 ANESTHESIA, PERIOPERATIVE CARE, AND SEDATION
62 PEDIATRIC PAIN MANAGEMENT
63 POISONING
64 COMPLEMENTARY THERAPIES AND INTEGRATIVE MEDICINE
PART IX
The Acutely Ill Child
65 EVALUATION OF THE SICK CHILD IN THE OFFICE AND CLINIC
66 EMERGENCY MEDICAL SERVICES FOR CHILDREN
67 PEDIATRIC EMERGENCIES AND RESUSCITATION
68 NEUROLOGIC EMERGENCIES AND STABILIZATION
69 SYNCOPE
70 SHOCK
71 RESPIRATORY DISTRESS AND FAILURE
72 ACUTE CARE OF THE VICTIM OF MULTIPLE TRAUMA
73 ALTITUDE-ASSOCIATED ILLNESS IN CHILDREN (ACUTE MOUNTAIN SICKNESS)
74 DROWNING AND SUBMERSION INJURY
75 BURN INJURIES
76 COLD INJURIES
PART X
Human Genetics
77 INTEGRATION OF GENETICS INTO PEDIATRIC PRACTICE
78 THE GENETIC APPROACH IN PEDIATRIC MEDICINE
79 THE HUMAN GENOME
80 PATTERNS OF GENETIC TRANSMISSION
81 CYTOGENETICS
82 GENETICS OF COMMON DISORDERS
83 GENETIC APPROACHES TO RARE AND UNDIAGNOSED DISEASES
PART XI
Metabolic Disorders
84 AN APPROACH TO INBORN ERRORS OF METABOLISM
85 DEFECTS IN METABOLISM OF AMINO ACIDS
86 DEFECTS IN METABOLISM OF LIPIDS
87 DEFECTS IN METABOLISM OF CARBOHYDRATES
88 MUCOPOLYSACCHARIDOSES
89 DISORDERS OF PURINE AND PYRIMIDINE METABOLISM
90 HUTCHINSON-GILFORD PROGERIA SYNDROME
91 THE PORPHYRIAS
92 HYPOGLYCEMIA
PART XII
The Fetus and the Neonatal Infant
93 OVERVIEW OF MORTALITY AND MORBIDITY
94 THE NEWBORN INFANT
95 HIGH-RISK PREGNANCIES
96 THE FETUS
97 THE HIGH-RISK INFANT
98 CLINICAL MANIFESTATIONS OF DISEASES IN THE NEWBORN PERIOD
99 NERVOUS SYSTEM DISORDERS
100 DELIVERY ROOM EMERGENCIES
101 RESPIRATORY TRACT DISORDERS
102 DIGESTIVE SYSTEM DISORDERS
103 BLOOD DISORDERS
104 GENITOURINARY SYSTEM
105 THE UMBILICUS
106 METABOLIC DISTURBANCES
107 THE ENDOCRINE SYSTEM
108 DYSMORPHOLOGY
109 INFECTIONS OF THE NEONATAL INFANT
PART XIII
Adolescent Medicine
110 ADOLESCENT DEVELOPMENT
111 THE EPIDEMIOLOGY OF ADOLESCENT HEALTH PROBLEMS
112 DELIVERY OF HEALTHCARE TO ADOLESCENTS
113 VIOLENT BEHAVIOR
114 SUBSTANCE ABUSE
115 THE BREAST
116 MENSTRUAL PROBLEMS
117 CONTRACEPTION
118 ADOLESCENT PREGNANCY
119 ADOLESCENT RAPE
120 SEXUALLY TRANSMITTED INFECTIONS
121 CHRONIC FATIGUE SYNDROME
Immunology
Section 1 EVALUATION OF THE IMMUNE SYSTEM
122 EVALUATION OF SUSPECTED IMMUNODEFICIENCY
Section 2 THE T-, B-, AND NK-CELL SYSTEMS
123 T LYMPHOCYTES, B LYMPHOCYTES, AND NATURAL KILLER CELLS
124 PRIMARY DEFECTS OF ANTIBODY PRODUCTION
125 PRIMARY DEFECTS OF CELLULAR ? IMMUNITY
126 PRIMARY COMBINED ANTIBODY AND CELLULAR IMMUNODEFICIENCIES
Section 3 THE PHAGOCYTIC SYSTEM
127 NEUTROPHILS
128 MONOCYTES, MACROPHAGES, AND DENDRITIC CELLS
129 EOSINOPHILS
130 DISORDERS OF PHAGOCYTE FUNCTION
131 LEUKOPENIA
132 LEUKOCYTOSIS
Section 4 THE COMPLEMENT SYSTEM
133 THE COMPLEMENT SYSTEM
134 DISORDERS OF THE COMPLEMENT SYSTEM
Section 5 HEMATOPOIETIC STEM CELL TRANSPLANTATION
135 PRINCIPLES AND CLINICAL INDICATIONS OF HEMATOPOIETIC STEM CELL TRANSPLANTATION
136 HEMATOPOIETIC STEM CELL TRANSPLANTATION FROM ALTERNATIVE SOURCES AND DONORS
137 GRAFT-VERSUS-HOST DISEASE, REJECTION, AND VENOOCCLUSIVE DISEASE
138 INFECTIOUS COMPLICATIONS OF ?HEMATOPOIETIC STEM CELL TRANSPLANTATION
139 LATE EFFECTS OF HEMATOPOIETIC STEM CELL TRANSPLANTATION
PART XV
Allergic Disorders
140 ALLERGY AND THE IMMUNOLOGIC BASIS OF ATOPIC DISEASE
141 DIAGNOSIS OF ALLERGIC DISEASE
142 PRINCIPLES OF TREATMENT OF ALLERGIC DISEASE
143 ALLERGIC RHINITIS
144 CHILDHOOD ASTHMA
145 ATOPIC DERMATITIS (ATOPIC ECZEMA)
146 INSECT ALLERGY
147 OCULAR ALLERGIES
148 URTICARIA (HIVES) AND ANGIOEDEMA
149 ANAPHYLAXIS
150 SERUM SICKNESS
151 FOOD ALLERGY AND ADVERSE REACTIONS TO FOODS
152 ADVERSE REACTIONS TO DRUGS
Rheumatic Diseases of Childhood
153 EVALUATION OF SUSPECTED RHEUMATIC DISEASE
154 TREATMENT OF RHEUMATIC DISEASES
155 JUVENILE IDIOPATHIC ARTHRITIS
156 ANKYLOSING SPONDYLITIS AND OTHER SPONDYLOARTHRITIDES
157 REACTIVE AND POSTINFECTIOUS ARTHRITIS
158 SYSTEMIC LUPUS ERYTHEMATOSUS
159 JUVENILE DERMATOMYOSITIS
160 SCLERODERMA AND RAYNAUD PHENOMENON
161 BEHÇET DISEASE
162 SJÖGREN SYNDROME
163 HEREDITARY PERIODIC FEVER SYNDROMES AND OTHER SYSTEMIC AUTOINFLAMMATORY DISEASES
164 AMYLOIDOSIS
165 SARCOIDOSIS
166 KAWASAKI DISEASE
167 VASCULITIS SYNDROMES
168 MUSCULOSKELETAL PAIN SYNDROMES
169 MISCELLANEOUS CONDITIONS ASSOCIATED WITH ARTHRITIS
PART XVII
Infectious Diseases
Section 1 GENERAL CONSIDERATIONS
170 DIAGNOSTIC MICROBIOLOGY
171 THE MICROBIOME AND PEDIATRIC HEALTH
Section 2 PREVENTIVE MEASURES
172 IMMUNIZATION PRACTICES
173 INFECTION PREVENTION AND CONTROL
174 CHILDCARE AND COMMUNICABLE ? DISEASES
175 HEALTH ADVICE FOR CHILDREN TRAVELING INTERNATIONALLY
176 FEVER
177 FEVER WITHOUT A FOCUS
178 INFECTIONS IN IMMUNOCOMPROMISED PERSONS
179 INFECTION ASSOCIATED WITH MEDICAL DEVICES
Section 3 ANTIBIOTIC THERAPY
180 PRINCIPLES OF ANTIBACTERIAL THERAPY
Section 4 GRAM-POSITIVE BACTERIAL INFECTIONS
181 STAPHYLOCOCCUS
182 STREPTOCOCCUS PNEUMONIAE (PNEUMOCOCCUS)
183 GROUP A STREPTOCOCCUS
184 GROUP B STREPTOCOCCUS
185 NON?GROUP A OR B STREPTOCOCCI
186 ENTEROCOCCUS
187 DIPHTHERIA (CORYNEBACTERIUM DIPHTHERIAE)
188 LISTERIA MONOCYTOGENES
189 ACTINOMYCES
190 NOCARDIA
Section 5 GRAM-NEGATIVE BACTERIAL INFECTIONS
191 NEISSERIA MENINGITIDIS (MENINGOCOCCUS)
192 NEISSERIA GONORRHOEAE (GONOCOCCUS)
193 KINGELLA KINGAE
194 HAEMOPHILUS INFLUENZAE
195 CHANCROID (HAEMOPHILUS DUCREYI)
196 MORAXELLA CATARRHALIS
197 PERTUSSIS (BORDETELLA PERTUSSIS AND BORDETELLA PARAPERTUSSIS)
198 SALMONELLA
199 SHIGELLA
200 ESCHERICHIA COLI
201 CHOLERA
202 CAMPYLOBACTER
203 YERSINIA
204 AEROMONAS AND PLESIOMONAS
205 PSEUDOMONAS, BURKHOLDERIA, AND STENOTROPHOMONAS
206 TULAREMIA (FRANCISELLA TULARENSIS)
207 BRUCELLA
208 LEGIONELLA
209 BARTONELLA
Section 6 ANAEROBIC BACTERIAL INFECTIONS
210 BOTULISM (CLOSTRIDIUM BOTULINUM)
211 TETANUS (CLOSTRIDIUM TETANI)
212 CLOSTRIDIUM DIFFICILE INFECTION
213 OTHER ANAEROBIC INFECTIONS
Section 7 MYCOBACTERIAL INFECTIONS
214 PRINCIPLES OF ANTIMYCOBACTERIAL THERAPY
215 TUBERCULOSIS (MYCOBACTERIUM TUBERCULOSIS)
216 HANSEN DISEASE (MYCOBACTERIUM LEPRAE)
217 NONTUBERCULOUS MYCOBACTERIA
Section 8 SPIROCHETAL INFECTIONS
218 SYPHILIS (TREPONEMA PALLIDUM)
219 NONVENEREAL TREPONEMAL INFECTIONS
220 LEPTOSPIRA
221 RELAPSING FEVER (BORRELIA)
222 LYME DISEASE (BORRELIA BURGDORFERI)
Section 9 MYCOPLASMAL INFECTIONS
223 MYCOPLASMA PNEUMONIAE,
224 GENITAL MYCOPLASMAS (MYCOPLASMA HOMINIS, MYCOPLASMA GENITALIUM, AND UREAPLASMA
UREALYTICUM)
Section 10 CHLAMYDIAL INFECTIONS
225 CHLAMYDIA (CHLAMYDOPHILA) PNEUMONIAE
226 CHLAMYDIA TRACHOMATIS
227 PSITTACOSIS (CHLAMYDIA PSITTACI)
Section 11 RICKETTSIAL INFECTIONS
228 SPOTTED FEVER GROUP RICKETTSIOSES
229 SCRUB TYPHUS (ORIENTIA TSUTSUGAMUSHI)
230 TYPHUS GROUP RICKETTSIOSES,
231 EHRLICHIOSIS AND ANAPLASMOSIS
232 Q FEVER (COXIELLA BURNETII)
Section 12 FUNGAL INFECTIONS
233 PRINCIPLES OF ANTIFUNGAL THERAPY
234 CANDIDA
235 CRYPTOCOCCUS NEOFORMANS
236 MALASSEZIA
237 ASPERGILLUS
238 HISTOPLASMOSIS (HISTOPLASMA CAPSULATUM)
239 BLASTOMYCOSIS (BLASTOMYCES DERMATITIDIS)
240 COCCIDIOIDOMYCOSIS (COCCIDIOIDES SPECIES)
241 PARACOCCIDIOIDES BRASILIENSIS
242 SPOROTRICHOSIS (SPOROTHRIX SCHENCKII)
243 ZYGOMYCOSIS (MUCORMYCOSIS)
244 PNEUMOCYSTIS JIROVECI
Section 13 VIRAL INFECTIONS
245 PRINCIPLES OF ANTIVIRAL THERAPY
246 MEASLES
247 RUBELLA
248 MUMPS
249 POLIOVIRUSES
250 NONPOLIO ENTEROVIRUSES
251 PARVOVIRUSES
252 HERPES SIMPLEX VIRUS
253 VARICELLA-ZOSTER VIRUS
254 EPSTEIN-BARR VIRUS
255 CYTOMEGALOVIRUS
256 ROSEOLA (HUMAN HERPESVIRUSES 6 AND 7)
257 HUMAN HERPESVIRUS 8
258 INFLUENZA VIRUSES
259 PARAINFLUENZA VIRUSES
260 RESPIRATORY SYNCYTIAL VIRUS
261 HUMAN METAPNEUMOVIRUS
262 ADENOVIRUSES
263 RHINOVIRUSES
264 CORONAVIRUSES
265 ROTAVIRUSES, CALICIVIRUSES, AND ASTROVIRUSES
266 HUMAN PAPILLOMAVIRUSES
267 ARBOVIRAL INFECTIONS IN NORTH AMERICA
268 ARBOVIRAL INFECTIONS OUTSIDE NORTH AMERICA
269 DENGUE FEVER AND DENGUE HEMORRHAGIC FEVER
270 YELLOW FEVER
271 EBOLA AND OTHER VIRAL HEMORRHAGIC FEVERS
272 LYMPHOCYTIC CHORIOMENINGITIS VIRUS
273 HANTAVIRUS PULMONARY SYNDROME
274 RABIES
275 POLYOMAVIRUSES
276 ACQUIRED IMMUNODEFICIENCY SYNDROME (HUMAN IMMUNODEFICIENCY VIRUS)
277 HUMAN T-LYMPHOTROPIC VIRUSES (1 AND 2)
278 TRANSMISSIBLE SPONGIFORM ENCEPHALOPATHIES
Section 14 ANTIPARASITIC THERAPY
279 PRINCIPLES OF ANTIPARASITIC THERAPY
Section 15 PROTOZOAN DISEASES
280 PRIMARY AMEBIC MENINGOENCEPHALITIS
281 AMEBIASIS
282 GIARDIASIS AND BALANTIDIASIS
283 CRYPTOSPORIDIUM, ISOSPORA, CYCLOSPORA, AND MICROSPORIDIA
284 TRICHOMONIASIS (TRICHOMONAS VAGINALIS)
285 LEISHMANIASIS (LEISHMANIA)
286 AFRICAN TRYPANOSOMIASIS (SLEEPING SICKNESS; TRYPANOSOMA BRUCEI COMPLEX)
287 AMERICAN TRYPANOSOMIASIS (CHAGAS DISEASE; TRYPANOSOMA CRUZI)
288 MALARIA (PLASMODIUM)
289 BABESIOSIS (BABESIA)
290 TOXOPLASMOSIS (TOXOPLASMA GONDII)
Section 16 HELMINTHIC DISEASES
291 ASCARIASIS (ASCARIS LUMBRICOIDES)
292 HOOKWORMS (NECATOR AMERICANUS AND ANCYLOSTOMA SPP.)
293 TRICHURIASIS (TRICHURIS TRICHIURA)
294 ENTEROBIASIS (ENTEROBIUS VERMICULARIS)
295 STRONGYLOIDIASIS (STRONGYLOIDES STERCORALIS)
296 LYMPHATIC FILARIASIS (BRUGIA MALAYI, BRUGIA TIMORI, AND WUCHERERIA BANCROFTI), 1739
297 OTHER TISSUE NEMATODES
298 TOXOCARIASIS (VISCERAL AND OCULAR LARVA MIGRANS)
299 TRICHINELLOSIS (TRICHINELLA SPIRALIS)
300 SCHISTOSOMIASIS (SCHISTOSOMA)
301 FLUKES (LIVER, LUNG, AND INTESTINAL)
302 ADULT TAPEWORM INFECTIONS
303 CYSTICERCOSIS
304 ECHINOCOCCOSIS (ECHINOCOCCUS GRANULOSUS AND ECHINOCOCCUS MULTILOCULARIS)
VOLUME 2
PART XVIII
The Digestive System
Section 1 CLINICAL MANIFESTATIONS OF GASTROINTESTINAL DISEASE
305 NORMAL DIGESTIVE TRACT PHENOMENA
306 MAJOR SYMPTOMS AND SIGNS OF DIGESTIVE TRACT DISORDERS
Section 2 THE ORAL CAVITY
307 DEVELOPMENT AND DEVELOPMENTAL ANOMALIES OF THE TEETH
308 DISORDERS OF THE ORAL CAVITY ASSOCIATED WITH OTHER CONDITIONS
309 MALOCCLUSION
310 CLEFT LIP AND PALATE
311 SYNDROMES WITH ORAL MANIFESTATIONS
312 DENTAL CARIES
313 PERIODONTAL DISEASES
314 DENTAL TRAUMA
315 COMMON LESIONS OF THE ORAL SOFT TISSUES
316 DISEASES OF THE SALIVARY GLANDS AND JAWS
317 DIAGNOSTIC RADIOLOGY IN DENTAL ASSESSMENT
Section 3 THE ESOPHAGUS
318 EMBRYOLOGY, ANATOMY, AND FUNCTION OF THE ESOPHAGUS
319 CONGENITAL ANOMALIES
320 OBSTRUCTING AND MOTILITY DISORDERS OF THE ESOPHAGUS
321 DYSMOTILITY
322 HIATAL HERNIA
323 GASTROESOPHAGEAL REFLUX DISEASE
324 EOSINOPHILIC ESOPHAGITIS AND NON?GASTROESOPHAGEAL REFLUX DISEASE ESOPHAGITIS
325 ESOPHAGEAL PERFORATION
326 ESOPHAGEAL VARICES
327 INGESTIONS
Section 4 STOMACH AND INTESTINES
328 NORMAL DEVELOPMENT, STRUCTURE, AND FUNCTION
329 PYLORIC STENOSIS AND OTHER CONGENITAL ANOMALIES OF THE STOMACH
330 INTESTINAL ATRESIA, STENOSIS, AND MALROTATION
331 INTESTINAL DUPLICATIONS, MECKEL DIVERTICULUM, AND OTHER REMNANTS OF THE OMPHALOMESENTERIC DUCT
332 MOTILITY DISORDERS AND HIRSCHSPRUNG DISEASE
333 ILEUS, ADHESIONS, INTUSSUSCEPTION, AND