By Basil John Zitelli, Holly W. Davis
Your top resource for assistance at the visible analysis of pediatric issues now involves you in print and on-line! greater than 3,400 hundred illustrations-3,000 in complete color-capture the complete diversity of gross anatomic symptoms in addition to laboratory and radiologic findings for hundreds and hundreds of pediatric disorders.Addresses the total spectrum of pediatric conditions-from pertinent historic components and exam innovations to visible and diagnostic methods-providing you with accomplished insurance to your hardest diagnostic challenges.Features greater than 3,400 sensible, scientific pictures that will help you establish and diagnose hundreds of thousands of pediatric disorders.Features new, entire insurance of malnutrition, weight problems, and trauma that can assist you determine a variety of conditions.Includes extended details on baby abuse and forget so that you can greater realize and deal with the symptoms of this delicate condition.Presents new insurance within the Genetic problems and Dysmorphic stipulations bankruptcy to aid you in diagnosing metabolic ailments extra accurately.Offers on-line entry to the full searchable contents of the ebook for fast solutions to medical questions.Provides on-line downloadable photos from the publication that let you create your personal digital shows.
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Extra info for Atlas of Pediatric Physical Diagnosis, 5th Edition
Other disorders in the list of differential diagnostic possibilities include Fanconi anemia and Holt-Oram syndrome (see Fig. 5-7). Once chromosome studies are completed and found to be normal, when other disorders are deemed less likely, and a child has the pattern of malformation characteristic of the VATER association, the diagnosis (which remains one of exclusion) can be made. Recognizable Multiple Malformation Syndromes De Lange, Cornelia de Lange, or Brachmann–de Lange Syndrome De Lange syndrome is characterized by intrauterine growth retardation, persistent postnatal failure to thrive, moderate to severe cognitive impairment, and microcephaly with a ﬂat occiput and low hairline.
1-35C), ﬂexion contractures of the elbows, hypoplastic limbs, and even overt phocomelia. Hirsutism is generalized and distinctive, and cutis marmorata is a frequent feature. In males, hypospadias with 5/21/2007 3:02:10 PM Chapter 1—Genetic Disorders and Dysmorphic Conditions 29 A B Figure 1-35. Cornelia de Lange syndrome. A and B, Facial features seen in an infant and an older C child include ﬁnely arched heavy eyebrows, long eyelashes, small upturned nose, long smooth philtrum, and Cupid’s-bow mouth.
Facial features are quite distinctive and include long eyelashes; a ﬁne, almost “brushed-on” appearance of the arch to the eyebrows; occasional synophrys due to hirsutism; small nose with anteverted nostrils; long philtrum; downturned upper lip with cupid’s-bow shape; and micrognathia (Fig. 1-35A and B). Extremities are notable for small hands and feet, and varying abnormalities can include proximally placed thumbs (Fig. 1-35C), ﬂexion contractures of the elbows, hypoplastic limbs, and even overt phocomelia.