#{149} #{149}#{149}#{149}#{149} #{149} -#{149}#{149}#{149} … · 2006-03-29 · Self-Assessment...
Transcript of #{149} #{149}#{149}#{149}#{149} #{149} -#{149}#{149}#{149} … · 2006-03-29 · Self-Assessment...
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LLJd�rny of
Pediatrics
CONTENTS
EDITORIAL
303 How Much Is Enough?
Robert J. Haggerty
ARTICLES
305 Jaundice in the Newborn
M. Jeffrey Maisels
321 Diagnosis and Management of Heart Murmurs
in Children
Jerome Liebman
333 Cytogenetics in the Practice of Pediatrics
Park S. Gerald
ABSTRACTS
304 Human Milk
304 Group B StreptoCoCCal Infections
320 Ulcerative Colitis
330 Rectal Bleeding
330 Is Recurrent Croup Due to Allergy?
331 Thyroid Disorders
331 Menorrhagia
332 Retinoblastoma
340 Vesicoureteral Reflux
341 Hyperthyroidism
341 Now We Know Who We Are!
342 Department of Clarification342 Department of Corrections343 Self-Assessment344 Cumulative Index351 Erratum
Answer Key: 1 .B,D,E; 2.B,D; 3.B,D; 4.A; 5.C; 6.B; 7.C; 8.D;9.E; 1O.D; hA; 12.B; 13.C; 14.A,D.E; 15.B,D,E; 16.B,D;
17.B,C,D; 18.A,B,C,D,E; 19.A,B,E.
Discussion of some of the questions follows:
(3) Jaundice due to biliary atresia or hepatitis occurs later and has an increased direct
bitirubin fraction. Both may have splenomegaty, pale stools, and urinary bilirubin. In
atresia there is no bile pigment in the duodenat fluid nor wilt bile flow be stimulated by
phenobarbital.
(16) See page 334.
(1 7) Poty X or Y occurs in approximately 1 /1 000 live births. No characteristic
abnormalities are found in females, but aggressiveness and tall stature have been
described in mates. The incidence of Ktinefelter syndrome is 1 I 1 .000 and is associ-
ated with advanced maternal age. Some patients are mildly retarded and alt have
infertility. Turner syndrome occurs in 1 I 1 0,000 live births, and 75% of the time is
due to a paternal toss of the X or Y 45 Y is unknown.
(18) The reasons why Down syndrome occurs should be elucidated to evaluate the
risk of recurrence. All of the choices are possible. Nondisjunction (failure of synapsis
during meiosis) can be paternal or maternal (associated with advanced age). If
nondisjunction occurs during mitotic division, it results in mosaisism (multiple cell
populations) Although the parent may be clinically normal, the infant may inherit the
abnormal cell population. Chromosomat breaks can result in translocation, and this
pattern is age independent. Environmental insults (diagnostic abdominal roentgeno-
grams and virus infections, ie, infectious hepatitis) can also occur at any age, and are
possible, although not proven, causes.
(19) See pages 338-340.
The printing and production of Pediatrics in Review is made possible, in part, by an educational grant fromRoss Laboratories.
Vol. 3 No. 10 April 1982
Pediatricsin ReviewEDITORRobert J. HaggertyNew York Hospital-Cornell Medical CenterNew York, NY
Editorial Office:25 Sutton Place SouthApt 16-0New York, NY 10022
ASSOCIATE EDITORSJerold F. LuceyR. James Mckay, Jr.Medical Center Hospital of VermontBurlington, VT 05401
MANAGING EDITORNed W. Smull, Evanston, IL
EVALUATION EDITORFIoy Helwig, Evanston, IL
EDITORIAL BOARDMilton I. Arnold, Torrance, CADouge Barthelemy, Gary, INWilliam Berman, Albuquerque, NMEvan Charney, Baltimore, MDMichael I. Cohen, Chappaqua, NYBirt Harvey, Palo Alto, CARobert A. Hoekelman, Rochester, NYMelvin D. Levine, Boston, MAIris F. Litt, Stanford, CAFrederick J. Lovejoy, Boston, MAWilliam H. Milburn, Longmont, COBernard Mirkin, Minneapolis, MNAlexander S. Nadas, Boston, MAPhilip R. Nader, Palo Alto, CAHenry L. Nadler, Chicago, ILNicholas M. Nelson, Hershey, PAFrank Oski, Syracuse, NYRichard H. Rapkin, Newark, NJThomas E. Reichelderfer, Annapolis, MDJohn Schowalter, New Haven, CTJack Sherman, Old Bethpage, NYNathan J. Smith, Seattle, WAJames H. Stallings, Jr. Falls Church, VAJames E. Strain, Denver COVictor C. Vaughan Ill, Philadelphia, PAEdward R. Westmark, Pensacola, FL
PUBLISHERAmerican Academy of Pediatrics
Lucy Ranes Maloney, Publication ManagerLinda Napora, Copy Editor
Glennis Lundberg, PREP Project Coordinator
PEDIATRICS IN REVIEW (ISSN 0191-9601) is owned
and controlled by the American Academy of Pediatrics. Itis published ten times a year (July through April) by the
American Academy of Pediatrics, P.O. Box 1034, Evans-
ton. IL 60204.
Subscriptions wilt be accepted until December 31, 1981
for the 1981-82 cycle. Subscription price per year: JuniorFetlow of the AAP $5500; AAP Fellow $7500; Nonmem-
ber or Institution $9500. Current single issues $10.00
Second-class postage paid at EVANSTON, ILLINOIS
60204 and at additional mailing offices.© American Academy of Pediatrics, 1982
Alt Rights Reserved. Printed in U.S.A. No part may be
duplicated or reproduced without permission of the Amer-
can Academy of Pediatrics.
POSTMASTER: Send address changes to PEDIATRICS
IN REVIEW. American Academy of Pediatrics. P.O. Box1034, Evanston, IL 60204.
Self-Assessment QuizThe questions in this self-assessment quiz are based on the articles
in this issue of the journal. Each of the questions or statements isfollowed by five possible answers or completions. Select all of thecorrect answers to each of the questions and circle the correspondingletters. The answers appear on the inside front cover of this issue.
As an organization accredited for continuing medical education, theAmerican Academy of Pediatrics certifies that this continuing medicaleducation activity, when used and completed as directed, meets thecriteria tor two hours of credit in Category I of the Physician’s Recog-nition Award of the American Medical Association and two hours ofPREP credit.
To earn two hours of Category I credit and two hours of PREP credit,you must be registered for PREP or subscriping to PEDIATRICS INREVIEW. You have received a three-ring binder which contains a setof IBM computer cards and return envelopes. There are no monthlydeadlines for the return of the computer cards, except that all cardsmust be returned by June 30, 1982 to ensure proper credit. Be surethat the date on the computer card corresponds with the date on eachissue. Please do not write over the date or the ID number on the card.
We invite you to write specific comments about the relevance of
each of the articles and any other comments you wish to make aboutthe Journal on the back of each card.
0.E.
flow.
pediatrics in review #{149} vol. 3 no. 10 april 1982 PIR 343
1. Physiologic jaundice is MORElikely when which of the follow-ing factors occur?
A. Increased immunoglobulin Aproduction.
B. Reduced bilirubin conjuga-
tion.d. Increased photobilirubin
production.0. Delayed cord clamping.E. Hypoxia.
2. A 12-hour-old infant with Rh
isoimmunization has a rising bil-irubin level and an exchange
transfusion is planned. Compli-cations of the procedure in-
clude:A. Hypoalbuminemia.
B. Hypoglycemia.
C. Sepsis.0. Hyperkalemia.E. Hypercalcemia.
3. On the fourth day of life, a
2,600-gm infant became jaun-
diced with a bilirubin D/T= 1.8/
13 mg/100 ml. Findings more
characteristic of hepatitis than
of biliary atresia include which
of the following?
A. Splenomegaly.B. Bile pigment in duodenal
fluid.
C. Pale stools.0. Decline in serum bilirubin fol-
lowing phenobarbital admin-istration.
E. (irinary bilirubin.
In a 3-day-old, full-term infant
with jaundice, match the clinical
finding (4 to 8) with the diagno-
sis (A to D).4. Spherocytes in peripheral
smear.
5. Direct doombs test negative.
6. Elevation of direct bilirubin.
7. Hepatosplenomegaly.8. Delayed cord clamping.
A. ABO incompatibility.B. Sepsis.C. Both.0. Neither.
Match the key diagnostic finding(A to E) with the cardiac diag.
nosis (9 to 13).9. Normal heart.
10. Aortic stenosis.1 1 . Mitral valve prolapse.12. Coarctation of aorta.
13. Ventricular septal defect.
A. Midsystolic ejection click.B. Continuous murmur.
C. Mid-diastolic rumbling mur-mur.
0. Carotid systolic thrill.E. Grade II systolic vibratory
murmur.
14. The split of the second heart
sound, S2, is frequently alteredin congenital heart abnormali-
ties. 52 �5 abnormal in which of
the following conditions?A. Pulmonic stenosis.B. Coarctation of the aorta.C. Mitral valve prolapse.0. Atrial septal defect.E. Tetralogy of Fallot.
1 5. TRUE statements regarding
murmurs include:
A. All diastolic murmurs are ab-normal.
B. Systolic murmur of a VSD is
early in systole and may ob-scure the first sound.
C. Systolic murmur of the ASDis caused by the blood flowthrough the defect.
0. Patients with septal defectsmay have a soft systolic mur-
mur at the upper left sternalborder due to increased flow
through the pulmonary valve.
E. Patients with anemia mayhave systolic murmurs due tothe associated high blood
16. True statements pertaining
to the Barr body include:
A. They are demonstrated inmost of the buccal mucosalcells from a normal female.
B. They represent a highly con-tracted X chromosome.
C. They represent an active Xchromosome.
0. More than one can be foundin the same cell in somechromosomal abnormalities.
E. They are never found in anycells containing a Y chromo-some.
1 7. The most common abnor-
malities (1 /1 ,000) of the sex
chromosomes include:A. 45,X (Turner syndrome).B. 47,XXY (Klinefelter syn-
drome).
C. 47,XXX (poly X)0. 47,XYY (poly Y)
E. 45,Y
18. A newborn infant is thoughtto have Down syndrome. Possi-ble explanations of this syn-drome include:
A. Maternal mosaicism.B. Familial nondisjunction.
C. Chromosome 21 transloca-
tion.Advanced maternal age.Environmental insult.
19. Which of the following are
known associations:
A. Mental retardation, large
testes-fragile X syndrome.B. Hypospadias and/or ra-
dioulnar synostosis-47,XXY.C. Prader-Willi syndrome-mo-
saicism for trisomy 8.0. Bone abnormalities/deep
palmar and solar creases-
small deletion located in1 5q.
E. Turner syndrome-isochro-mosome of the long arm ofthe X in approximately 20#{176}/o.
PIR 344 pediatrics in review #{149} vol. 3 no. 10 april 1982
Cumulative Index
This cumulative index gives the volume, page, and PREP year (79-80, 80-81, or 81-82) rather than the calendar year. In most
instances the page given is the first page of an article; in some instances a specific subject within an article is listed with theexact page on which this subject is discussed.
Abdominal pain, lactose intolerance, 1 :218.79-80
Accident prevention2:75, 80-81car seats, 2:31 7, 80-81
Acidosis in low birth weight infants, 1 :313,79-80
Acetaminophen toxicity, 1 :1 1 7, 1 21 , 79-80Achalasia, 1 :245, 79-80Achondroplasia, recurrence risk , 2:290, 80-
81
Acne, 1 :62, 79-80Acrodermatitis enteropathica, zinc therapy,
2:88, 80-81Acrodermatitis enteropathy, zinc deficiency
and, 3:284, 81-82Adolescent
acting out, 3:1 65, 81 -82counseling, 3:204, 81-82pregnancy, 1 :1 23, 79-80sexual behavior, 3:204, 81-82
Adoption, 1 :57, 79-80
Adrenal hyperplasia, congenital, 3:272, 81-82
Adrenogenital syndrome in newborn, 2:1 75,80-81
Age
advanced, of parent, role in genetics, 2:94,290, 80-81
parental, mutations and, 2:94, 80-81Airway, upper, obstruction of, 3:1 30, 81 -82
Alcohol, fetal syndrome, 1 :1 65, 79-80Alcohol abuse
prevention, 2:1 9, 80-81teenagers and, 2:19, 80-81
Alcohol intoxication, 2:208, 80-81Alcohol metabolism, 2:1 9, 80-81Alcoholic coma, 2:208, 80-81Alice-in-Wonderland syndrome
as sequelae of infectious mononucleosis,
2:88, 80-81in migraine classification, 3:257, 81-82
Alkalosis, metabolic, cystic fibrosis and, 3:56,81-82
Allergic contact dermatitis, 1 :87, 79-80Allergic diagnosis by skin testing, 2:327, 80-
81Allergy
cow milk, 3:213, 81-82food, 3:213, 81-82prevention, 1 :294, 79-80
Alopecia, causes, 3:85, 263, 81-82#{128}-Aminocaproic acid (EACA) in bleeding of
hemophilia, 2:254, 80-81
Aminoglycosides in newborn, 1:61, 79-80
Amniocentesis1 :283, 294, 79-80
risk, 2:290, 80-81Amphetamines, attention deficit syndrome
and, 3:91, 167, 81-82Ampicillin rashes, 1 :1 97, 79-80
Amputation, distal fingertip, 3:66, 81-82
Anemiahemolytic, due to glucose-6-phosphate de-
hydrogenase deficiency, 2:254, 80-81in infancy, 1:196, 247, 79-80
Angel dust, 1 :1 7, 79-80Angioneurotic edema, hereditary, 3:189, 81-
82Ankle injuries, 2:21 7, 80-81Anomalies
coarctation of aorta and, 2:1 2, 80-81congenital-see Congenital anomalies
Anorexia nervosa, prognosis, 1 :254, 79-80
Antibiotics
CNS shunts and, 2:253, 80-81in URI, 1 :76, 79-80
pseudomembranous colitis induced by,3:147, 81-82
Anticonvulsant agents, posttraumatic epi-lepsy and, 3:221 , 81 -82
Antidiuretic hormones in neonatal asphyxia,
1:313, 79-80Antihistamines, common cold and, 2:29, 80-
81
a-i -Antitrypsin deficiency screening, 2:93,80-81
Aorta, coarctation of, 3:321 ,81-82
Aortic stenosis, 3:321 , 81-82Apnea
in newborn, 2:1 1 5, 80-81
neonatal, naloxone treatment, 2:1 20, 80-
81Arthritis
1:153, 79-80juvenile rheumatoid, 2:1 63, 80-81
Lyme, 3:55, 342, 81-82Asbestos, cause of mesothelioma, 3: 1 30, 81 -
82Aspirin
bleeding, 1 :254, 79-80
dose, 3:98, 81-82intolerance in asthma, 1 :301 , 79-80
Asthma, 1:239, 301 , 79-80; 2:87, 80-81Atopic eczema, diagnosis and therapy, 3:23,
81-82Atrial septal defect, 3:321 , 81 -82
Attention deficit syndrome, 3:91 , 1 67, 81 -82
Attentional deficit, 2:5, 80-81Auto seats-see Car seats
Bacterial colonization, newborns, 2:1 1 , 80-81
Bacterial endocarditis, 3:226, 230, 81 -82Bacterial infection, recurrent, 1 :99, 1 1 6, 79-
80Bacteriuria, enuresis and, 2:1 83, 80-81
Beclomethasone in asthma, 1 :301 , 79-80Behavior
acting out adolescent, 3:165, 81-82
neonatal, of infants of adolescent mothers,
2:30, 80-81problems, prevention, 2:1 3, 80-81sexual, counseling, 3:204, 81 -82therapy for attention deficit syndrome,
3:91, 167, 81-82
Benzene hexachloride for scabies, 1 :93, 79-80
Bethanechol in treatment of gastroesopha-geal reflux, 2:57, 80-81
Bicycle accidents, prevention, 2:75, 80-81
Bilirubin, in newborn, 3:305, 81 -82
Birthmarks, 1 :21 , 47, 79-80
Bladderneurogenic dysfunction of, 3:340, 81 -82
paralysis, myelomeningocele and, 3:283,
81-82
Bleeding
disorders in newborn, 1 :271 , 79-80
uterine, 3:331, 81-82
Blindness, meningitis and, 3:152, 81-82
Blood pressurecoronary artery disease, 2:1 31 , 80-81indirect measurement, 1 : 1 1 6, 79-80
Body composition in sports, 2:229, 80-81Body image in adolescents, 2:268, 80-81Bonding
attachment in infancy, 3:203, 205, 81-82
in neonatal intensive care units, 2:4, 80-81
mother-child, 1 :289, 79-80
Botulism in infants, 1 :30, 79-80Bowel disease, inflammatory, 3:320, 81-82Brain death, criteria, 1 :328, 79-80
Brain tumor, 2:269, 80-81Brazelton Assessment Scale, 2:1 3, 80-81Breast-feeding
1 :289, 79-80
hypothyroidism and, 2:67, 80-81
mothers with HBsAg, 3:65, 81 -82mothers with hepatitis B, 2:1 21 , 80-81vitamin B12 deficiency and, 2:228, 80-81
Breast masses in adolescents, 2:292, 80-81Breast milk
chemicals in, 2:279, 80-81jaundice, 3:305, 81-82
Bronchiolitis, late sequelae, 3:66, 81 -82
INDEX
pediatrics in review #{149}vol. 3 no. 10 april 1982 PIR 345
Bronchitispassive exposure to smokers and, 2:196,
80-81recurrent, due to gastroesophageal reflux,
1:122, 79-80Burn prevention, 2:75, 326, 80-81
daf#{233}-au-lait spots, 1 :48, 79-80Calcium therapy in newborns, hazards, 2:88,
80-81
Camphor poisoning, 2:21 2, 31 8, 80-81Camphorated oil, toxicity, 2:21 2, 31 8, 80-81dancer
in children, risk of infections, 2:252, 80-81
in teenagers, 1 :1 47, 79-80
dandidiasis, 3:41 , 81-82Cardiac disease, short stature and, 3:1 79,
81-82Cardiology
pediatric, role of general pediatrician in,3:103, 81-82
evaluation of dysrhythmias, 3:1 90, 342,81-82
Cardiovascular evaluation for participation insports, 2:229, 80-81
Caries, nursing bottle-induced, 3:1 3, 81 -82Car seats
accident prevention and, 2:31 7, 80-81behavior and, 2:31 7, 80-81
infant, 2:75, 80-81/3 cell
adenoma of pancreas, 2:291 , 80-81hyperplasia of pancreas, 2:291 , 80-81
Cerebral damage, hyperviscosity-polycythe-mia and, 2:182, 80-81
Cerebral death, criteria, 1 :328, 79-80
Cerebral edema, 2:269, 80-81
Cerebral vascular accident in congenital heart
disease, 1 :336, 79-80
Cerebrospinal fluid findings in intraventricularhemorrhage, 2:1 45, 80-81
deruloplasmin in diagnosis of Wilson disease,2:291 , 80-81
Chemicals in breast milk, 2:279, 80-81Chest pain in children, 3:50, 81-82Child abuse
2:207, 80-81community programs, 2:197, 80-81
diagnosis, 2:197, 80-81management. 2:1 97, 80-81Munchausen syndrome by proxy, 3:64, 81-
82prevention, 2:1 97, 80-81
Child development, 2:31 0, 80-81
Chlamydia infection, newborns, 2:24, 80-81
Chlamydial pneumonia, conjunctivitis and,3:77, 167, 81-82
Cholera, prevention, 1 :26, 79-80
Cholesterol, coronary artery disease and,2:131, 80-81
Cholestyramine
in chronic diarrhea, 1 :31 6, 79-80
in coronary artery disease, 2:1 31 , 80-81
Chromosome abnormalities, 3:333, 81-82Chromosome mosaicism, 2:290, 80-81Chromosome studies, mental retardation and,
2:41, 80-81Chronic granulomatous disease, 1 :99, 79-80dimetidine, use in peptic ulcers, 2:294, 80-
81
Cleft palategenetics and, 3:4, 81 -82otitis media and, see Pediatrics 65(5):91 7,
1980Clonodine, use in Tourette’s disease, 2:55,
80-81
Coagulation disorders, menorrhagia and,3:331, 81-82
Coarctation of aortaassociated cardiac anomalies, 2:1 2, 80-81;
3:321, 81-82follow-up, 1 :328, 79-80
Cognitive development, 1 :277, 79-80
Colic, 2:318, 80-81Colitis
pseudomembranous, antibiotic-induced,3:147, 81-82
ulcerative, complications, 3:320, 81 -82Colon, polyps in, 3:330, 81-82Coma, alcohol-induced, 2:208, 80-81Complement deficiencies, 3:76, 81 -82Computed tomography
for intraventricular hemorrhage, 2:1 45, 80-81
in neurologic disorders, 2:1 39, 80-81
Congenital adrenal hyperplasia, 3:272, 81 -82Congenital anomalies
coarctation of aorta and, 2:1 2, 80-81counseling, 2:155, 80-81paternal age and, 2:94, 80-81smoking during pregnancy and, 2:12, 80-
81
Congenital heart disease, echocardiography,2:300, 80-81
Congenital ichthyosis, 2:21 3, 80-81Congenital malformation, 3:267, 81 -82Congestive heart failure in children, 1 :321,
79-80Conjunctivitis, chlamydial pneumonia and,
3:77, 167, 81-82Constipation, 2:285, 80-81
Constitutional short stature, 2:244, 80-81Contact dermatitis, 1 :85, 79-80Contraceptives, 1 : 1 23, 79-80
Convulsions, febrile, 2:209, 80-81Copper deficiency in premature infants,
2:277, 80-81Coronary artery disease
prevention, 2:1 31 , 80-81risk factors, 2:1 31 , 80-81
Coronary artery stenosis indrome, 2:107, 80-81
Corticosteroids
Kawasaki syn-
in drohn’s disease, 2:239, 80-81in idiopathic thrombocytopenic purpura,
2:294, 80-81in septic shock, 2:83, 80-81
Cough, differential diagnosis, 1 :245, 79-80
Counselingcardiology, 3:103, 81-82death and dying, 3:1 59, 81 -82genetic, 2:94, 1 55, 290, 80-81hypertension, 3:235, 81-82mental retardation, 2:41 , 80-81parents of stillborn, 2:59, 80-81psychological problems, 3: 1 35, 81-82sports medicine and, 2:229, 80-81
Countercurrent immunoelectrophoresis2:182, 80-81
diagnostic use for group B /1 hemolytic
Streptococcus, 2:182, 80-81diagnostic use in bacterial infections, 2:94,
80-81Cramp, 1 :1 76, 1 77, 79-80drohn’s disease, 2:239, 80-81dromolyn sodium in asthma, 1 :301 , 79-80Croup, recurrent and spasmodic, 3:330, 81 -
82Cyanosis in newborn, differential, 1 :282, 79-
80Cyclic vomiting, 2:300, 80-81Cystic fibrosis
metabolic alkalosis with, 3:56, 81-82mist tent therapy, 2:29, 80-81
rare presentations, 3:56, 81-82
dytogenetics, in practice, 3:333, 81-82
dytomegalic inclusion disease, 2:245, 80-81
dytomegalovirus infection, 2:245, 80-81
Day care, 1 :277, 79-80Death
children and, 1 :337, 79-80
malformed fetus and infant, 3:57, 81-82management of child with terminal illness,
3:159, 81-82perinatal, managing parents. 2:59, 80-81
Dehydration, diarrheal, 3:1 13, 81-82hypertonic, 3:113, 81-82
hyponatremic, 3:113, 81-82
Dental caries, 3:13, 81-82Denver Developmental Screening Test, 2:41,
50. 80-81; 3:205, 81-82Depression in children, 3:51 , 81 -82Dermatitis
contact, 1 :85, 79-80
steroid rosacea, 3:66, 81 -82
Dermatophytoses, 3:41 , 81-82Development, prediction, bonding and
screening, 3:203, 205, 81-82
Developmental anomalies, 3:267, 81-82
Developmental assessment, 2:5, 50, 301 ,80-
81
Diabetes, genetics, 1 :259, 79-80
diagnosis, 3:41,
Index
PIR 346 pediatrics in review #{149} vol. 3 no. 10 april 1982
Diabetes mellitus1:259, 79-80
thyroid disease and, 2:284, 80-81Diabetic ketoacidosis, 1 :259, 79-80
Diaphragmatic hernia, late sequelae, 3:66,
81-82
Diarrheaacute, 1 :202, 79-80Campylobacter enteritis, 1 :1 77, 79-80
chronic, 3:129, 153, 158, 81-82
chronic, giardiasis, 1 :1 6, 79-80
chronic, treatment with cholestyramine,
1:316, 79-80
dehydration and, 3:113, 81-82
infantile, lactose-free formulae, 2:144, 80-
81milk and soy bean formura and, 2:196, 80-
81prevention of, in travelers, 1 :28, 79-80
rotavirus as cause, 1 :1 77, 79-80; 3:298,
81-82Diazoxide in hypertensive crises, 1 :31 2, 79-
80Dibenzyline, in septic shock, 2:83, 80-81Diet
use in prevention of coronary artery dis-
ease, 2:1 31 , 80-81vegetarian, 1 :207, 79-80; 2:228, 80-81
Oiethylstilbestrol in pregnancy, 1 :45, 79-80
Digoxin in newborn, 2:267, 80-81Discipline, 2:13, 80-81
Diskitis, diagnosis and therapy, 2:244, 80-81
Disseminated intravascular coagulopathy,
1:37, 79-80Divorce, 1 :21 1 , 79-80
Dobutamine in septic shock, 2:83, 80-81Dopamine in septic shock, 2:83, 80-81Down syndrome
cytogenetics and, 3:333, 81 -82recurrence risk in translocation, 2:290, 80-
81Drowning, 1:146, 79-80
Drug abuse, 2:19, 80-81
Drugsas cause of bleeding, 1 :271 , 79-80in breast milk, 2:279, 80-81
Dwarfism, 3: 1 71 , 81-82Dysmenorrhea, treatment, 3:284, 81 -82
Dysmorphism, 3:267, 81-82
Dysrhythmias, cardiac, evaluation, 3:190,
342, 81-82
Ecchymosis, changes in color depending
upon duration, 2:197, 80-81
Echocardiogram , pericardial effusion and,1 :21 7, 79-80
Echocardiographydiagnosis of cardiac malformations, 3:137,
81-82indications, 2:300, 80-81
Eczemadiagnosis and therapy. 3:23, 81-82
prevention, 1:158, 79-80
Edema, angioneurotic, 3:189, 81-82
Electroencephalography, in posttraumaticepilepsy, 3:221, 81-82
Electrolyte and fluid therapy, 3:1 13, 81-82Electrolyte requirements in low birth weight
infants, 1:313, 79-80
Empyema, countercurrent immunoelectro-phoresis in diagnosis, 2:182, 80-81
Encephalopathy, herpes simplex induced,2:259, 80-81
Encopresis, causes and treatment, 2:285,
80-81
Endocarditis
bacterial, 3:226, 230, 81-82infective, 3:226, 230, 81-82
Endoscopy, fiberoptic, in diagnosis of upper
GI tract bleeding, 2:294, 80-81Enemas, complications of, 2:238, 80-81
Enterocolitis, necrotizing, 1 :30, 79-80;
3:121, 81-82
Enuresis
2:13, 80-81
diagnosis and management, 2:183, 222,
80-81
uroradiographic evaluation of, 2:1 82, 80-
81
Environmental deprivation, 1 :265, 79-80Epidermal nevi, 1 :48, 79-80
Epididymitis, 3:105, 81-82
Epiglottitis, 1 :1 73, 79-80
Epilepsyfocal, 1 :141 , 79-80
posttraumatic, 3:221, 81-82
status, 1:219, 79-80Epinephrine
in asthma, 1 :301 , 79-80in cramp, 1 :1 76, 79-80
Erythroblastosis fetalis, 3:305, 81 -82Erythrocyte protoporphyrin in lead poisoning,
2:293, 80-81Estradiol, maternal, for assessing fetal lung
maturity, 2:228, 80-81
Exerciseasthma-induced, 1 :301 , 79-80hematuria induced by, 3:225, 81-82
Exploding glass bottles, dangers of, 3:98, 81-
82Eye exercises in learning disorders, 1 :1 5, 79-
80
Failure to thrive, 1 :265, 79-80
Family stress, 2:1 97, 80-81Family violence, 2:197, 80-81
Fat emulsions, intravenous, use in parenteralnutrition, 2:99, 80-81
Febrile seizures
immunizations and, 2:209, 80-81 ; 3:84,
81-82management and commentary, 2:209, 80-
81
Fetal alcohol syndrome, 1 :1 65, 79-80Fetal circulation, persistent, 2:37, 80-81Fetal drug syndromes, 2:89, 80-81Fetal lung maturity, methods of assessment,
2:228, 80-81
Fetal monitoring , intrauterine, complications
including scalp abscess, 2:292, 80-81
Fetal ultrasound for assessing fetal maturity,2:228, 80-81
Fever
in children, 1 :35, 51 , 79-80
influenza as cause of, in infancy, 2:30, 80-
81
management, 2:35, 80-81
Fingertip, distal amputation, 3:66, 81-82Flammable fabrics act, 2:75, 80-81Fleet enemas, complications, 2:238, 80-81Fluid and electrolyte therapy, 3:1 1 3, 81 -82
Fluid therapy
in diabetes, 1 :259, 79-80
in infants, 1 :31 3, 79-80
Fluoride
correct doses, 2:1 58, 80-81prevention of dental caries and, 3:1 3, 81-
82
Foam test for fetal lung maturity, 2:228, 80-
81Food allergy, 3:213, 81-82Food fads, 1 :207, 79-80Foster care, 1 :57, 79-80
Funerals, 1 :337, 79-80
Fungal infections of skin,
263, 81-82
Galactosemia, 2:1 75, 31 8, 80-81
Gallstones, ultrasound and, 2:332, 80-81Gasoline sniffing, lead poisoning and, 2:238,
80-81Gastroesophageal reflux
1:83, 122, 178, 79-80
diagnosis, 2:208, 80-81neurologic and psychologic symptoms,
2:12, 80-81
treatment with bethanechol, 2:57, 80-81Gastrointestinal bleeding, 1 :77, 79-80Genetic counseling
1 :283, 79-80and, 2:290, 80-81congenital anomalies and, 2:155, 80-81
paternal age and, 2:94, 80-81
Genetics, 3:4, 81-82
Genital abnormalities, 3:273, 81-82
Gentamicin in newborns, 1 :61 , 336, 79-80Giardiasis, 1 :1 6, 79-80
Glomerulonephritis, 2:31 1 , 80-81
Glucose-6-phosphate dehydrogenase defi-ciency, drug-induced hemolytic episode
due to, 2:254, 80-81
Goiter in childhood, 3:331 , 81-82Gonadal dysgenesis, 3:171, 81-82Gonococcemia, 1 :1 83, 79-80
Gonorrheadiagnosis of asymptomatic, 2:283, 80-81
recurrence, 2:212, 80-81
therapy, 1 : 1 40, 246, 79-80treatment, 2:212, 80-81
Grief, 1 :337, 79-80
Group B streptococcal infections in neonates,1 :5, 79-80
Group B streptococcal prophylaxis, 3:304,
81-82
INDEX
pediatrics in review #{149} vol. 3 no. 10 aprii 1982 PIR 347
Growthadolescents and, 2:268, 80-81congenital failure. 3:171, 81-82
constitutional delay, 3:1 71, 81-82
constitutional short stature, 2:244, 80-81Growth hormone, exercise test, 3:171, 81-82
Growth retardation
2:244, 80-81Crohn’s disease and, 2:239, 80-81
Haemophilus influenzae
pneumonia due to, 3:105, 81-82
secondary cases, 2:254, 80-81
Hair
fungal infections of, 3:41 , 263, 81-82loss of, 3:85, 263, 81 -82
Haloperidol for Tourette’s disease, 2:55, 80-81
Head trauma, 2:269, 80-81Headache
see also Migrainecluster, 3:257, 81-82
contraction, 3:257, 81 -82
tension, 3:257, 81-82
Hearing deficit due to otitis media, see Pedi-
atrics 65(5):91 7, 1980Heart block, complete A-V block, 1 :300, 79-
80Heart disease
congenital, echocardiography, 2:300, 80-
81
evaluation, 3: 1 90, 342, 81 -82
role of pediatrician, 3:1 03, 81 -82Heart murmurs, in children, 3:321 , 81 -82
Heatstroke, 3:179, 81-82Hematuria, due to exercise, 3:225, 81-82
Hemiplegia, acute, diagnosis by CT scan,2:139, 317, 80-81
Hemophilia, management of oral bleeding,2:254, 80-81
Hemorrhage, retinal, in newborn, 3:50, 81 -82Hepatitis
neonatal, 3:305, 81-82non-A non-B, pregnancy and, 2:1 21 , 80-
81
pregnancy and, 2:1 21 , 80-81prevention, 1:27, 164, 182, 79-80
Hepatitis A, prophylaxis in infant, 2:1 21 , 80-
81
Hepatitis B
breast-feeding and HBsAg carrier mothers,
3:65, 81-82
prophylaxis in infant, 2:1 21 , 80-81
Hernia
diaphragmatic, late sequelae, 3:66, 81-82
inguinal, pseudohermaphroditism and,
3:273, 81-82
Heroin withdrawal, in neonate, 3:285, 81-82Herpes simplex encephalitis, 2:259, 80-81
Hexachlorophene toxicity, 1 :1 22, 79-80
Hip, transient synovitis of, 3:56, 81-82
Hirschsprung’s disease, differential diagnosisfrom encopresis, 2:285, 80-81
Hot water heaters, prevention of burns,
2:326, 80-81Human competence, origins, 2:310, 80-81Human diploid cell vaccine, rabies, 2:290,
80-81
Hydantoin, fetal syndrome, 1 :1 65, 79-80
Hydrocarbon pneumonia, late sequelae,
3:66, 81-82Hydrocephalus
2:269, 80-81obstructive, diagnosis by CT scan, 2:139,
80-81
Hydrops fetalis, 3:305, 81-82Hyperactivity syndrome, 3:91 , 1 67, 81 -82
Hyperalimentation
2:99, 80-81Crohn’s disease and, 2:239, 80-81
Hyperbilirubinemia
due to hyperviscosity-polycythemia, 2:182,80-81
in newborn, 3:305, 81-82
Hypercholesterolemia, 2:1 31 , 80-81
Hyperkalemia, in exchange transfusion,3:305, 81-82
Hypernatremia due to Fleet enemas, 2:238,
80-81
Hyperplasia, congenital adrenal, 3:272, 81-
82
Hypersensitivityinsect stings, 1 :270, 79-80
pneumonia, 1 :229, 79-80
Hypertension
adolescents and, 3:235, 81-82
assessment, 1:186, 79-80; 2:18, 80-81
Hypertensive crisis, 1 :1 86, 31 2, 79-80
Hyperthyroidism3:331, 341, 81-82
diabetes mellitus and, 2:284, 80-81
Hypertonic dehydration, 3:1 1 3, 81-82Hyperventilation, salicylate intoxication,
2:253, 80-81
Hyperventilation syndrome in children, 2:88,
80-81
Hyperviscosity syndrome in newborn, 2:182,
80-81
Hypocalcemia due to Fleet enemas, 2:238,80-81
Hypogammaglobulinemia
1 :99, 79-80
transient, 3:225, 81 -82
Hypoglycemia
hyperviscosity-polycythemia caused,
2:182, 80-81
neonatal, 2:291 , 80-81
Hyponatremia
causes and management, 2:187, 80-81
dehydration, 3:1 13, 81-82
metabolic alkalosis and, 3:56, 81 -82
Hypospadias
1 :254, 79-80in pseudohermaphroditism, 3:273, 81 -82
sonography in diagnosis, 2:25, 80-81
Hypothyroidismscreening, diagnosis, and treatment, 2:67,
80-81
short stature and, 3:1 71 , 81-82Hypoventilation, 3: 1 30, 81 -82
Hysterical seizures, in response to stress,3:292, 81-82
Ichthyosis, lamellar, 2:213, 80-81Idiopathic thrombocytopenic purpura, man-
agement, 2:294, 80-81; 3:12, 81-82Imipramine poisoning, 1 :31 7, 320, 79-80Immunization, febrile seizures and, 3:84, 81 -
82Immunodeficiency
complement abnormality due to, 3:76, 81-
82diseases, 1 :99, 79-80infections in, 1 :1 1 6, 79-80
Immunoglobulin for intravenous use, 2:144,80-81
Incest, 2:51 , 80-81Infant feeding, breast milk, 1 :289, 79-80Infection
neonatal, protection of normal flora, 2:1 1,80-81
shunt, treatment of, 2:253, 80-81Infectious diseases, children with cancer and,
2:252, 80-81
Infectious mononucleosis
diagnostic methods, 3:1 58, 81-82
psychological sequelae, 2:88, 80-81tests, 2:253, 80-81
Infective endocarditis, 3:226, 230, 81-82
Influenza virus, clinical manifestations, 2:3080-81
Injuriesfrom exploding glass bottles, 3:98, 81-82
in child abuse, 2:197, 80-81in sports, 2:229, 80-81
Insect hypersensitivity, 1 :270, 79-80Insulin, 1 :259, 79-80
Intensive care unitnormal bacterial colonization, 2:1 1 , 80-81parental visiting, 2:4, 80-81
Interstitial pneumonia, 1 :229, 79-80
Intestinal resection, small bowel and, 3:292,81-82
Intestine, obstruction of, in newborn, 3:121,81-82
Intracranial pressurediagnosis and treatment, 2:269, 80-81
monitoring in Reye syndrome, 1 :31 1 , 79-
80Intrauterine fetal monitoring, complications in-
cluding scalp abscess, 2:292, 80-81
Intraventricular hemorrhage in premature in-fants, 2:145, 80-81
10 testing, 2:41 , 80-81Iridocyclitis, rheumatoid arthritis and, 2:163,
80-81Irritable bowel syndrome, 3: 1 53, 1 58, 81-82
Isoproterenolin asthma, 1 :301 , 79-80in septic shock, 2:83, 80-81
Jaundice, in newborn, 1 :67, 79-80; 3:305,81-82
Index
PIR 348 pediatrics in review #{149} vol. 3 no. 10 april 1982
Jitteriness, narcotic withdrawal syndrome in
newborn and, 3:285, 81-82Juvenile rheumatoid arthritis-see Rheuma-
toid arthritis
Kanamycin in newborn, 1 :61 , 336, 79-80Kawasaki syndrome, 2:1 07, 80-81Kwell, potential toxicity, 1 :93, 79-80
Lactoseintolerance, abdominal pain and, 1 :218,
79-80malabsorption after diarrhea, 2:1 44, 80-81
Laryngotracheomalacia, 3:1 46, 81-82Lead poisoning
2:238, 293, 80-81
anemia in, 1 :1 96, 79-80
Learning disability
2:5, 80-81; 3:91, 167, 81-82
eye exercises, 1 : 1 5, 79-80megavitamins, 1 : 1 5, 79-80
Learning disorders, precursors, 2:5, 80-81
Lecithin/sphingomyelin ratio for measuringfetal lung maturity, 2:228, 80-81
Leukemia
cell type and prognosis, 2:54, 80-81
CNS complications, 1 : 1 32, 79-80measles exposure, 1 :228, 79-80
Pneumocystis carinii, 1 : 1 96, 79-80
prognostic factors, 1 :31 2, 79-80
testicular biopsy priorto termination of ther-apy, 1 :31 1 , 79-80
Limp, due to synovitis of hip, 3:56, 81-82
Lipoprotein, coronary artery disease and,
2:131, 80-81Lomotil intoxication, 1 :1 58, 79-80Lung disease, late sequelae, 3:66, 81-82Lupus erythematosus, systemic, 3:107, 81-
82
Lyme arthritis, 3:55, 342, 81 -82
Macrobiotic diet, 1 :207, 79-80
Macrocrania, diagnosis by CT scan, 2:139,80-81
Malaria, prevention, 1 :27, 79-80
Malformation
congenital, 3:267, 81-82of fetus and infant, 3:57, 81 -82
Measlesatypical, 3:55, 342, 81-82immunization, 1 :246, 79-80revaccination of recipients of killed measle
vaccine, 3:55, 342, 81-82Meckle’s diverticulum, diagnosis, 1 :82, 79-
80Megavitamins in learning disorders, 1 :1 5, 79-
80Melanocytic nevi, 1:47, 79-80Meningitis
complications, 3:152, 81-82
countercurrent immunoelectrophoresis in
diagnosis of, 2:94, 80-81
penicillin-resistant pneumococcal, 3:50,
81-82
Meningococcal contacts, 1 :333, 79-80; 2:40,
80-81
Meningococcal infection, prophylaxis, 1 :333,
79-80; 2:40, 80-81
Menorrhagia, 3:331 , 81-82
Mental retardationcounseling parents, 2:41 , 80-8 1
diagnosis and management, 2:41 , 80-81
Mesothelioma, due to asbestos, 3:130, 81-
82
Metabolic alkalosis, see Alkalosis, metabolic
Metaproterenol in asthma, 1 :301 , 79-80
Methadone withdrawal, in neonate, 3:285,
81-82
Methicillin, renal toxicity and, 2:284, 80-81
Methylmalonic acidemia, 2:1 75, 80-81Methylphenidate, attention deficit syndrome
and, 3:91, 167, 81-82
Migraine, see also Headache
basilar artery, 3:257, 81-82
hemiplegic, 3:257, 81-82
ophthalmoplegic, 3:257, 81-82
Migraine equivalents, cyclic vomiting, 2:300,
80-81
Milk
constituents of human and cow, 3:304, 81-
82
cow, allergy, 3:213, 81-82
Minimal lesions nephrotic syndrome, 2:31 1,
80-81
Miosis with drug ingestions, 1 :1 21 . 79-80Mist tent
cystic fibrosis, 2:29, 80-81
infection and, 2:251 , 80-81Mitral valve prolapse, 1 : 1 37, 79-80;. 3:106,
321, 81-82
Mortality, perinatal, smoking and, 2:1 2, 80-81
Mother-child interaction, 1 :265, 79-80; 2:30,
80-81
Mother-infant interaction, 2:4, 80-81Mucocutaneous lymph node syndrome,
2:107, 80-81
Munchausen syndrome by proxy, 3:64, 81-82
Mutations, effect of paternal age, 2:94, 80-81
Myelomeningocele, bladder paralysis and,3:283, 81-82
Myoglobinuria, red urine and, 2:278, 80-81
Myositis with viral infections, 1 :222, 79-80
Myringotomy, see Pediatrics 65(5):91 7,
1980
Naloxone, in treatment of apnea, 2:120, 80-
81
Narcotic withdrawal syndrome, 3:285, 81 -82Nasal septal trauma, 3: 1 52, 81-82
Necrotizing enterocolitis, 1 :30, 79-80; 3:1 21,81-82
Neonatal intensive care, parental needs, 2:4,
80-81
Neonatology, recent progress, 3:71 , 81-82
Nephrosonography, 2:25, 80-81
Nephrotic syndrome, 2:31 1 , 80-81
Nervous system complication of CMV, 2:245,
80-81
Nesidioblastosis of pancreas, 2:291 , 80-81
Neural tube defects
2:58, 80-81
counseling, 1:187, 283, 79-80
prevention, 1 :1 87, 283, 79-80
Neuroblastoma, management, 3:21 2, 81 -82Neurofibromatosis, multiple forms of, 3:293,
81-82
Neurogenic dysfunction of bladder, 3:340,
81-82
Neutropenia
cyclic, 3:108, 81-82
drug induced, 3:108, 81-82
Nevi, 1 :21 , 47, 79-80
Newborn, sepsis, prevention, 2:1 1 , 80
Nuclear medicine, 1 :77, 1 09, 79-80
Nursing bottle caries, 3:13, 81-82
Nutrition, preterm infant, 3:304, 81-82Nutritional rickets in premature infants,
2:277, 80-81
Obesity
diagnosis and management, 3:180, 81-82
treatment, 2:267, 80-81
Orchitis, 3:105, 81-82
Ornithine transcarbamylase deficiency, 2:
175, 80-81
Orthodonture problems, 3: 1 3, 81 -82
Orthopaedic evaluation for participation insports, 2:229, 80-81
Osteoid osteoma, clinical picture, 2:212, 80-
81
Osteomyelitis
diagnosis, 1:80, 153, 300, 79-80; 2:18,
80-81of pelvis, 2:278, 80-81
Otitis media
see Pediatrics 65(5):91 7, 1980
experimental, 3:1 29, 81 -82in infants, 2:106, 80-81
spontaneous improvement, 2:1 53, 80-81
Oxandrolone, treatment in short stature,3:171, 81-82
Pacemaker for A-V block, 1 :300, 79-80Pancreas
fi cell adenoma of, 2:291 , 80-81
fi cell hyperplasia of, 2:291 , 80-81
Parent needs, infant in intensive care, 2:4,80-81
Parenteral nutrition, 2:99, 80-81Parenting, 2:13, 80-81
Paresthesias, hyperventilation-induced, 2:88,
80-81Patent ductus arteriosus, 3:321 , 81-82
INDEX
pediatrics in review #{149} vol. 3 no. 10 april 1982 PIR 349
Patient management problem, 1 :67, 79-80
Penicillin
hypersensitivity, 1 :1 32, 79-80; 2:327, 80-
81; 3:49, 81-82
pneumococci insensitive to, 3:50, 81 -82
sensitivity, skin test, 1 :335, 79-80
Penicilloyl-polylysine skin tests, 1 :1 32, 79-80
Peptic ulcer in children, 2:294, 80-81
Pericardial effusion in rheumatoid arthritis,
1:217, 79-80
Perinatal care, usefulness, 1 :222, 79-80
Periodontal disease, 3:1 3, 81 -82
Periorbital cellulitis, 1 :202, 79-80
Persistent fetal circulation (PFC), 2:37, 80-81
Pharyngitis, streptococcal, 3:35, 81 -82
Phencyclidine poisoning, 1 :1 7, 79-80
Phenoxybenzamine (Dibenzyline) in septic
shock, 2:83, 80-81
Phenylketonuria, 2:1 75, 80-81
Phototherapy, fluid requirements, 1 :1 57,313, 79-80
Physical symptoms in incest, 2:51 , 80-81
Physician role in team sports, 2:229, 80-81
Pituitary dwarfism, 3:1 71 , 81 -82
Playground safety, 2:75, 80-81Pneumatocele, causes, 2:94, 80-81Pneumococcal infection , penicillin-insensi-
tive, 3:50, 81-82
Pneumococcal vaccine
after splenectomy, 1 : 203, 79-80
in sickle cell disease, 1 :1 78, 79-80
Pneumocystis carinii in leukemia, 1 :1 96, 79-
80Pneumonia
chlamydial, conjunctivitis and, 3:77, 167,
81-82
Haemophilus influenzae-induced, 3:105,
81-82
Pneumonitis, hydrocarbon sequelae, 2:196,80-81
Pneumothorax, use of transillumination in di-agnosis, 2:268, 80-81
Poisoning
camphor, 2:212, 318, 80-81
imipramine, 1 :31 7, 320, 79-80
intentional, 3:64, 81-82
lead, 1:196, 79-80; 2:238, 293, 80-81Poison prevention, 2:75, 80-81Poliomyelitis
prevention, 1 :26, 79-80
vaccine in immunosuppressed patients,
3:56, 81-82
Polychlorinated biphenols (PCBs) in breast
milk, 2:279, 80-81
Polycythemia in newborn, 2:1 82, 80-81
Polyps, in colon, 3:330, 81-82
Port wine nevi, 1 :21 , 79-80Postmaturity, follow-up, 1 :294, 79-80
Prader-Willi syndrome, cytogenetics and,
3:333, 81-82
Pregnancy in adolescents, 1 :1 23, 79-80
Premature infantintraventricular hemorrhage, 2:145, 80-81
parental visiting, 2:4, 80-81
Prenatal diagnosis, 1 :283, 79-80Preparticipation examination for sports,
2:229, 80-81
Prevention
accidents, 2:75, 80-81
alcohol abuse, 2:1 9, 80-81
allergy, 1 :294, 79-80
behavior problems, 2:13, 80-81
burns, 2:75, 326, 80-81
car seats, 2:31 7, 80-81
coronary artery disease, 2:131 , 80-81
drug abuse, 2:19, 80-81
eczema, 1 :1 58, 79-80
malaria, 1 :27, 79-80
poisoning, 2:75, 80-81
poliomyelitis, 1 :26, 79-80
subacute bacterial endocarditis, 1 :244, 79-
80
travel and, 1 :25, 79-80
yellow fever, 1 :25, 79-80
Priscoline in persistent fetal circulation, 2:37,
80-81
Prophylaxis of endocarditis, 3:226, 81 -82
Propranolol, risk to neonate when given dur-
ing pregnancy, 2:54, 80-81
Prostaglandin inhibitors, dysmenorrhea and,
3:284, 81-82
Pseudoepilepsy, in response to stress, 3:292,81-82
Pseudohermaphroditism, male, 3:273, 81-82
Pseudomembranous colitis, antibiotic-in-duced, 3:147, 81-82
Pseudotumor cerebri, 2:269, 80-81Psychiatric symptoms, gastroesophageal re-
flux induced, 2:12, 80-81
Psychological problems, 3:135, 81-82
Psychological symptoms in incest, 2:51 , 80-
81
Psychological tests in pediatrics, 2:301 , 80-81
Pulmonic stenosis, 3:321 , 81-82Punishment, 2:13, 80-81
Purpura, idiopathic thrombocytopenic, man-agement, 2:294, 80-81
Pyuria, urinary tract infection and, 2:30, 80-
81
Rabies, 2:290, 80-81
Rabies prophylaxis, 1 :46, 336, 79-80; 2:40,
80-81
Rabies vaccine, human diploid cell vaccine,
2:290, 80-81
Radiant warmers, fluid requirements, 1 :313,79-80
Radioallergosorbent test (RAST) in allergy,
2:327, 80-81
Reading disability, eye exercises, 1 :1 5, 79
Rectal bleeding, 3:330, 81-82Recurrent bacterial infections, 1 :99, 1 1 6, 79-
80Reiter syndrome, juvenile rheumatoid arthritis
and, 2:163, 80-81
Renal artery occlusion, 1 :1 09, 1 32, 79-80Renal biopsy in nephrotic syndrome, 2:31 1,
80-81Renal damage, methicillin and, 2:284, 80-81Renal failure
hyponatremia and, 2:187, 80-81
in infancy, use of nephrosonography, son-
ography, and ultrasound, 2:25, 80-81in newborn, 2:25, 80-81
Renal function, causes of red urine, 2:278,
80-81
Renal transplantation, indications, 3:1 65, 81-
82Reproductive capacity of mentally retarded,
2:41 , 80-81
Respiratory disease in childhood, sequelae,
2:196, 80-81
Respiratory distress syndrome, 1 :31 3, 79-80
Respiratory failure, recognition and evalua-
tion, 3:247, 81-82Retinal hemorrhage, in newborn, 3:50, 81-82
Retinoblastoma, 3:332, 81-82Reye syndrome, 1 :228, 31 1 , 79-80Rheumatoid arthritis, 1 :1 54, 79-80; 2:163,
80-81
Rickets, in premature infants, 2:277, 80-81
Rifampin prophylaxis, side effects in menin-
gococcal disease, 1 :333, 79-80Risk factors, coronary artery disease, 2:131,
80-81
Roentgenograms, use in sports medicine,2:217, 80-81
Rosacea due to steroids, 3:66, 81-82Rotavirus diarrhea, 1 :1 77, 79-80; 3:298, 81-
82Rubella reimmunization, 2: 1 26, 80-81
Rumination syndrome, 3:246, 81-82
Salicylate intoxication causing hyperventila-tion, 2:253, 80-81
Salmon patch, 1 :21 , 79-80Scabies, 1 :91 , 79-80Scalds, prevention, 2:75, 80-81
Scalp abscess in intrauterine fetal monitoring,2:292, 80-81
School failure, precursors, 2:5, 80-81School programs in alcohol prevention, 2:19,
80-81
Screening
a-i -antitrypsin, 2:93, 80-81
hypothyroidism, 2:67, 80-81mental retardation, 2:41 , 80-81
tuberculosis, 3:271, 81-82urinary tract infection, 1 :1 31 , 79-80
Seat belts, 2:75, 80-81Seizures
febrile, 2:209, 80-81focal, 1:141, 79-80gastroesophageal reflux induced, 2:1 2, 80hysterical, stress-induced, 3:292, 81 -82
Sepsis in newborn, group B streptococcal,1 :5, 79-80
Sexual abuse, 2:1 97, 80-81
Sexual behavior, counseling, 3:204, 81-82
Shock
in newborn, use of indirect blood pressure,1:116, 79-80
septic, diagnosis and therapy, 2:83, 80-81
Shoes, corrective, 3:65, 81-82
Index
PIR 350 pediatrics in review #{149} vol. 3 no. 10 april 1982
Short bowel syndrome, 3:292, 81 -82Short stature
2:244, 80-81; 3:171, 81-82cardiacdiseaseand, 3:179, 81-82
in adolescents, 2:268, 80-81Shunt infections, antibiotics and, 2:253, 80-
81
Sickle cell diseasedifferential of infection, 1 :1 45, 1 64, 1 78,
79-80pneumococcal vaccine, 2:153, 80-81
Skateboard accidents, 2:208, 80-81Skin, fungal infections of, 3:41 , 81-82Skin tests
allergy, 2:327, 80-81; 3:49, 81-82penicillin sensitivity, 1 :335, 79-80; 2:327,
80-81; 3:49, 81-82Sleep states, 2:1 1 5, 80-81Small bowel resection, complications, 3:292,
81-82
Smokingeffects on adolescents with prior lung dam-
age, 2:196, 80-81passive, effect on children, 2:196, 80-81pregnancy and, 2:12, 80-81
Sodium bicarbonate in respiratory distresssyndrome, 1 :31 3, 79-80
Sodium phosphate enemas, complications,2:238, 80-81
Sonography, diagnosis of renal vein throm-bosis, 1 : 1 32, 79-80
Soy bean intolerance, 2:1 96, 80-81
Spasticity, gastroesophageal reflux induced,
2:12, 80-81
Spermatic cord torsion, 1 :1 1 2, 79-80
Splenic trauma, 1 :203, 206, 79-80
Sports injuries, 2:229, 80-81
Sports medicine, role of physician, 2:229, 80-
81
Sports participationcardiovascular evaluation for, 2:229, 80-81
disqualifying conditions for participation in,
2:229, 80-81examination for, 2:229, 80-81role of physician to the team, 2:229, 80-81
Stature, 2:244, 268, 80-81
Steroid rosacea, 3:66, 81 -82
Steroids in croup, 1 :1 77, 79-80
Stillbirthscauses, 3:57, 81-82counseling, 2:59, 80-81
Streptococcal infection
in newborn, 1 :5, 79-80treatment, 3:40, 81-82
Streptococcal pharyngitis, 3:35, 81 -82
Stress roentgenograms, 2:21 7, 80-81
Stridor, etiology, 3:1 46, 81 -82
Subacute bacterial endocarditis, prevention,1:244, 79-80
Sudden infant death, child abuse and, 2:197,80-81
Suicide, 1 :1 79, 79-80
Synovitis of hip, 3:56, 81-82
Systemic lupus erythematosus, 3:107, 81-82
Tachycardia, 3:190, 342, 81-82
Television and children, 1 :329, 79-80; 2:114,
80-81
Temperament, 2:13, 80-81
Terbutaline in asthma, 1 :301 , 79-80
Test
Denver Developmental Screening, 2:41,
50, 80-81
developmental assessment, 2:301 , 80-81
diagnostic, countercurrent immunoelectro-
phoresis, 2:94, 80-81
foam, for fetal lung maturity, 2:228, 80-81
infectious mononucleosis, 2:253, 80-81
lQ, 2:41 , 80-81
learning disorders, 2:5, 80-81
psychological, 2:301 , 80-81
radioallergosorbent test (RAST) in allergy,2:327, 80-81
skin, for allergy, 2:327, 80-81skin, penicillin sensitivity, 1 :335, 79-80;
2:327, 80-81; 3:49, 81-82Testicular biopsy in leukemia, 1 :31 1 , 79-80
Testicular feminization syndrome, 3:273, 81-82
Testicular scans, 3:1 05, 81 -82Testicular torsion, 3:1 05, 81 -82Theophylline
in apnea, 2:1 1 5, 80-81in asthma, 1 :301 , 79-80
neonatal effects, 3:204, 81 -82
placental transfer, 3:204, 81 -82Thrombocytopenia
2:294, 80-81in newborn, 1 :271 , 79-80
Thyroid disease, diabetes mellitus and,2:284, 80-81
Thyroid disorders, 3:331, 341, 81-82
Thyroid nodules, diagnosis, 1 :1 14, 79-80
Tics in childhood, 2:55, 80-81
Tinea versicolor, 3:41 , 81-82
Tofranil overdose, 1 :31 7, 79-80
Toilettraining, 2:13, 285, 80-81
Tolazoline, in persistent fetal circulation,2:37, 80-81
Tolmetin in rheumatoid arthritis, 2:1 63, 80-81
Tonsillectomy, sore throats and, 1 :21 8, 79-80
Torticollis, gastroesophageal reflux induced,
2:12, 80-81Tourette’s disorder, 2:55, 80-81
Toxicity, placental transfer of theophylline
and, 3:204, 81-82Transillumination of chest for diagnosis of
pneumothorax, 2:268, 80-81
Travel, prevention during, 1 :25, 79-80
Triglycerides, coronary artery disease and,2:131, 80-81
Trisomy syndromes, cytogenetics and,
3:333, 81-82Tuberculosis screening, 3:271 , 81-82
Tumor
brain, 2:269, 80-81
risk of second, 1 :222, 79-80Turner syndrome, cytogenetics and, 3:333,
81-82
Tympanometry
see Pediatrics 65(5):91 7, 1980
indications, 2:266, 80-81
use, 2:153, 80-81
Tympanostomy tubes-see Pediatrics 65(5):
917, 1980
Typhoid fever, prevention, 1 :27, 79-80
Ulcer disease, diagnosis, 2:294, 80-81
Ulcerative colitis, complications, 3:320, 81-
82
Ultrasound
for assessment of fetal maturity, 2:228, 80-
81
gallstones and, 2:332, 80-81
head, neck, chest, 2:332, 80-81
in evaluation of renal disease, 2:25, 80-81
Umbilical vessel, hazards in use for medica-
tion administration, 2:88, 80-81
Urethritis
nongonococcal, due to chlamydial infec-
tion, 3:77, 167, 81-82
nonspecific, Chlamydia, 2:40, 80-81
recurrent, 2:212, 80-81
Urinalysis, routine, on hospital admissions,
3:272, 81-82
Urinary sodium concentration in diagnosis of
hyponatremia, 2:1 87, 80-81
Urinary tract infection
1:131, 133, 79-80
cost benefit, 1 :340, 79-80
enuresis and, 2:183, 80-81
pyuria and, 2:30, 80-81
Urinary tract reflux, 1 :1 09, 79-80
Urine, red, causes, 2:278, 80-81
Uroradiologic evaluation, 2:1 82, 80-81
Vaccine
febrile seizures and, 3:84, 81 -82
human diploid cell, 2:290, 80-81
killed measles, 3:55, 342, 81-82
live virus storage, 1 :201 , 79-80
pneumococcal, 2:153, 80-81
poliomyelitis in immunosuppressed pa-
tients, 3:56, 81-82
Vaginal discharge, 2:31 9, 80-8 1
Vancomycin in pediatrics, 3:40, 81-82
Varicella in children with cancer, 2:252, 80-
81
Vascular nevi, 1 :21 , 79-80
Vegetarian diet
1 :207, 79-80
vitamin B12 deficiency in breast-fed infants,
2:228, 80-81
Venereal disease, asymptomatic, 2:283, 80-
81
Ventricular septal defect, 3:321 ,81 -82
Vesicoureteral reflux, in neurogenic dysfunc-
tion of bladder, 3:340, 81-82
Vidarabine for herpes encephalitis, 2:259,
80-81
Multiple
developmental
fields
Single
developmental
field
Nature of problem
Intrinsic Extrinsic
��ple Single Chronic
Dyshistogenesis developmental developmental mechanical
fields field factor
___ � � ___
MALFORMATION DYSPLASIA [DISRUPTION DEFORMATION
/ /\ /\ Imonotopic polytopic monotopic polytopic monotopic polytopic
__________ \ 0’ � $ __________ \ p� ____________Malformation Malformation � Dysplasia Dysplasia Disruption �Disruption � Deformation
syndrome sequence [�ff�ence syndrome syndrome [ sequence ] sequence
INDEX
pediatrics in review #{149} vol. 3 no. 10 april 1982 PIR 351
Vitamin B,2 deficiency in breast-fed infant,2:228, 80-81
Vitamin E deficiency and anemia, 1 :247, 79-
80Vitamin requirements in premature infants,
2:277, 80-81
Vomiting
cyclic, 2:300, 80-81; 3:257, 81-82
recurrent, 1:77, 79-80Von Recklinghausen disease, 3:293, 81-82Vulvovaginitis, 2:319, 80-81
Water bug contamination of mist tents, 2:251,80-81
Well child care, use of groups in, 3:291 , 81-
82
Wheezing in children, differential diagnosis,1 :239, 79-80
Whiplash injury, due to child abuse, 2:197,
80-81
Wilms’ tumor, 1 :1 1 5, 79-80
Wilson disease, diagnosis and treatment,
2:291, 80-81
Erratum
Working mothers, 1 :277, 79-80
Xanthines in apnea, 2:1 1 5, 80-81
Yellow fever, prevention, 1 :25, 79-80
Zinc
deficiency, 3:284, 81-82
in human illness, 2:88, 80-81
In the March issue of PIR, in the article ‘ ‘What the General PediatricianShould Know About Developmental Anomalies’ ‘ by Opitz (3:267, 1 982), Fig3 (p 270) was not reproduced clearly and has been reprinted below. Theprinter regrets the error.
Fig 3 Scheme devised by the International Working Group to illustrate use of teuninology it devised (Reproduced with permission from
Spranger et al �)