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Pediatric Clerkship Syllabus Supplement:

Study Guide for Primary Care Pediatrics

Objective

          Topics

Resources

standard text for clerkship
Nelson’s Essentials of Pediatrics, 4th Edition  &

other useful resources:

4,6


Normal
developmental milestones
what are the most important markers for you to assess?


Harriet Lane Handbook
 
&
 

Bright Futures   
            infancy 0-11 months

            early childhood 1-4

            middle childhood 5-10

            adolescence 11-21


 

 


Well child care

Templates for clinic visits


Bright Futures
            infancy 0-11 months

            early childhood 1-4

            middle childhood 5-10

            adolescence 11-21

 

Clinical Reference Systems:
Pediatric Advisor
 

·        within EPIC  (EMR) in the
       UTMB Primary Care Pavilion
 

·         or from Moody Medical Library
Products ðElectronic Books ð MD Consult 
Handouts are found under Patient Handouts.

7

safety counseling


4,5,7,10

psychosocial screening

are there any risk factors for
 mental health problems or family problems (including HEADSS system for adolescents)


4,7,9,10

anticipatory guidance
 (wellness promotion)
how to promote health and development
for the next stage of development
(including guidelines for dental health,
nutrition, exercise and TV)

7,9


Nutrition

BMI, breastfeeding,
 infant formulas & their indications, introducing solids, weaning from bottle,
dietary recommendations for older children
& for overweight/underweight children


Beach, Revai, Niebuhr. 
Nutrition in Infancy, Childhood and Youth:  Foundations for Life  (2006)

 

BMI calculator:   http://www.nhlbisupport.com/bmi/

 

2


Anemia in children

common causes,
diagnostic tests, treatment

 

2


Lead poisoning

risk factors, diagnostic tests, treatment,
relationship to iron-deficiency anemia

 

2

 

Otitis media

diagnosis, treatment, pathogens,
complications, prognosis

CDC treatment algorithm

D. P. McCormick. 
Acute Otitis Media

 


 

2

Other common
childhood infections

(viral URI, sinusitis, gastroenteritis)

diagnosis, treatment, pathogens, complications, prognosis

 

2

Allergic rhinitis
diagnosis, risk factors, management

 

2

Asthma
diagnosis;
different levels of severity,
emergency treatment,
and outpatient management
(by level of severity)
 

Practical Guide for the Diagnosis and Management of Asthma.  summary of the 1997 Guidelines from the National Asthma Education and Prevention Program (NAEPP) from the National Heart, Lung Blood Institute, Dept. of Health & Human Services, National Institute of Health.

This concise manual was designed to help the busy primary care provider implement the recommendations in the NAEPP's 1997 clinical practice guidelines. Emphasizing practical information, it outlines key actions clinicians and patients can take to effectively work together in managing asthma. A variety of implementation aids are provided, including medication dosage charts, glossaries of medication brand names, patient self-assessment forms, and several reproducible patient handouts.
beware if printing - this file is 74 pages


For a very brief summary of the above, study the tables on pages 11-13 of the file

 

UTMB Clinical Practice Guidelines

 

 

 

4


Growth disorders

How to use & interpret a growth chart;
Pathologic causes of short stature;
understanding the difference between:
- Familial short stature
- Constitutional growth delay
 

 

 

CDC Growth Charts

2


Common dermatologic problems

atopic dermatitis; seborrheic dermatitis;
acne; viral exanthems
 

 

Zitelli, BJ, editor: Atlas of Pediatric Physical Diagnosis, 2nd Edition &

2,4


Common
behavioral/emotional
problems

tantrums
sleep problems
ADHD
depression

 

 

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