ML KULKARNI MD FIAP FAMS FIMSA FCPCC (LON) FRCPCH (UK) MNAS (NY) Professor and Head Department of Pediatrics JJM Medical College Davangere 577004, Karnataka
Editorial Assistant Bathini Srinivasulu MD
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
EMCA House, 23/23B Ansari Road, Daryaganj
New Delhi 110 002, India
Phones: 3272143, 3272703, 3282021 Fax: 011-3276490
e-mail: jpmedpub@del2.vsnl.net.in
Visit our web site: http://www.jpbros.20m.com
Branches
- 202 Batavia Chambers, 8 Kumara Kruppa Road, Kumara Park East,Bangalore 560 001, Phones: 2285971, 2382956 Tele Fax: 2281761e-mail: jaypeebc@bgl.vsnl.net.in
- 1A Indian Mirror Street, Wellington SquareCalcutta 700 013, Phone: 2451926 Fax: 2456075e-mail: jpbcal@cal.vsnl.net.in
- 282 IIIrd Floor, Khaleel Shirazi Estate, Fountain PlazaPantheon Road, Chennai 600 008, Phone: 8262665 Fax: 8262331e-mail: jpmedpub@md3.vsnl.net.in
- 106 Amit Industrial Estate, 61 Dr SS Rao Road, Near MGM HospitalParel, Mumbai 400 012 , Phones: 4124863, 4104532 Fax: 4160828e-mail: jpmedpub@bom7.vsnl.net.in
Clinical Methods in Paediatrics
© 2001, ML Kulkarni
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editor and the publisher.
First Edition: 2001
Publishing Director: RK Yadav
9788171798087
Typeset at JPBMP typesetting unit
Printed at Lordson Publishers (P) Ltd, C-5/19, R P Bagh, Delhi 110 007
4Preface
Almost every senior teacher in clinical medicine has felt the apprehension that the clinical medicine might become an extinct art, in these days of rapid technological advances. Clinical medicine especially in relation to children does not require any investment but only an art of communication with the patient and intellectual, comprehensive and gentle observational skills. There are few books available on clinical methods in paediatrics. But we feel a book on paediatric clinical methods should be more comprehensive, informative and practically oriented to cater to the needs of undergraduates, postgraduates in Paediatrics as well as to practising paediatricians. In this book we have tried to meet these needs. The book has been presented in two section. Section I—Paediatric History Taking and Section II—Symptomatology. Each volume has been divided into several chapters. A few chapters included in this book are entirely new concepts which are not usually found in the conventional books on clinical methods. Though the book is little exhaustive with information it is unavoidable when the purpose has to be fulfilled. A few repetitions found in these volumes, we feel, are worthwhile to emphasise the message.
We are confident that this book will serve the needs of undergraduate especially at a time when the Medical Council of India has made Paediatrics as a major examination subject. Thus, the publication of the book is not only timely but also out of necessity.
It is hoped that this book will serve as an useful companion for all those caring for children. We well come constructive critisism from our readers.
ML Kulkarni
5Acknowledgements
The author sincerely wishes to acknowledge the constant source of inspiration he has received from vast number of his students with whom he has intellectually interacted in the process of teaching and learning for the past two and a half decades. Many of my residents have actively participated in bringing out this book. I would like to place on record the help I have received from Dr Aninda Saha, Dr Anuradha Naik, Dr Aji Verghese, Dr Somendarnath Roy, Dr Nilesh Lokeshwar and Dr Rajan.
Several excellent works have been scanned thoroughly for bibliographic purpose, which we gratefully acknowledge.
I think it is befitting occasion for me to appreciate my father, a dedicated and disciplined school teacher from whom I have inherited and imbibed few of his qualities and my mother, whose love and affection has always been encouraging in my endeavours.
The author acknowledges sincere contributions from Shri Manjunath P Gundal and brothers, M/s Gundal Computers, Davangere in their meticulous computerised paging out of this book.
The author especially acknowledges the help of Shri Jitendar Vij, Managing Director and Shri RK Yadav, Publishing Director at Jaypee Brothers, New Delhi and their team in bringing out this book.
I express my appreciation especially to my wife Dr (Mrs) Bhagyavati Kulkarni MD, DMRD, (Radiologist), my daughter Preethi (IInd year Medico) and my son Akhil for their patience and understanding without which this book would not have been possible.