MANISH NARANG MBBS MD (Pediatrics)
Lecturer Department of Pediatrics University College of Medical Sciences and GTB Hospital
Delhi
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Jitendar P Vij
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APPROACH TO PRACTICAL PEDIATRICS
© Jaypee Brothers Medical Publishers
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 author and the publisher.
First Edition: 2007
9788184480054
Typeset at JPBMP typesetting unit
Printed at Gopsons Papers Ltd., A-14, Sector 60, Noida
5Dedicated
TO
MY MOTHER “Late Dr (Mrs) CK NARANG”
“All that I am or ever hope to be, I owe to my angel Mother.”
7Preface
This text approaches diagnosis the way clinicians do—by symptom rather than disease entity. There is no well structured or standardized textbook on Practical Pediatrics. Practical material of pediatrics is often scanty and theoretical. It is in this background that I decided to translate the agreed contents of bedside clinics in pediatrics into an easily readable material. It combines clinical experience and evidence-based strategies to guide clinicians through differential diagnoses and then to a specific diagnosis, then to appropriate therapy for common pediatric ailments.
Special skills required in taking Birth history/Dietary history/Developmental history/Immunization history are discussed in separate chapters. The book covers much new ground and reflects the approach of pediatrics while taking clinical cases. Chapters on Antibiotic therapy/Legal aspects/Newer guidelines of American Academy of Pediatrics-2005 for neonatal resuscitation have been written keeping in mind the needs of postgraduates while chapters like Instruments/Drug therapy/ Various Cases have been written keeping in mind both postgraduates and undergraduates.
This book is an outcome of personal experience and is a vital presentation from which a student can learn maximum without wasting time in searching answers from different books. It is the next best thing to attending ward teaching rounds!
I welcome comments concerning errors, contents and critical thoughts for future editions. These may be e-mailed to manish_2710@yahoo.com.
Manish Narang
9Acknowledgements
This is a befitting occasion for me to thank my mother Late Dr CK Narang and my dear ones Late Mrs and Mr RK Virmani for their immeasurable contribution to my life.
I sincerely wish to acknowledge the constant source of inspiration I have received from my teachers who have been instrumental in teaching me various aspects of Pediatrics. It gives me immense pleasure to express my gratitude to Dr MMA Faridi, Professor and Head, Department of Pediatrics, UCMS and GTBH for giving me stimulating suggestions. I would like to asseverate my gratitude for Dr Sunil Gomber (Professor, UCMS); Dr KK Sharma (Principal, UCMS); Dr HPS Sachdev (Consultant, Sita Ram Bharti Institute); Dr KN Agarwal (Ex. Professor, UCMS); Dr Piyush Gupta (Reader, UCMS); Dr Dheeraj Shah (Senior Lecturer, UCMS) and Dr Anup Mohta (Professor, Chacha Nehru Bal Chikitsalya) for their untiring help. I feel honoured and privileged to have worked under their able guidance.
I must thank all my patients without whom this work would not have been possible. I wish to express my sincere and heartful thanks to Chaitanya Das and Rahul Dhaneja, ND Comm services in their meticulous computerized paging out of this book.
Special thanks are due to my family: my grandmother Smt. Kaushalya Devi Narang; my father Dr Keshav Kumar Narang; my beloved wife Dr Shiva; and gems of my family, my sisters Sheetal and Dr Rashim; brother in laws Peeyush and Dr Vishal; my nephew Maanek; for their forbearance and whose share of time I selfishly usurped during preparation of manuscript. I also sincerely wish to express my appreciation to my dear ones, Dr Harash Narang and Dr BK Mehrotra.