Chief Editors Sharad Thora MD
Professor and Head Department of Pediatrics MGM Medical College Indore, Madhya Pradesh, India
VP Goswami MD DCH PGD-AP PhD (FIAP, FCCP)
Consultant Pediatrician Government of Madhya Pradesh Organizing Secretary, National PEDICON 2014 Joint Secretary, National IAP 2013
Indore, Madhya Pradesh, India
Editors Vijay Yewale DCH MD
Pediatrician Fortis Hiranandani Hospital Navi Mumbai, Maharashtra, India
Preeti Malpani MD
Associate Professor Department of Pediatrics MGM Medical College Indore, Madhya Pradesh, India
Hemant Jain MD
Professor Department of Pediatrics MGM Medical College Indore, Madhya Pradesh, India
Nirbhay Mehta MD
Associate Professor Department of Pediatrics MGM Medical College
Indore, Madhya Pradesh, India
SS Rawat MD
Director Child Care Hospital Indore, Madhya Pradesh, India
Nilesh Jain MD
Assistant Professor Department of Pediatrics MGM Medical College Indore, Madhya Pradesh, India Ex-Assistant Professor MP Shah Medical College Jamnagar, Gujarat, India
Headquarters
Jaypee Brothers Medical Publishers (P) Ltd
4838/24, Ansari Road, Daryaganj
New Delhi 110 002, India
Phone: +91-11-43574357
Fax: +91-11-43574314
Email: jaypee@jaypeebrothers.com
Overseas Offices
J.P. Medical Ltd
83 Victoria Street, London
SW1H 0HW (UK)
Phone: +44-2031708910
Fax: +02-03-0086180
Email: info@jpmedpub.com
Jaypee Medical Inc
The Bourse
111 South Independence Mall East
Suite 835, Philadelphia, PA 19106, USA
Phone: +1 267-519-9789
Email: jpmed.us@gmail.com
Jaypee Brothers Medical Publishers (P) Ltd
Bhotahity, Kathmandu, Nepal
Phone: +977-9741283608
Email: Kathmandu@jaypeebrothers.com
Jaypee-Highlights Medical Publishers Inc
City of Knowledge, Bld. 237, Clayton
Panama City, Panama
Phone: +1 507-301-0496
Fax: +1 507-301-0499
Email: cservice@jphmedical.com
Jaypee Brothers Medical Publishers (P) Ltd
17/1-B Babar Road, Block-B, Shaymali
Mohammadpur, Dhaka-1207
Bangladesh
Mobile: +08801912003485
Email: jaypeedhaka@gmail.com
Website: www.jaypeebrothers.com
Website: www.jaypeedigital.com
© 2014, Jaypee Brothers Medical Publishers
The views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s) of the book.
All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the publishers.
All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book.
Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book.
This book is sold on the understanding that the publisher is not engaged in providing professional medical services. If such advice or services are required, the services of a competent medical professional should be sought.
Every effort has been made where necessary to contact holders of copyright to obtain permission to reproduce copyright material. If any have been inadvertently overlooked, the publisher will be pleased to make the necessary arrangements at the first opportunity.
Inquiries for bulk sales may be solicited at: jaypee@jaypeebrothers.com
Pediatrics for Practitioner
First Edition: 2014
9789351521365
Printed at
5Contributors
- AK Rawat md
- Director Professor and Head Department of Pediatrics Medical College Sagar, Madhya Pradesh, India
- AP Dubey md
- Director Professor and Head Department of Pediatrics
- Maulana Azad Medical College
- New Delhi, India
- Ajay Gaur md
- Associate Professor and Head Department of Pediatrics
- GR Medical College
- Gwalior, Madhya Pradesh, India
- Amit Agrawal md
- Assistant Professor
- Gandhi Medical College and Hamidia Hospital
- Bhopal, Madhya Pradesh, India
- Ankit Thora MS
- Orthopedic Resident
- Maulana Azad Medical College
- New Delhi, India
- Aparnan V md
- Department of Pediatrics
- Lilavati Hospital
- Bandra, Mumbai, Maharashtra, India
- Ashish Jaiswal md
- DNB Fellow (Neonatology)
- Consultant Neonatologist
- Royal Shanti Healthcare
- Indore, Madhya Pradesh, India
- BK Lahoti ms mch (Pediatric Surgery)
- Professor and Head
- Department of Pediatric Surgery
- MGM Medical College
- Indore, Madhya Pradesh, India
- CP Bansal md fiap pgdap ficmch
- President
- Indian Academy of Pediatrics
- South Asia Pediatric Association
- Senior Consultant Pediatrician
- Gwalior, Madhya Pradesh, India
- GS Patel md
- Dean and Professor
- Gajara Raja Medical College
- Gwalior, Madhya Pradesh, India
- HP Singh md
- Professor and Head Department of Pediatrics
- SSMC and GMH
- Rewa, Madhya Pradesh, India
- Hemant Jain md
- Professor
- Department of Pediatrics
- MGM Medical College
- Indore, Madhya Pradesh, India
- J Nadkarni md
- Associate Professor
- Department of Pediatrics
- Gandhi Medical College and Associated Kamla Nehru Hospital
- Bhopal, Madhya Pradesh, India
- Jafar Khan md dnb Fellow (Neonatology)
- Consultant Neonatologist
- Shri Aurobindo Medical College
- Indore, Madhya Pradesh, India
- Jenisha Jain dch dnb
- Department of Pediatrics and Neonatology
- Choithram Hospital and Research Center
- Indore, Madhya Pradesh, India
- Jyoti Singh md
- Department of Pediatrics
- SSMC and GMH
- Rewa, Madhya Pradesh, India
- Jyoti Sanghvi md
- Associate Professor
- Department of Pediatrics
- Sri Aurbindo Medical College and Postgraduate Institute
- Indore, Madhya Pradesh, India
- Jyotsna Shrivastav md
- Professor
- Department of Pediatrics
- Gandhi Medical College and Hamidia Hospital
- Bhopal, Madhya Pradesh, India
- K Nedunchelian md dch fiap
- Head, Department of Pediatrics
- Government Dharmapuri
- Medical College and Hospital
- Dharmapuri, Tamil Nadu, India
- Kamna Jain md fiap
- Senior Consultant and Head
- Department of Pediatrics and Neonatology
- Choithram Hospital and Research Center
- Indore, Madhya Pradesh, India
- Kamna Nigam md
- Professor
- RD Gardi Medical College
- Ujjain, Madhya Pradesh, India
- Kuldeep Singh md dm
- Additional Professor
- Department of Pediatrics
- All India Institute of Medical Sciences
- Jodhpur, Rajasthan, India
- M Indra Shekhar Rao
- md (Ped) dch neo (usa) fiap
- NTR Health University
- Basant Sahney Hospital
- Secunderabad, Andhra Pradesh, India
- MMA Faridi md
- Professor and Head Department of Pediatrics
- University College of Medical Sciences
- GTB Hospital
- Delhi, India
- MR Lokeshwar md dch
- Senior Pediatric Consultant
- Lilavati Hospital
- Bandra, Mumbai, Maharashtra, India
- Major K Nagaraju md
- Pediatric Allergist and Immunotherapist
- Director
- Vn Allergy and Asthma Research Center
- Chennai, Tamil Nadu, India
- Mamta Dhaneria md
- Professor
- Department of Pediatrics
- RD Gardi Medical College
- Ujjain, Madhya Pradesh, India
- Manisha Goyal md
- Department of Pediatrics
- Maulana Azad Medical College
- New Delhi, India
- Manju Biswas md
- Assistant Professor
- Department of Pediatrics
- MGM Medical College
- Indore, Madhya Pradesh, India
- Manoj Chhabra md
- SUNY Downstate Medical Center
- University Hospital
- Brooklyn, NY, USA
- Mukesh Birla md
- Senior Pediatric Consultant
- Indore, Madhya Pradesh, India
- Mukesh Joshi md
- Department of Pediatrics
- RD Gardi Medical College
- Ujjain, Madhya Pradesh, India
- Nagaraj Pandharikar md
- Senior Resident
- Department of Pediatrics
- Maulana Azad Medical College
- New Delhi, India
- Naveen Sankhyan dm (Pediatric Neurology)
- Assistant Professor, Neurology Unit
- Department of Pediatrics
- Advanced Pediatric Center
- Postgraduate Institute of
- Medical Education and Research
- Chandigarh, India
- Neeti Agrawal md
- Professor
- Department of Pediatrics
- People's College of Medical Sciences and Research Center
- Bhopal, Madhya Pradesh, India
- Nilesh Jain md
- Assistant Professor
- Department of Pediatrics
- MGM Medical College
- Indore, Madhya Pradesh, India
- Ex-Assistant Professor
- MP Shah Medical College
- Jamnagar, Gujarat, India
- Nirbhay Mehta md
- Associate Professor
- Department of Pediatrics
- MGM Medical College
- Indore, Madhya Pradesh, India
- Nitin Prajapati dch
- Pediatrics Resident
- Department of Pediatrics
- MGM Medical College
- Indore, Madhya Pradesh, India
- Nitin Shah md dch
- Consultant Pediatric Hemato-oncologist
- Hinduja Hospital
- Mumbai, Maharashtra, India
- P Parekh md (Ped) dch mams fiap fnnf
- Professor
- Department of Pediatrics
- Sri Aurobindo Medical College and Postgraduate Institute
- Indore, Madhya Pradesh, India
- PA Mohammad Kunju md
- Professor and Head
- Department of Pediatric Neurology
- Medical College
- Thiruvananthapuram, Kerala, India
- Prachi Choudhary md
- Assistant Professor
- Department of Pediatrics
- MGM Medical College
- Indore, Madhya Pradesh, India
- Pramod Jog md
- Senior Pediatric Consultant
- Pune, Maharashtra, India
- Praveen Khilnani md faap fccm
- Head, Pediatric Critical Care Unit
- Blk Superspeciality Hospital
- New Delhi, India
- Preeti Galagali md pgd ap
- Director and Adolescent Specialist
- Bangalore Adolescent Care and Counselling Center
- Bengaluru, Karnataka, India
- Preeti Malpani md
- Associate Professor
- Department of Pediatrics
- MGM Medical College
- Indore, Madhya Pradesh, India
- Pritesh Nagar mbbs, md (Pediatrics) fage
- Aditya Hospital
- Tilak Road
- Mumbai, Maharashtra, India
- Rachana Dubey md
- Senior Resident
- Child Neurology Division
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- Rachna Dubey mbbs dgo md pgdmch
- Ex Deputy Director
- Madhya Pradesh State AIDS Control Society
- Bhopal, Madhya Pradesh, India
- Rahul Jahagirdar md
- Associate Professor
- Department of Pediatrics
- Bharati Vidyapeeth Medical College
- Pune, Maharashtra, India
- Rajiv Sanghvi md
- Senior Pediatric Consultant
- Indore, Madhya Pradesh, India
- Rakesh Mishra md (Pediatrics)
- Pediatric Gastroenterologist
- Bhopal, Madhya Pradesh, India
- Rajneeti Prasad md mams fiap
- Associate Professor
- Department of Pediatrics
- Institute of Medical Sciences
- Banaras Hindu University
- Banaras, Uttar Pradesh, India
- Rashmi Dwivedi md
- Professor and Head
- Gandhi Medical College
- Bhopal, Madhya Pradesh, India
- Ratnesh Khare md
- Senior Resident
- Department of Pediatrics
- MGM Medical College
- Indore, Madhya Pradesh, India
- Raviranjan Tripathi md
- Felllow National Board
- (Pediatric Cardiology)
- Consultant Pediaitric Cardiologist
- Greater Kailash Hospital
- Indore, Madhya Pradesh, India
- Razia Adam Kadwa
- md dm (Pediatric Neurology)
- Assistant Professor, Neurology Unit
- Department of Pediatrics
- Advanced Pediatric Center
- Postgraduate Institute of
- Medical Education and Research
- Chandigarh, India
- Rekha Harish md
- Professor and Head Department of Pediatrics
- Government Medical College
- Jammu, India
- Rhishikesh Thakre
- dm (Neonatology) md dnb dch fcps
- Consultant Neonatologist
- Neo Clinic and Hospital
- Aurangabad, Maharashtra, India
- SP Verma md
- Professor
- Department of Pediatrics
- MGM Medical College
- Indore, Madhya Pradesh, India
- SS Rawat md
- Senior Pediatric Consultant
- Indore, Madhya Pradesh, India
- Sanjay Shriram md
- Senior Consultant Pediatrician
- Aditya Hospital
- Hyderabad, Andhra Pradesh, India
- Satish Tiwari md (Ped) llb
- Professor of Pediatrics
- Medical College
- Amravati, Maharashtra, India
- Savita Inamdar md
- Senior Pediatric Consultant
- Indore, Madhya Pradesh, India
- Seema Kapoor md
- Department of Pediatrics
- Maulana Azad Medical College
- New Delhi, India
- Sharad Thora md fiap fnnf
- Professor and Head Department of Pediatrics
- MGM Medical College
- Indore, Madhya Pradesh, India
- Shalini Jain md
- Assistant Professor
- Department of Anesthesia
- MGM Medical College
- Indore, Madhya Pradesh, India
- Ex-Assistant Professor
- MP Shah Medical College
- Jamnagar, Gujarat, India
- Sheffali Gulati md
- Additional Professor
- Chief, Child Neurology Division
- Department of Pediatrics
- All India Institute of Medical Sciences
- New Delhi, India
- Shikhar Jain md fiap fnnf
- Department of Pediatrics and Neonatology
- Choithram Hospital and Research Center
- Indore, Madhya Pradesh, India
- Siddarth Sethi md
- Pediatric Nephrology
- Kidney and Urology Institute
- Medanta The Medicity
- Gurgaon, Haryana, India
- S Srinivasan md
- Professor and Head Department of Pediatrics
- Mahatma Gandhi Medical College and Research Institute
- Pillaiyarkuppam, Puducherry, India
- Somu Sivabalan md dnd mnams
- Sundaram Medical Foundation
- Velammal Hospital
- Chennai, Tamil Nadu, India
- Sunil Arya md
- Assistant Professor
- Department of Pediatrics
- MGM Medical College
- Indore, Madhya Pradesh, India
- Summet Soni md
- Pediatrics Resident
- Department of Pediatrics
- MGM Medical College
- Indore, Madhya Pradesh, India
- Sumaira Khalil md
- Department of Pediatrics
- Hamdard Institute of
- Medical Sciences and Research
- New Delhi, India
- Sunil Malpnai md
- Senior Consultant, Dermatology
- Indore, Madhya Pradesh, India
- Sushil Sharma md
- Registrar
- Department of Pediatrics
- Government Medical College
- Jammu, India
- Swati Kanakia md
- Pediatric Consultant
- Lilavati Hospital
- Bandra, Mumbai, Maharashtra, India
- Swati Prashant md
- Department of Pediatrics
- Index Medical College and Research Center
- Indore, Madhya Pradesh, India
- Swati Bhave md dch fcps fiap faap
- Senior Visiting Consultant Pediatrics
- Advanced Center for Pediatrics
- Indraprastha Apollo Hospital
- New Delhi, India
- Tanmay Chaudhary d ortho fasm
- Arthroscopy and Sports Injury Specialist
- Consultant Pediatric Orthopedic Surgeon
- Global SNC Hospital
- Indore, Madhya Pradesh, India
- Utpal Kant Singh
- md phd fiap fccp frcp frcpch
- Senior Consultant Pediatrician
- Patna, Bihar, India
- Vaman Khadilkar md
- Consultant Pediatric Endocrinologist
- Jehangir Hospital, Pune
- Bombay Hospital
- Mumbai, Maharashtra, India
- Chief, Division of Pediatric Endocrinology
- Bharati Vidyapeeth Medical College
- Pune, Maharashtra, India
- Vijay Yewale dch md
- Pediatrician
- Fortis Hiranandani Hospital
- Navi Mumbai, Maharashtra, India
- Vikas Mahajan md
- Lecturer
- Deptartment of Pediatrics
- Government Medical College
- Jammu, India
- Vishal Kale md
- Pediatrics Resident
- Department of Pediatrics
- MGM Medical College
- Indore, Madhya Pradesh, India
- Vivek Shirvastava mbbs d ortho mch
- Fellowship in Pediatric, Orthopedic and Spine
- Consultant Pediatric Orthopedic Surgeon
- GK Max Hospital
- Indore, Madhya Pradesh, India
- VK Bhardwaj
- md (Pediatrics) dm (Endocrinology)
- Professor and Head Department of Pediatrics
- Netaji Subhash Chandra Bose
- Medical College
- Jabalpur, Madhya Pradesh, India
- VP Goswami md dch
- pgd-ap phd (fiap, fccp)
- Consultant Pediatrician
- Government of Madhya Pradesh
- Organizing Secretary, National PEDICON 2014
- Joint Secretary, National IAP 2013
- Indore, Madhya Pradesh, India
- YS Verma md
- Assistant Professor
- Gajara Raja Medical College
- Gwalior, Madhya Pradesh, India
The life of a busy pediatrician does not allow frequent consultation of reference books. But, in the rapidly changing world of clinical knowledge, it is not possible to survive without updating your knowledge. Although a variety of ready reckoners are available, this book titled Pediatrics for Practitioner is a worthy addition to such books. It allows the practitioners to go through the important topics in a short period of time and get the much-needed answers to common problems.
All the contributors of this book are renowned experts of their field. All multi-authored books have a common problem, that there is too much diversity in presentation, but here the editors have done a brilliant job of overcoming it.
I am sure this book will come in handy in solving your many day-to-day doubts and also enlighten you regarding many new developments and old principles. It is extremely well written and compiled.
I am very proud of this effort and I hope it proves to be very beneficial for all of us.
CP Bansal md fiap pgdap ficmch
President
Indian Academy of Pediatrics
South Asia Pediatric Association
Senior Consultant Pediatrician
13Preface
The practitioners form the backbone of pediatric health care services in the community. Major chunk of our forum are formed by the practitioners. This book is designed to keep them updated for common pediatric problems, which are seen in office practice.
Pediatrics is still a developing subject with ever-changing concepts. The diseases which are prevalent in our country are different from those in the Western countries. There is definitely a need for a book, which gives stress on the disease pattern prevalent in our country.
The book includes topics on General Pediatrics, Neonatal Problems and Common Pediatric Emergencies. The articles are contributed by renowned authors in their field from our country and abroad. Articles are written in a concise way with main emphasis on diagnostic approach and recent management guidelines. The book is reader friendly and practice oriented. The book also includes color photographs of various common skin conditions seen in children.
This book is useful for undergraduate students and can serve as a basic book for postgraduate students.
We welcome comments, critical reviews and suggestions regarding content of the book.
Sharad Thora
15Acknowledgements
The expressivity of words may not be that effective as one thinks about, because expression of feelings by word make them loose their value, when it comes to make a statement of gratitude.
We are thankful to all the contributing authors from all over India and abroad, for their valuable inputs and support.
We express our sincere gratitude to all the faculties and postgraduate students of pediatrics, MGM Medical College, Indore, Madhya Pradesh, India, for providing precious advice in various editorial matters and compilation of the book.
We express our special thanks to Dr Piyush Gupta, Dr P Parekh and Dr Shikhar Jain, for acting as a driving source of inspiration and encouragement.
We also acknowledge Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director), Mr Tarun Duneja (Director-Publishing) and all the staff of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for their wholehearted cooperation.