Cover

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Title Page, Copyright, Dedication

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pp. i-vi

Contents

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pp. vii-x

Symbols and Abbreviations

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pp. xi-xvi

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Notes and Presentation Formats

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pp. 1-4

History
• Introduction (patient’s name, age, gender, region they are from, religion, informant (ie, who accompanies child)
• Chief complaint (with duration)
• History of present illness...

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Emergency Management

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pp. 5-22

• Infant tongue is larger in proportion to oropharynx → tongue lies more superiorly and therefore can cause airway obstruction more easily.
• Infant/child subglottic airway is smaller and more compliant → more easily obstructed...

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Neonatal Period

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pp. 23-37

1. Dry infant with clean towels/cloth; keep infant dry
2. Place skin-to-skin on mother and cover infant to prevent heat loss
3. Clamp and cut umbilical cord with clean instruments (string, rope, scissors, razor blade, etc) by 1 minute of life...

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Cardiology

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pp. 38-49

Etiologies
• Congenital heart disease
• Acute rheumatic fever
• Cardiac arrhythmias...

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Endocrinology

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pp. 50-53

Definitions
• Type I DM (diabetes mellitus) = insulin-dependent; pancreas produces little to no insulin
• Type II DM = non-insulin- dependent; body resistant to insulin despite its presence...

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Gastroenterology

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pp. 54-71

Abdominal Pain
Questions for HPI
• Duration
• Quality (sharp, dull, constant, intermittent)...

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Genetics

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pp. 72-73

Etiology
Trisomy 21
Clinical Manifestations
• Up-slanting palpebral fissures...

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Hematology/Oncology

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pp. 74-88

Definition
WHO for children <6 y.o. = Hb < 9.3 g/dL
Questions for HPI
• Pallor...

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Infectious Diseases

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pp. 89-99

Causes
Neisseria meningitidis (Gram-negative intracellular diplococci)
Haemophilus influenzae B (Gram-negative rod)
Streptococcus pneumoniae (Gram-positive capsulated diplococci)...

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Nephrology

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pp. 100-107

Causes
• Prerenal — hypoperfusion
ºº Dehydration
ºº Sepsis...

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Respiratory

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pp. 108-129

Cough
Questions for HPI
• Duration
• Productive vs nonproductive...

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Advanced Teaching Topics

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pp. 130-162

Botswana National Guidelines: www.moh.gov.bw/Publications /Handbook_HIV_treatment_guidelines.pdf
Malawi National Guidelines: aidsfree.usaid.gov/sites/default/files /tx_malawi_2014.pdf
Tanzanian National Guidelines: www.who.int/hiv/pub/guidelines /tanzania_art.pdf...

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Suggested Small Group Skills Sessions

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pp. 163-170

• Split students into small groups — ideal if they are in groups of 3 – 4.
• Identify a patient on the ward to have the group practice getting a history. It works best if this is done with a newly admitted patient, so they do not get lost in the hospital course and can focus...

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Typical Available Testing Resources (Labs, Imaging, Pharmacy)

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pp. 171-185

Botswana–Princess Marina Hospital in Gaborone As of 2015, all testing for children is free, if available. This is not true for undocumented immigrant or migrant children...

Country-Specific Routine Immunization Schedules

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pp. 186-188

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Local Reference Materials

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pp. 189-190

The previous materials are compiled from general pathophysiology, WHO guidelines, and general recommendations for treatment and management. They are not meant to serve as medical reference material. Instead, one should refer to local protocols and...

References

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pp. 191-192

Index

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pp. 193-201