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Current Clinical Strategies
Pediatric History and PhysicalExamination
Fourth Edition 
 Elizabeth K. Albright, MD
Current Clinical Strategies Publishing 
www.ccspublishing.com/ccs 
 
Digital Book and Updates
Purchasers of this book can download the digital book and updates at theCurrent Clinical Strategies Publishing Internet site: www.ccspublishing.com/ccsCopyright
 © 
2002-2003 Current Clinical Strategies Publishing. All rightsreserved. This book, or any parts thereof, may not be reproduced or stored inan information retrieval network without the permission of the publisher. Nowarranty exists, expressed or implied, for errors or omissions in this text. CurrentClinical Strategies is a registered trademark of Current Clinical StrategiesPublishing Inc.Current Clinical Strategies Publishing27071 Cabot RoadLaguna Hills, California 92653-7011Phone: 800-331-8227Fax: 800-965-9420E-mail: info@ccspublishing.comInternet: www.ccspublishing.com/ccsPrinted in USA ISBN 1881528-93-6
 
Contents
Medical Documentation
........................................ 5PediatricHistory ............................................ 5PediatricPhysicalExamination ................................ 6PhysicalExaminationoftheNewborn ........................... 7 Progress Notes............................................. 8DischargeNote............................................. 8DischargeSummary......................................... 9PrescriptionWriting ......................................... 9Procedure Note ........................................... 10Developmental Milestones ................................... 10
Cardiovascular Disorders
..................................... 13ChestPain ............................................... 13Dyspnea and Congestive Heart Failure ......................... 14Hypertension ............................................. 15
Pulmonary Disorders
......................................... 17Wheezing and Asthma ...................................... 17Stridor and Oropharyngeal Obstruction ......................... 18Hoarseness .............................................. 20
Infectious Diseases
.......................................... 23Fever ................................................... 23Cough and Pneumonia...................................... 25Tuberculosis .............................................. 27OtitisMedia............................................... 27Pharyngitis ............................................... 28Peritonsillar, Retropharyngeal or Parapharyngeal Abscess .......... 30Epiglottitis ................................................ 30Croup (Viral Laryngotracheobronchitis) ......................... 31Bronchiolitis .............................................. 31Meningitis ................................................ 32Urinary TractInfection ...................................... 33Lymphadenopathy and Lymphadenitis.......................... 34Cellulitis ................................................. 37Infective Endocarditis ....................................... 38Septic Arthritis ............................................ 39Osteomyelitis ............................................. 39
Gastrointestinal Disorders
.................................... 41Acute Abdominal Pain and the Acute Abdomen .................. 41Recurrent Abdominal Pain ................................... 42PersistentVomiting ........................................ 44Jaundice and Hepatitis ...................................... 48Hepatosplenomegaly ....................................... 52AcuteDiarrhea ............................................ 54ChronicDiarrhea .......................................... 54Constipation .............................................. 57
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