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    1. Newborns with pneumonia rarely cough and more commonly present with poor feeding, irritability, tachypnea, retractions, grunting, and hypoxemia. Grunting suggests a lower respiratory tract infection and is an effort to increase airway pressure and keep the airways open. 2. After the first month, cough is the most common symptom but infants may also show tachypnea, retractions, hypoxemia, congestion, fever, and decreased feeding, especially if there is a history of Chlamydia infection. 3. Toddlers and preschoolers typically present with fever, cough, tachypnea, and congestion and may have vomiting, particularly

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    1. Newborns with pneumonia rarely cough and more commonly present with poor feeding, irritability, tachypnea, retractions, grunting, and hypoxemia. Grunting suggests a lower respiratory tract infection and is an effort to increase airway pressure and keep the airways open. 2. After the first month, cough is the most common symptom but infants may also show tachypnea, retractions, hypoxemia, congestion, fever, and decreased feeding, especially if there is a history of Chlamydia infection. 3. Toddlers and preschoolers typically present with fever, cough, tachypnea, and congestion and may have vomiting, particularly

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    16 views2 pages

    Junior Pediatrics Topics Reading Material

    Uploaded by

    damion clarke
    1. Newborns with pneumonia rarely cough and more commonly present with poor feeding, irritability, tachypnea, retractions, grunting, and hypoxemia. Grunting suggests a lower respiratory tract infection and is an effort to increase airway pressure and keep the airways open. 2. After the first month, cough is the most common symptom but infants may also show tachypnea, retractions, hypoxemia, congestion, fever, and decreased feeding, especially if there is a history of Chlamydia infection. 3. Toddlers and preschoolers typically present with fever, cough, tachypnea, and congestion and may have vomiting, particularly

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    © All Rights Reserved
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    Junior Pediatrics Topics Reading Material

    ***Also Read all of the Junior Pediatrics Notes***


    Nelsons = Nelson’s Textbook of Pediatrics…Baby Nel = Nelson’s Essentials of Pediatrics…Berks =
    Berkowitz’s Pediatrics
    Health Maintenance:
    1. Neonatal Examination and Nursery Berks Chapter 18: 99-105
    2. Breastfeeding Berks Chapter 24: 133-137
    3. Normal Development and Developmental Berks Chapter 27: 151-159
    Surveillance
    4. Immunizations Berks Chapter 32: 179-185
    5. Dehydration (Fluid and Electrolyte Therapy) Berks Chapter 66: 385-395
    Head, Neck and Respiratory
    6. Respiratory Distress Berks Chapter 57: 329-335
    7. Stridor and Croup Berks Chapter 58: 335-341…Baby Nel Chapter 107: 354-
    356
    8. Otitis Media Berks Chapter 72: 431-437…Baby Nel Chapter 105: 351-
    353
    9. Sore Throat/Pharyngitis Berks Chapter 74: 445-453…Baby Nel Chapter 103: 347-
    350
    10. Wheezing and Asthma Berks Chapter 81: 491-503
    11. Cough Berks Chapter 82: 503-511
    12. Allergic Rhinitis Baby Nel Chapter 79: 282-285
    13. Common Cold (Viral Rhino-sinusitis) Baby Nel Chapter 102: 346-347
    14. Sinusitis Baby Nel Chapter 104: 350-351
    15. Pertussis Baby Nel Chapter 108: 356-357
    16. Bronchiolitis Baby Nel Chapter 109: 357-358
    17. Pneumonia Baby Nel Chapter 110: 358-364
    Nephrology (GU)
    18. Urinary Tract Infections Berks Chapter 95: 591-599
    Gastroenterology
    19. Vomiting Berks Chapter 107: 679-685
    20. Diarrhea Berks Chapter 110: 699-705
    21. Jaundice Berks Chapter 113: 719-727
    Neurology
    22. Febrile Seizures Berks Chapter 56: 325-329
    23. Meningitis Baby Nel Chapter 100: 342-344
    Infectious Diseases
    24. Fever and Bacteremia Berks Chapter 54: 309-317
    Dermatology
    25. Diaper Dermatitis Berks Chapter 120: 769-773
    26. Papulosquamous Eruptions Berks Chapter 121: 773-779
    27. Morbilliform Rashes Berks Chapter 122: 779-785
    28. Vesicular Exanthems Berks Chapter 123: 785-793
    Random
    29. Sickle Cell Disease Nelsons Chapter 462.1: 2336-2345
    Newborns with pneumonia rarely cough. Present commonly with poor feeding and
    irritability, as well as tachypnea, retractions, grunting, and hypoxemia.
    Grunting in a newborn suggests a LRTI and is due to vocal cord approximation as they try to
    provide increased positive end-expiratory pressure (PEEP) and to keep their lower airways
    open.
    After the first month of life, cough is the most common presenting symptom. Infants may
    have a history of antecedent upper respiratory symptoms. Grunting may be less common in
    older infants; however, tachypnea, retractions, and hypoxemia are common and may be
    accompanied by a persistent cough, congestion, fever, irritability, and decreased feeding. Any
    maternal history of Chlamydia trachomatis infection should be determined.
    Infants with bacterial pneumonia are often febrile. But those with viral pneumonia or
    pneumonia caused by atypical organisms may have a low-grade fever or may be afebrile. The
    child's caretakers may complain that the child is wheezing or has noisy breathing.
    Toddlers and preschoolers most often present with fever, cough (productive or non-
    productive), tachypnea, and congestion. They may have some vomiting, particularly post-
    tussive emesis. A history of antecedent upper respiratory tract illness is common.

    Older children and adolescents may also present with fever, cough (productive or non-
    productive), congestion, chest pain, dehydration, and lethargy. In addition to the symptoms
    reported in younger children, adolescents may have other constitutional symptoms, such as
    headache, pleuritic chest pain, and vague abdominal pain. Vomiting, diarrhea, pharyngitis,
    and otalgia/otitis are other common symptoms.

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