abnormalities 918 folic acid 321, 615, 621 fomepizole 87 food, adverse reactions eye movement desensitization and reprocessing 586 to 316 \200\22318 foreign bodies in ear 901 in eye 916 ingested 856 inhaled 51 in nose 902 oesophageal 327 formoterol 262, 268 formula milk 143 fractures 758 \200\2239 eyes disorders 910 \200\22323 examination 908 \200\2239 foreign body 916 infections 914 \200\223 15 in \202 ammation 914 \200\22315 movements 75 neonates 146 red 894 symptom review 26 tra uma 922 \200\2233 see also vision international travel 1026 \200\2237 \201 brin degradation products 634 \201 brinogen, serum 634 \201 nal height 460 \201 ne motor development 559 FLACC 1018 \202 ecainide 57, 250 abuse 527, 1000 birth trauma 126 32_McClure_Index.indd 1055 11/14/2012 7:09:10 PM INDEX 1056 glucagon 86, 97, 133 glucocorticoid replacement fragile X syndrome 943 generalized anxiety disorder genetic testing 935, 942 (GAD) 584 therapy 437 fragmented red blood General Medical Council glucose 96 \200\2237, 132, 133 glucose-6-phosphate- dehydrogenase de \201 ciency 618 cells 608 child protection 1008 \200\2239 con \201 dentiality and Fraser competency 1007, 1039 disclosure 1038, 1039 Freiberg disease 760 fresh frozen plasma 646 frontal lobe epilepsies 515 frontal seizures 5 05 fructose metabolism, disorders of 967 fungal skin infections 828 furosemide doctor \200\223patient glutaric aciduria 529, 966 glycogen metabolism 962 glycogen storage disease 967 glycoprotei nosis 969 glycopyrronium 691 goiter 420 Goldenhaar syndrome 951 GoLYTELY 84 gonadal failu re, relationship 1035 genetics 925 \200\22351 clinical 927 \200\2238 counseling 927, 935 gonadal determination di sorders 486 knowledge base 7 resources 926 tests 932 \200\2235, 942 \200\2233 genitourinary system examination 34 neonates circulatory overload 649 glomerulonephritis 375 hypercalcaemia 684 hypertension 397 intracr anial primary 477, 478 gonococcal hypertension 79, 517 kidney injury, acute 364 neonates 148, 169 nephrotic syndrome 379, conjunctivitis 914 GOOGLE Scholar 18 Gower \200\231s maneuver 944 Gower \200\231s sign 733 GRADE system for examination 145 normal variations and minor abnormalities 147 380 symptom review 27 renal insuf \201 ciency 95 respiratory distress 50 shock 57 tumor lysis presenting quality of evidence 12 gentamicin conjunctivitis 914 kidney injury, acute 363 neonates 180, 181 graft vs host disease 680 granuloma, umbilical 874, syndrome 684 furuncles 718, 827 fusidic acid 914 875 necrotizing grasp re \202 ex 558 grati \201 cation enterocolitis 179 non-speci \201 c illness 129 pneumonia, phenomena 502 Graves \200\231s disease 426 \200\2237 congenital 152 G gabapentin 311, 691 gait assessment 34, 733 galactosaemia 967 galeazzi test 734, 748 ganc iclovir 182 Gardner \200\231s syndrome 331 gastric hemorrhage 685 gastric lavage 84 gastrit is 330 gastroenteritis bacterial 339 viral 338 maternal 124 premature 115 respiratory distress syndrome 150 greenstick fractures 759 gray baby syndrome 1014 gray matter, chronic oncology 682 otitis externa 900 pharmacokinetics 1016 sepsis 71, 72 urinary tract infection 357 encephalopathy 956 griseofulvin 828 groin swellings 868 \200\2239 gross motor development 558 genu recurvatum 754 genu valgum 754 \200\2235 genu varum 755 \200\2236 germ cell tumors 664 , 673 gestational age 110 Gianotti \200\223Crosti group A streptococcus 705, 707 group B streptococcus 184 growth 455 \200\22393 gastroenterology 297 \200\223347 Gastrogra \201 n 274, 862 gastrointestinal abnormal growth parameters de \201 ned 928 assessment 460 \200\2231 charts 460, 462 \200 \2235 constitutional delay in growth and puberty 468, 476 \200\2239 syndrome 814 Giardia lamblia 340 Gillick competency 1007, decontamination 84 \200\2235 gastrointestinal system 1039 examination 33 hemorrhage 312 \200\22313 infections 338 \200\2239 symptom review 26 gingivostomatitis 904 Glanzman disease 640 Glasgow coma scale (GCS) diabetes mellitus 415 faltering 308 genetic disorders of 948 \200\2239 normal 456 oncology 653 growth hormone 76 \200\2237 glaucoma 917 gliomas 662 \200\2233 global neurodevelopmental gastro-oesophageal re \202 ux disease (GORD) 326 \200\2237 gastroschisis 866, 867 perioperative care 885 delay 564 \200\2235 glomerular \201 ltration Gaucher \200\231s disease 969 Gaviscon 326 \200\2237 gemtuzumab 658 rate 366 de \201 ciency 470 \200\2233 glomerulonephritis 374 \200\2235 32_McClure_Index.indd 1056 11/14/2012 7:09:10 PM INDEX 1057 see also bradycardia; Hand \200\223Sch ller \200\223Christian insensitivity syndrome 473 kidney disease, chronic 369 knowledge base 6 provocation test 47 1 tachycardia heel prick blood test, neonates 140 disease 676 harlequin color change 196 height Harpenden faltering growth 308 \201 nal 460 measurements 29, 460 target 460 Neonatometer 460 Hashimoto \200\231s disease 428 head growth plate osteochondroses 760 Gruelich and Pyle circumference 29, 140, method, bone age determination 461 Guedel oropharyngeal Heinz bodies 608 Helsinki, Declaration of 145 control 558 neonates (1964) 1030 airway 210 henbane poisoning 86 Henoch \200\223Sch nlein purpura 788 birth trauma 126 circumference 140, 145 normal variations and minor abnormalities 146 guidelines, clinical 12 Guillain \200\223Barr syndrome 542 heparin 634, 635, 642, 645 hepatic porphyrias 974 hepatic syndromes 960 \200\2231 hepatitis , acute 342 \200\2233 hepatitis B Guthrie test, neonates 140 gut-priming (trophic feeding) 143, 322 gynaecomastia 492 \200 \2233 non-accidental injury retinal hemorrhages 527, 923 subdural immunization 141, 185, 728 H haemangiomas 824 \200\2235 hepatoblastoma 674 hepatocellular hemorrhage 526, 528 capillary haemangioma of the eyelid 918 hematological support, carcinoma 674 symptom review 26 tilt (airway management) hepatocellular oncology 685 dysfunction 960 hepatomegaly 960 hereditary 210 hematology 528 \200\2239, 607 \200\22349 haematuria 352 \200\2233 haemochromatosis 977 haem odialysis 369 haemolytic anaemias 611, headache 516 \200\22318 head lice 829 HEADSS protocol for adolescent consultations 794 heal th inequalities 1023 health surveillance and promotion 982 \200\2234 elliptocytosis 616 hereditary pyropoikilocytosis 617 612 hereditary haemolytic \200\223uraemic spherocytosis 616 syndrome 365, 376 hereditary haemophagocytic stomatocytosis 617 hermaphroditism 490 hernia healthy eating 298 hearing lymphohistiocytosis 677 hemophilia A 636 \200\2237 hemophilia B 637 Haemophilus in \202 uenzae type assessment 896 \200\2237 early signs of normal 560 impairment 898 \200\2239 delayed speech diaphragmatic 844, 852, 853 b 720 hiatus 852, 853 inguinal 868, 869 immunization 728, 1023 haemorrhagic disease of the development 564 incarcerated 845, 868 tests 141, 896 \200\2237 newborn 193, 639 umbilical 874, 875 heart haemorrhagic disorders 639 haemorrhagic fevers, herpes simplex 185, 826 herpes simplex neonates 146 \200\2237 symptom review 26 see also cardiovascular viral 723 haemorrhagic encephalitis 697 herpes zoster 185, 710 heterotopia 501 hexachlorophene 1015 hiatus hernia 852, 853 high dependency care 45 \200\223106 system periventricular infarction 176 heart block 56, 963 heart disease, congenital 55, haemorrhagic 58, 232 \200\22340 heart failure 226 \200\2237 retinopathy 527 Hague Convention on Protection of Children 1044 hair absence/loss 830 hair disorders 830 \200\2231 half-life of a drug 1016 halo naevus 836 haloperidol 525, 691 hand, foot, and mouth congestive see congestive high frequency oscillatory ventilation 164 \200\2235 high grade gliomas 663 high stepping g ait 733 hip disorders 748 \200\22353 Hirschsprung \200\231s disease 844, heart failure heart murmurs 228 \200\22331 examination 32 neonates 146 \200\2237 heart rate assessment 30 fetal patterns, disturbing/ 870 hirsutism 831 histiocytosis X 676 abnormal 122 normal values 30 disease 827 32_McClure_Index.indd 1057 11/14/2012 7:09:11 PM INDEX 1058 hypopigmented lesions 837 hypopituitarism 449 hypoplastic left heart syndrome 239 hypercalcaemia 446 \200\2237 history taking 4, 21 \200\2238 bones and joints 732 oncology 653 psychiatric problems 574 r espiratory medicine 254 of malignancy 447, 684 hypercholesterolaemia 963 hypercortisolaemia 434 \200\2235 hypergona dotrophic hypospadias 879 hypotension hypogonadism 477 hives 812 Hodgkin \200\231s lymphoma 661 holidays 1024 \200\2237 holoprosencephaly 171 Holt \200\223Oram syndrome 766, anaphylaxis 64 cardiopulmonary arrest, warning signs 37 hyperhomo- cysteinaemia 644 hyper IgM syndrome 724 hyperkalaemia 93, 149 hyperlipidaemia 644, 963 hype rmelanosis 836 hypermetropia 911 hypernatraemia 92, 149 hypernatraemic shock 56, 57 hypothermia 950 drowning 52 therapeutic 172 \200\2233 hypothesis test for the Home Of \201 ce 1044 Homestart 980 homocystinuria 965 hookworms 341 Howell \200\223Jolly b odies 608 human herpes virus 6 (HHV6) 705, 709 human immunode \201 ciency difference between two propositions 14 \200\22315 hypothyroidism 422 \200\2234 hypovolaemia 95, 380 hypovolaemic shock 65 hysteria (conversion dehydration 91 hyperoxaluria, primary 389 hyperparathyroidism 447 hyperpigmented lesions 836 hypertension virus 726 neonates 185 disorders) 525, 592 cardiovascular hypoxic \200\223ischaemic dif \201 culty 53, 55, 58 Human Rights Act (1998) encephalopathy 172 \200\2235 causes and features 1034, 1039 394 \200\2235 hydralazine 58, 396, 397 hydrancephalus 171 hydration, assessment 29 hydrocele 147, 868 \200\2239 hydrocephalus 170, 535 hydrochlorthiazide 451 hydrocortisone de \201 nition 390 \200\2232 idiopathic intracranial 517 intracranial see intracranial I ibuprofen fever 701, 1019 immune haemolytic anemia 624 juvenile idiopathic arthritis 771 oligoarticul ar 773 pain management 1018 patent ductus pressure, raised management 396 \200\2237 pregnancy-induced 124 hypertensive crises 396 hyperthyroidism 425 hypertrichosis 831 hypertrophic adrenal insuf \201 ciency 432, 437 angioedema 813 contact dermatitis 811 eczema cardiomyopathy 240, 962 arteriosus 169 atopic 808 infantile post-operative care 890 upper airway hypertrophic pyloric stenosis, idiopathic 854 \200\2235 hyperventilation 75 hyperviscosity 687 hypervola emia 95 hypocalcaemia 93, 442 \200\2233 hypochondroplasia 469 hypoglycaemia 96 \200\2237 seborrhoeic 196 infections 282 hypoglycaemia 97 meningitis 721 otitis externa 900 hydrolysed cow \200\231s milk ichthyoses 840 idarubicin 658, 678 idiopathic epilepsies focal 514 \200\22315 generalized 512 \200\22313 idiopathic hypertrophic formula 143 hydronephrosis 370, 371 hydrops foetalis 138 \200\2239 hydroxocobalamin 615 hydroxycarbamid e 621 hydroxychloroquine 775, pyloric stenosis 854 \200\2235 as complication of Type 1 diabetes mellitus 412 idiopathic intracranial hypertension 517 inborn errors of idiopathic scrotal oedema 876 metabolism 103 781 21 -hydroxylase de \201 ciency 436 neonates 132 \200\2233 hypogonadotrophic ifosfamide 672, 679, 684, 685 hypogonadism 476, 477, 479 3-hydroxy-3-methyl-CoA lyase de \201 ciency 966 imidazole 828 immune haemolytic anemia 624 hypohidrotic ectodermal hydroxyurea 621, 679 hymen dysplasia 841 immune thrombocytopenia, X-linked 946 imperforate 881 skin tags 147 acute 643 hypokalaemia 149, 93 hypomelanosis 837 hyponatraemia 92, 149 hyponatraemic immunizations 728 \200\2239 hyoscine 691 hyperaldosteronism 438 hyperbilirubinaemia 130 \200\2231, hepatitis 343 history taking 25 neonates 141 schedule 728 \200\2239 dehydration 91 hypoparathyroidism 443 195 see also jaundice 32_McClure_Index.indd 1058 11/14/2012 7:09:11 PM INDEX 1059 ipratropium 262, 267, diabetic travel 1024 whooping cough 286 immunode \201 ciency 724 \200\2236 268, 289 IQ testing 566 iritis 915 iron de \201 ciency 321, 614 \200\22315 ironotecan 671, 678 iron poisoning 87 irradiated blood ketoacidosis 100 \200\2231 growth hormone de \201 ciency 471 intelligence testing 566 intensive care, ethical respiratory disorders 295 immunoglobulin G subclass de \201 ciency 724 imperforate hymen 881 impetigo 718, 817 inborn errors of issues 1032 interferon- 345 Interim Care Orders 1042 intermittent positive products 647, 685 irritant contact metabolism 102 \200\2233, 187 pressure ventilation 162 \200\2233 dermatitis 811 isoimmune haemolytic incarcerated inguinal hernia 845, 868 international anemia 624 isoniazid 88, 294 isoprenaline 86, 87 isotonic dehydration 91 isotretinoin 822 i traconazole 683 incidence 10 incontinentia pigmenti 841, adoption 1044 \200\2235 International Classi \201 cation 947 of Diseases 569 incubation periods 1026 \200\2237 indirect cystogram 360 indomethacin attention de \201 cit hyperactivity disorder 600 \200\2231 international health 1021 \200 \2238 international normalized Bartter \200\231s syndrome 386 diabetes insipidus 451 patent ductus J jaundice 314 \200\22315 neonatal 130 \200\2231 jaw thrust (airway ratio 634 arteriosus 169 periventricular and intraventricular hemorrhage 176 polyhydramnios 121 syste mic arthritis 772 International Social Services 1044 management) 210 Jehovah \200\231s witnesses 192 jejunal atresia 863 Jewel \200\223Lang \200 \223Nielson syndrome 899 international travel 1021 \200\2238 interpersonal therapy 579 interstitial lung disease 295 intertrigo 819 interviewing skills 4 induced illness 999 infantile mortality 10 infantile period of growth 456 jimson weed poisoning 86 joints 731 \200\22391 see also history taking intestinal disorders 330 \200\2231 intestinal obstruction, neonatal 844 clinical assessment 732 \200\2233 painful/swollen 653 symptom review 27 Jones criteria, rhe umatic infantile Refsum disease 972 infantile seborrhoeic eczema 196 perioperative care 885 intestinal parasites 340 \200\2231 intestinal polyps 331 intracardia c injection 216 intracranial hemorrhage, infectious diseases 693 \200\223729 bones and joints 738 \200\22341 oncology 683 fever 244 juvenile dermatomyositis 782 \200\2233 infectious juvenile idiopathic arthritis 768 \200\22379 juvenile myelomonocytic term 177 mononucleosis 711 intracranial pressure, raised central nervous system infective bacterial endocarditis 242 \200\2233 leukemia 659 tumors 662 headache 516 \200\22317 oncology 653, 662, 687 signs 74 suspected 79 in \202 ammatory bowel disease 332 \200\2233 short stature 469 juvenile spring eruption 834 in \202 ammatory disorders, K Kallmann syndrome 479 Kant, Immanuel 1030 karyotopye analysis 933 Kassabach \200\223Merri tt syndrome 825 chronic 469 in \202 iximab 333, 775 ingested foreign bodies 856 ingrowing toe-nails 832 in guinal hernias 868, 869 incarcerated 845, 868 neonates 147 intrahepatic cholestasis 314 intraosseous infusion 216 intrapartum fetal assessment 119 int rauterine growth Kawasaki \200\231s disease 641, 697, restriction (IUGR) 111, 468 716 \200\22317 inherited metabolic disease 953 \200\22377 Kayexalate 87, 93 KCNJ11 related diabetes genetic disorders 948 intravenous cannulation 204 intravenous inotropes 56, 57 instrumental delivery, indications 119 mellitus 418 Kearns \200\223Sayre immunoglobulin 646 syndrome 920 intraventricular insulin resistance syndrome, keloid 838 keratitis 915 kerato-conjunctivitis 914 keratosis pilaris 814 hemorrhage 176 intussusception 845, 860 \200\2231 iodine de \201 ciency 321 ipecacuanha 84 severe 418 insulin therapy 410 \200\22311 insulin tolerance test adrenal insuf \201 ciency 431 32_McClure_Index.indd 1059 11/14/2012 7:09:11 PM INDEX 1060 lobar emphysema 851 local authorities 981 localized scleroderma 786, kernicterus 130 \200\2231, 195 Legg \200\223Calve \200\223Perthes disease 750 \200\2231 Leigh \200\231s syndrome 971 lengt h measurements 29, see also jaundice ketoacidosis, 787 diabetic 98 \200\223101, 413 ketoconazole 430, 435, 492 kidney Local Safeguarding Children 140, 460 Lennox \200\223Gastaut syndrome 511 Boards 1004 locomotor skills 558 L f \202 er hypereosinophilic syndrome 249, 341 acute injury 95, 362 \200\2235 chronic disease 366 \200\2239 size anomalies 370 transplanta tion 369 see also renal entries Klinefelter syndrome 938 Klippel \200\223Feil syndrome 899, Lesch \200\223Nyhan syndrome 973 Lomustine 663, 679 long chain acyl-CoA dehydrogenase de \201 ciency 962 Letterer \200\223Siwe disease 676 leucocyte adhesion de \201 ciency 724 leucocytosis 608 l eucodystrophies 536 leukemia 656 \200\2239 levamisole 381 levetiracetam 513, 515 levonorges trel 478 levothyroxine 423, 424 lice 829 licensing of 951 long QT syndrome 250, Klippel \200\223Trenaunay syndrome 824 knee disorders 754 \200\2237 knock knees 754 \200 \2235 knowledge base expected of junior pediatricians 6 \200\2237 503 loperamide 305, 331 lorazepam 81 Losartan 940 low birth weight, de \201 nition 110 low gra de gliomas 662 lumbar puncture 220 altered level of Kohler \200\231s disease 761 koilonychia 833 Koplik spots 706 kwashiorkor 320 kyphosis 744 \200\2235 medications 1012 lichen planus 842 lichen sclerosus et atrophicus 839 consciousness 78 meningitis 720 \200\2231 lumbar spine, disorders 743 lung abnormalities, congenital 851 life-supporting treatment, withholding/ withdrawing 1040 \200\2231 L labetalol 86, 396, 881 labial adhesions in infants 881 lung function testing 261 lung in \202 ation, newborn life neonates 198 \200\2239 Li \200\223Fraumeni syndrome 670, support 108 Lyme disease 712 lymphadenopathy 654 lymphoblastic leukemia, 672 labor light eruptions 834 likelihood ratio 15 limbs induction of 119 normal 119 lactose intolerance 317 \200\22318 lactulose 307, 345, 993 Laerdal mask 211 lamotrigine 5 11, 513, 515 Landau \200\223Kleffner acute 656 \200\2237 examination 34 neonates 145 fractures 758 \200\2239 abuse 1000 birth trauma 126 and Down syndrome 659 lymphoblastic non-Hodgkin \200\231s lymphoma 660 lymphocytopenia 608 lymphocytosis 608 lymphoedema 823 ly mphoid interstitial pneumonitis 295 syndrome 514 neonates Langerhans cell examination 145 normal variations and minor abnormalities 147 histiocytosis 676 language development 560 large cell lymphoma 660 large for gestational age 112, 120 de \201 nition 110 lymphoma 660 \200\2231 lymphopenia 608 lysosomal disorders 959, symptom review 27 limping child 734 \200\2237 linear scleroderma 786 lipoprotein metabolism, disorders of 967 lips, examination 31 lissencephaly 171, 500 lithium 583 live birth, de \201 nition 110 li vedo reticularis see cutis Laron syndrome 473 laryngeal atresia 846 laryngeal 968 \200\2239 M McCune \200\223Albright syndrome 441 in \202 ammation 284 \200\2235 laryngotracheobronchitis, viral (croup) 284 \200\2235 late fetal death (stillbirth) McRobert \200\231s maneuver 122 macrocephaly 534 macrocytic anemia 611, 10, 110 marmorata lead poisoning 88 learning dif \201 culties/ liver 615 chronic liver failure 344 \200\2236 function, investigation disabilities 566, 988 \200\2239 macrocytic red blood referral to clinical genetics 928 learning pediatrics 2 legal issues 1029 \200\22345 cells 608 macroglossia 904 macules 704 Madelung deformity 760 of 961 normal span 33 transplantation 347 tumors, primary 674 32_McClure_Index.indd 1060 11/14/2012 7:09:11 PM INDEX 1061 rheumatoid factor-positive altered level of magnesium sulfate 93 major blood polyarthritis 775 consciousness 78, 79 scleroderma 787 systemic arthritis 772 systemic lupus immunization 728 neonates 129 seizures 507 tuberculosis 722 meningocele 170 meningococcal incompatibility 648 malabsorption 334 \200\2237 malaria 723, 1023, 1024 malathion 829 malig nancy see oncology malignant melanoma 675, erythematosus 781 Takayasu \200\231s arteritis 791 Wegener \200\231s granulomatosis 790 methotrimeprazine 685, disease 714 \200\22315 836 meningococcal malnutrition 320 \200\2231 malpresentation 122 mania 582 \200\2233 mannitol 57, 79, 101 man nose binding lectin de \201 ciency 724 691 meningitis 697 methylcellulose 126 methylene blue 88 methylene chloride poisoning 87 meningococcal sepsis 697 meningococcal septicaemia 714 \200\22315, 721 Menkes disease 831, 976 Mental Health Act 594 mercaptopurine 656, 678 meropenem 682 mesalaz ine 333, 626 mesenteric adenitis 865 mesna 679 mesoblastic nephromas methylmalonic marasmus 320 marble bone disease 764 Marfan syndrome 940 genetic analysis 934 mask ventilat ion 211 masses, unexplained 654 massive pulmonary acidaemia 966 methylphenidate 601 methylprednisolone 64, 333, 521, 539, 839 metoclopramide 685, 691, 787 metronidazole bacterial 669 hemorrhage 153 \200\2234 meta-analyzes 12 metabolic acidosis 103, mastocytosis 842 mastoiditis, acute 901 masturbation 502 maternal disorders causing neonata l disease 124 congenital infection 182 \200\2235 diabetes mellitus 112, 120 gastroenteritis 339 gastritis 330 in \202 ammatory bowel disease 333 104 \200\2235, 958 metabolic bone disease 190 metabolic disease, intestinal parasites 340, inherited 953 \200\22377 metabolism, drug 1017 metal metabolism and transportation, disorde rs of 976 \200\2237 341 necrotizing mature B cell acute lymphoblastic leukemia 657 enterocolitis 179 oncology 682 orbital cellulitis 919 pancreatitis 328 peptic ulcer disease 330 peri-orbital cellulitis 718 sepsis 71 metered dose inhalers 264 metformin 417, 453 methadone poisoning 88 methaemoglobinaemia 62, mature B cell non-Hodgkin \200\231s lymphoma 660 maturity onset diabetes of young 418, 419 88 measles 705, 706 methanol poisoning 87 methotrexate 678, 679 immunization 728 metyrapone 435 Micralax 307 microalbuminuria 414 microarray analysis 933 microcephaly 171 , 534 \200\2235 mebendazole 341 Meckel \200\231s diverticulum 865 meconium 108 meconium aspiration biochemical disturbances 684 haemophagocytic lympho- histiocytosis 677 in \202 ammatory bowel disease 333 syndrome (MAS) 152 primary meconium ileus 862 medication errors 1012 medium chain acyl-CoA dehydrogenase de \201 cien cy 970 autoregressive 950 microcytic anemia 611 microcytic red blood juvenile dermatomyositis 783 cells 608 micropenis 491 micturating juvenile idiopathic arthritis 771 oligoarticular 773 MEDLINE 18 meibomian cyst 918 melanocytic naevus 836 melanomas, malignant 675, cystourethrogram 360, 371 Langerhans cell histiocytosis 676 lymphoblastic leukemia, midazolam 81, 135, 691, 836 1017, 1019 acute 656 morphoea 839 myasthenia gravis 544 psoriasis 810 psoriatic arthritis 777 rheumato id melphalan 679 membranoproliferative midgut malrotation and volvulus 858 \200\2239 glomerulonephritis 378 migraine 518 milia 196 milk aspiration 154 milk feeding 142 \200\2233 Millennium Developmen t membranous glomerulonephritis 378 Mencap 980 meningitis 697, 720 \200\2231 factor-negative polyarthritis 776 Goals 1022 32_McClure_Index.indd 1061 11/14/2012 7:09:11 PM INDEX 1062 mucositis 686 multinodular goiter 420 multiple disseminated Miller \200\223Dieker nasal polyps 902 nasogastric tubes 889 naso-lacrimal duct obstruction 918 syndrome 500 mineralocorticoid de \201 ciency 439 mineralocorticoid excess 438 mineralocor ticoid therapy 437 encephalomyelitis 521 multiple endocrine neoplasia 440 nasopharyngeal carcinoma 675 National Autistic Society 980 multiple pregnancy 120 multiple sclerosis 521 mumps 713 minimal change disease 378 minimal enteral feeding National Institute for immunization 728 Health and Clinical Excellence 698 \200\2239 National Society for the Munchausen syndrome by (trophic feeding) 143, 322 proxy 999 mupirocin 817 murmurs, cardiac see heart minoxidil 397, 831 miscarriage 110 mitochondrial Prevention of Cruelty to Children 1004, 1042 National Travel Health murmurs muscular disorders 546 \200\2238 muscular dystrophies 546 musculoskeletal system, examinati on 34 myasthenia gravis 544 \200\2235 cardiomyopathy 962 Network and Center 1024 mitochondrial disorders 959, 971 nausea and vomiting 300 \200\2231 mitoxantrone 678 mixed connective tissue chemotherapy 685 Nebuhaler 268 nebulizers 264 Necator americanus 341 neck examination, neonates 145 disease 784 maternal 124 mycobacteria 722 mycophenolate mofetil 381, mobility assessment 733 Moebius syndrome 951 molecular genetic analysis 934 karyotyping usi ng 781, 787 necrotizing myeloid leukemia acute 548 \200\2239 chronic (adult type) 659 enterocolitis 178 \200\2239 microarrays 933 Bell staging 179 X-rays 159 moles 836 molluscum myelomeningocele 170 myelomonocytic leukemia, necrotizing fasciitis 719 negative predictive value of contagiosum 813 mometasone furoate 809 Mongolian blue spot 196, juvenile 659 Myelotarg 658 myocarditis 248 myoclonic absence epilepsy 512 myoclonic astatic a test 15 neglect, de \201 nition 998 Neisseria meningitides 714, 836 monilethrix 831 monocytopenia 608 monocytosis 608 montelukast 263, 280, 289 Morgagni hernia 853 Moro re \202 ex 558 morphine 1018 720, 728 nematodes 341 Neocate 143 neomycin 345, 811, 914 neonatal abstinence syndrome 18 6 epilepsy 511, 512 myoclonic epilepsies 512, 513 of infancy benign 510 severe 511 neonatal mortality 110, analgesic ladder 691 inguinal hernias 868 metabolism 1017 neonates 163, 186 post-operative care 890 tetralogy of Fallot 63 198 \200\2239 myoclonic seizures 505 myoclonus 502 myopathies 547, 957 myopia 911 myotonic dystrophy 546 \200\2237, neonatal period de \201 nition 110 history taking 25 neonatal sleep myoclonus, benign 502 neonates 107 \200\22399 adverse drug 944 morphoea 786, 839 mortality rates 10 world health 1022, 1023 motor development 558 \200\2239 mouth reactions 1014 \200\22315 blood transfusion 646, N nabilone 685 naevus \202 ammeus 824 nail biting 832 nail disorders 832 \200\2233 nail \200\223patella syndrome 833 naloxone 88 naphthalene poisoning 88 nappy rash 196 naproxen 7 71, 773 narcotic poisoning 88 nasal foreign body 902 nasal malformations 902 \200\2233 647 disorders 904 neonates, normal conjunctivitis 914 death 110, 198 \200\2239 dermatology 196 developmental dysplasia of variations and minor abnormalities 146 movement disorder 957 movements, acute abnormal 524 \200\2235 the hip 748 diabetes mellitus 418 diaphragmatic hernia, congenital 852 Movicol 307, 993 mucolipidosis 969 mucopoly- epilepsies 508 \200\2239 \202 uid and electrolyte balance 148 \200\2239 saccharidoses 962, 968 32_McClure_Index.indd 1062 11/14/2012 7:09:11 PM INDEX 1063 nucleotide metabolism disorders 973 neurology 495 \200\223553 glutaric aciduria 966 hematology 192 \200\2233 hearing assessment 896 hyperparathyroidism 4 47 infections 180 \200\2235 intestinal obstruction 844 knowledge base 7 life support 108 \200\2239 non-speci \201 c illness 128 \200\2239 normal variations and minor abnormalities 146 nutrition 142 \200\2233, 298 congenital number needed to treat 15 Nuremberg Code (1948) abnormalities 500 \200\2231 examination 496 \200\2238 altered level of 1030 Nutramigen 143 nutrition consciousness 75 metabolic syndromes 956 \200\2237 cystic \201 brosis 274 diabetes mellitus 408 \200\2239 healthy eating 298 kidney disease, chronic 368 knowledge base 6 neonates 142 \200\2233, 298 oncology 654 neuromuscular disorders 538 \200\22340 genetic disorders 944 \200\2235 neuromuscular junction disorders 544 \200\2235, 548 chronic lung disease of prematurity 276 chronic lung disease of prematurity 276 neuromuscular weakness 49 pain scales 1018 paroxysmal episodes 502 polycythaemia 192, 630 retinal hemorrhages 527 rou tine care 140 \200\2231 routine oncology 686 parenteral 324 neuronal heterotopia 171 neuronal migration defects 171 neutropenia 608 febrile 682 neutrop enic nutritional disorders 320 \200\2231 nutritional status, assessment of 320 nutritional support 322 \200\2235 nystagmus 913 nystatin 196, 828, 832 examination 144 \200\2235 enterocolitis 685 surgery neutrophilia 609 newborns see neonates nifedipine congenital diaphragmatic hernia 852 perioperative care 885 post-operative care 889 symptoms and signs that should cause concern 844 \200\2235 O obesity 400 \200\2235 achalasia 327 epilepsy 510 hypertension 396, 397 jaundice, neonatal 133 metabolism 1017 Ray naud \200\231s syndrome 825 genetic disorders 949 observational study design 11 thrombophilia 645 thyrotoxicosis 427 umbilical arterial obsessive compulsive disorder 588 obstetrics 118 \200\22322 obstructive jaundice 315 obstru ctive sleep night terrors 502 Nikolsky \200\231s sign 718, 816 Nissen \200\231s fundoplication 327 nitr ate poisoning 88 nitrofurantoin 358 nits 829 nocturnal enuresis 994, 995 nocturnal catheter 206 \200\2237 umbilical venous catheter 208 vision screening 908 X-rays 156 \200\2239 apnoea 259, 279 chest X-ray 260 occipital lobe epilepsies 515 occipital seizures 505 nephroblastomas 668 \200\2239 nephroblastomatosis 669 nephrogenic diabetes benign childhood occipital seizure syndrome 514 hypoglycaemia 412 non-accidental injury see insipidus 373, 450, 451 occipitofrontal child abuse non-articular nephrogenic rests 669 nephromas, circumference 29, 145 octreotide 133, 139, 691 oculocephalic re \202 ex 75 oculovestibular re \202 ex 75 odds ratio 14 oesophageal atresia 844, osteochondroses 761 non-fatal deliberate self- harm see deliberate self-harm, non-fatal mesoblastic 669 nephronophthisis 372 nephrotic syndrome 378 \200\22381 nerve palsies 126 ne rvous system non-Hodgkin \200\231s 848 \200\2239 oesophageal lymphoma 660 non-lymphoblastic central see central nervous system disorders 326 \200\2237 leukemia, acute 658 \200\2239 system review 27 congenital Noonan syndrome 941 noradrenaline 57 norethisterone 478 normocytic anemia 611 nose neural tube defects 170 neuroblastomas 666 \200\2237 neurocutaneous abnormalities 848 \200\22350 oesophageal foreign body 327 disorders 530 \200\2232 neurodevelopmental delay 564 \200\2235 oesophageal stricture 850 estrogen therapy common disorders androgen insensitivity syndrome 490 sex development disorders 489 902 \200\2233 neuro \201 bromatosis 441, examination 31 symptom review 26 531 \200\2232 gliomas 662 type 1 (NF1) 946 nose bleed 902 32_McClure_Index.indd 1063 11/14/2012 7:09:11 PM INDEX 1064 slipped upper femoral epiphysis 753 sickle cell disease 621 upper airway off label use of medications 1012 oligoarticular juvenile osteopenia of infections 282 prematurity 190 paraphimosis 880 parasitic skin infections 829 parenteral nutrition 324 \200\2235 parents idiopathic arthritis 773 oligohydramnios 121, 370 omeprazole 274, 326, 330 omphalocele 866 \200\2237 oncology 651 \200\22391 osteopetrosis 764 osteosarcomas 670 ostium primum defect 233 ostium secundum defect 233 relationship with doctor 1035 responsibility 1035 Parkland \200\231s formula 68 paronychia 832 paroxysmal cold acute care 682 \200\2236 chemotherapy 678 \200\2239 clinical assessment 653 clinical examin ation 654 epidemiology 652 follow-up principles 688 \200\2239 key investigations 655 pallia tive care 690 \200\2231 radiotherapy 681 stem cell transplant 680 surgery 681 urgent care 6 87 otalgia 895 otitis externa 900 otitis media 900 acute 282, 283 haemoglobinuria 624 otoacoustic emission, neonates 141 paroxysmal episodes, non-epileptic 502 \200\2234 otorrhoea 895 Oucher scale 1018 overgrowth, genetic disorders 949 oxandrolone 469 oxybutyni n 995 oxygen, supplemental 160 oxymetholone 627 oxytocin 122 paroxysmal nocturnal haemoglobinuria 626 \200\2237 Part 8 reviews 1043 partial atrioventricular septal defect 233 parvovirus 705, 709 Patau sy ndrome 938 patella ondansetron 300, 685, 691 onycholysis 833 onychomycosis 828 oppositional de \201 ant disor der 598 \200\2239 optic disc drusen 921 optic disc swelling 921 optic neuritis/ bipartite 754 chondromalacia 754 maltracking 754 P pachygyria 171, 501 pediatric autoimmune neuropsychiatric disorder associated with strept ococcus 525 pain management 1018 patent ductus neuropathy 921 oral candidiasis 146 oral contraceptive pill 453, arteriosus 169 patient-triggered ventilation 160 640 PDS \204 891 peanut allergy 317 Pearson \200\231s syndrome 971 pelvic appendicitis 845 PEL VIS syndrome 824 Pendred syndrome 899 penicillamine 345, 346, 976 penicillin oral glucose tolerance testing 404 \200\2235 orbital cellulitis 919 orchitis 877 organic ac id metabolism, disorders of 966 organic acidopathy 962 organic anion, accumulation see also analgesia paint remover poisoning 87 palivizumab 289 palliative care 690 \200\2231 palmar crease, sin gle 147 pamidronate 447 Panayiotopoulos syndrome 514 pancreatitis 328 \200\2239, 685 pancyt openia 655 panic disorder 584 Panner \200\231s disease 760 papilloedema 921 papular acroder matitis 814 papular rashes 812 \200\22314 papular urticaria 814 papules 704 paracetamol cellulitis 818 erysipelas 818 erythema multiforme of 958 organophosphate poisoning 88 816 orofacial clefts 191, 846 oropharynx, glomerulonephritis 375 hereditary examination 31 orthopedic trauma spherocytosis 616 immune haemolytic anemia 624 infective bacterial 758 \200\2239 Ortolani \200\231s test 748 Osgood \200\223Schlatter \200\231s disease 761 endocarditis 243 lymphoedema 823 neonates 150, 180, 184 nephrotic syndrome 379 red blanching rashes 818 rheu matic fever 245 sepsis 71 sickle cell disease 620, adverse reactions 1014 analgesic ladder 691 blood transfusion reactions 648 osteochondritis dissecans of the knee 756 \200\2237 osteochondroses 760 \200\2231 osteochondrosis of capitellum 760 fever 701, 1019 metabolism 1017 migraine 518 pain management 1018 poisoning 86 post-operati ve care 890 shock 56 osteogenesis imperfecta 762 \200\2233, 838 621 osteomalacia 444 osteomyelitis 697, 740 \200\2231 osteonecrosis streptococcal infection 184, 524, 705, 707 of the capitellum 760 thrombocytopenia 642 32_McClure_Index.indd 1064 11/14/2012 7:09:12 PM INDEX 1065 pharmacokinetics 1016 pharmacology 1011 \200\22319 pharyngitis 282, 283 phenacetin 88, 618 phenobarbital 81, 135, 508 phenothiazine 88, 525 phentolamine 396 phenylephrine 63 phenytoi n upper airway pneumoperitoneum 153 pneumothorax 153 infections 283 penile trauma 881 pentamidine 683 pentazocine poisoning 88 peptic ulcer dise ase 330 pericardiocentesis 217 pericarditis 53, 246 \200\2237 X-ray 157 poisoning 82 \200\2238 child abuse 1000 Police Protection Orders 1042 polio viruses 540, 703 immunization 728 assessment 55 aplastic anemia 626 contraindications 86 digoxin poisoning 87 hypocalcaemia 442 neonatal se izures 135 status epilepticus 81 perinatal de \201 nitions 110 perinatal mortality 10, 110, polyarteritis nodosa 789 polychromatic red blood 198 \200\2239 cells 609 polycystic kidney disease 372 polycystic ovarian perinatal period, de \201 nition 116 perioperative care 884 \200\2235 peri-orbital cellulitis 718, syndrome 452 \200\2233 polycythaemia 192, 630 \200\2231 polycythaemia- phimosis 880 phobias 584 phosphate de \201 ciency 444 photosensitivity 834 phototherapy, n eonatal jaundice 130, 131 phrase development 560 physeal osteochondritis 760 physical abuse 1000 \200\2231 see also child abuse physical examination 4, 915, 919 peripheral arterial blood sampling 205 peripheral arterial cannulation 205 hyperviscosity syndrome 630 polydactyly 147 polydipsia, primary 450, 451 polyhydramnios 121, 370 polymicrogyria 171 pol ymorphic light eruption 834 peripheral blood \201 lm 608 \200\2239 peripheral blood stem cell transplants 680 peripheral cyanosis 146 peripheral examination 497, 498 polyposis syndromes 331 polyps, intestinal 331 polyuria 350 population descriptors 10 porph yria 834 porphyrin metabolism disorders 974 \200\2235 port wine stain 824, 919 positional t alipes 147 positive predictive value of 28 \200\22334 peripheral neuropathy 541 peripheral precocious puberty 480, 482 physiological jaundice 130 physostigmine 86 phytobezoars 857 phytomenadione 140 Pierre \200 \223Robin sequence 191, perisylvian polymicrogyria 501 peritoneal dialysis 369 periventricular 847, 899, 951 pigmentation hemorrhage 176 disorders 836 \200\2237 periventricular pili torti 831 pinworm 341 piptazobactam 682 piroxicam 771, 773 pitting, nail 833 pityriasi s alba 837 pityriasis rosea 811 pityriasis versicolor 828 pizotifen 300, 311, 518 plant poi soning 86 plastic deformation fractures 759 a test 15 positive pressure leucomalacia 177 permanent neonatal diabetes mellitus 418 ventilation 160 \200\2231, 162 \200\2233 permanent vegetative posterior pituitary 448 \200\22351 post-haemorrhagic ventricular dilatation 176 state 1041 permethrin 829 perniosis 825 peroxisomal disorders 921, post-mature birth 110, 121 post-menstrual age 110 post-mortem 198 postnatal age 110 postnat al growth 456 post-neonatal mortality 10 post-operative care 888 \200\22391 post-term birth 110, 121 post-test odds 15 post-test probability 15 post-traumatic stress 959, 972 persistent ductus arteriosus 234 persistent pulmonary platelet function assay 634 platelet function disorders 640 hypertension of the newborn 168 Perthes \200\231 disease 750 \200\2231 pertussis 286 platelet transfusion 646 play, symbolic 561 play therapy 604 pneumococcal conjugate immunization 728 pervasive developmental disorders 602 pesticide poisoning 88 petechiae 704 Peutz \200\223Jegher \200\231s disorder 584, 586 \200\2237 vaccine 728 postural deformities, neonates 147 postural kyphosis 744 Potter \200\231s sequence 951 pott y training 561 power of a statistical pneumocystis pneumonia 683 pneumomediastinum 153 pneumonia 290 \200\2233 congenital 152 fever 697 syndrome 331 PHACES syndrome 824, 919 phaeochromocytomas 675 test 14 pneumopericardium 153 32_McClure_Index.indd 1065 11/14/2012 7:09:12 PM INDEX 1066 Protection of Children Act prenatal history 25 prenatal screening, routine 118 prescribing for practical procedural skills 5, (1999) 1034 201 \200\22323 protein C de \201 ciency 644 protein \200\223energy practicing pediatrics 1 \200\2237 Prader staging of virilization 487 malnutrition 320 children 1012 protein-losing presenting complaint 22 \200\2233 pre-septal cellulitis 919 preterm birth see prematurity Prader \200\223Willi syndrome 949 enteropathy 330 \200\2231 protein S de \201 ciency 644 proteinuria 354 \200\2235 prothromb in G20210A cerebral insult 539 pralidoxime 88 praziquantel 341 prazosin 397 pre-auricular pits 146 precocious puberty 480 \200\2233 prednisolone preterm prelabour rupture of the membranes 121 mutation 644 prothrombin time 634 protozoa pre-test odds 15 pre-test probability 15 prevalence 10 prevention of disease 982 \200\2234 priapism 880 prickly heat 1025 primary health care intestinal 340 \200\2231 skin infections 829 proximal renal tubular acidosis 384 \200\2235 proxymetacaine 922 pruritus 820 \200\2231 pruritis ani 821 pruritus vulvae 821 pseudoherma phroditism anaphylaxis 64 asthma 263, 266 Bell \200\231s palsy 519 croup 285 Diamond \200\223Blackfan syndrome 628 team 981 epilepsy 510 immune primary hyperoxaluria type 1: 389 primary prevention programs 982 thrombocytopenia, acute 643 486, 489 pseudo hypoparathyroidism in \202 ammatory bowel disease 333 primitive neuroectodermal 443 tumors 663 primitive re \202 exes 558 principlism 1030 problem solving skills 4 \200\2235 procainamide 57, 87 procarbazine 679 professional conduct and pseudoseizures 80 pseudosquint 909, 910 psoriasis 810 psoriatic arthritis 777 psychiatry 56 7 \200\223606 asking the dif \201 cult questions 576 liver failure, chronic 345 lymphoblastic leukemia, acute 656 nephrotic syndrome 379 systemic lupus