Despite the advent of powerful technological advances, the cornerstone of patient care remains the history and physical examination. In this era of lab tests and, in a system dominated by "adult medicine," the special approach to the unique examination of infants and children is often lost. In the Handbook of Pediatric Physical Diagnosis, the highly respected pediatrician Lewis Barness, and noted pediatrician and pathologist, Enid Gilbert-Barness, present clear descriptions and guidelines for the examination of the pediatric patient in an objective, analytical, and humanistic manner. With concise, clearly written text covering both common and difficult diagnoses, and aided by a wealth of tables, charts, and illustrations, this new edition includes more information on differential diagnosis, and has a new fresh look.
Reviewer:Douglas Moodie, M.D.(Ochsner Clinic Foundation)
Description:This is the eighth edition of the reformulated, well known handbook of pediatrics that has been a guide for students and residents since the 1950s. This edition adds new sections related to nosology and chromosomal and genetic diseases, and new chapters on hematologic disorders, infections, endocrine abnormalities, and child abuse. The book has also been enhanced with additional tables and illustrations. The co-author, Dr. Enid Gilbert-Barness, has added an important pathological perspective.
Purpose:The purpose is to provide a handbook of physical examination for physicians who use not only the latest technical diagnostic tools, but also the "old fashioned" methods for arriving at a differential diagnosis using history and physical examination skills. In these days of technological advancement, this is an important handbook for physical and history examination skills. In addition, the handbook has been expanded to include a more comprehensive section on differential diagnosis. This latest edition certainly continues the tradition of clinical excellence that this handbook has manifested over all of its eight editions.
Audience:It is written for anyone involved in the care of children, from medical students to pediatric residents and pediatric and family practitioners, both in general practice and in subspecialty practice.
Features:The handbook continues to be nicely divided into sections which review the approach to the patient -- history and physical examination, vital sign measurements, general appearance of the patient, and nutrition. Then it goes into the physical examination, beginning with the head and neck and emphasizing the abdominal examination. In addition, there are chapters on genetic disease, hematology/oncology, infections, the urinary tract, eye, endocrine, and child abuse. The book ends with the unique aspects of the physical examination of newborns and adolescents.
Assessment:This remains an excellent source of pediatric information, particularly as it relates to physical examination skills, history taking, and differential diagnosis. It has been an important part of pediatric literature since the 1950s and this edition has been updated significantly with new, excellent illustrations. This handbook should be a part of every pediatrician's library, and carried in the pockets of students, residents, and young physicians.