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August 1987

Principles and Practice of Clinical Pediatrics

Author Affiliations

Department of Pediatrics Arizona Health Sciences Center 1501 N Campbell Tucson, AZ 85724

Am J Dis Child. 1987;141(8):921. doi:10.1001/archpedi.1987.04460080107040

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Principles and Practice of Clinical Pediatrics is a primary care textbook written for office-based physicians, nurses, and students. The 107 chapters are divided into seven sections, including well-child care, assessing signs and symptoms, the ill or injured child, developmental disabilities, behavior problems, the primary care physician and the subspecialist, and talking with parents.

The most unique aspect of this book is its section on assessing signs and symptoms. Common signs and sympcoms of illness are presented, first with a differential diagnosis, followed by a discussion of the differential diagnosis and recommendations for data gathering. An algorithmic "decision tree" is formulated for each sign and symptom, along with a discussion of the algorithm.

This approach works well for most topics. However, for some topics the approach leads to fragmentation and redundancy; otitis media is partially discussed in the signs and symptoms chapter on earache and is then discussed in more detail

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