Tag Archives: Pediatrics

Must Buy: Bates’ Guide to Physical Examination and History Taking

Bates Guide to Physical Examination and History TakingThe heart of all medical education is centered around a solid foundation in history and physical exam skills. These are not only learned and critiqued early during the preclinical years, but comprise the basis on which medical students are assessed and evaluated during clinical rotations as they are conveyed through presentations. Due to the strong and constant need for excellent history and physical examination skills in producing superior grades, it is highly recommended that all medical students master these abilities early.

Bates’ Guide to Physical Examination and History Taking, now in its 10th edition, represents the best reference resource for this goal. The book itself is rather extensive as a primer for all things history and physical, which makes it perfect for incoming medical students. The text is detailed and straight-forward, with great complementary pictures, illustrations, and tables. It is important to note that the focus extends behind the basic logistics and mechanics of taking a history and performing a physical.  Special attention is placed on normal physiology, as well as the significance of abnormal exam findings. Combined with proper instrument technique and care, this book allows for a deep understanding and mastery of the basic physical exam.

Other benefits of this book include the CD and website access on The Point, which host patient examination and assessment videos, fully searchable text, and cardiopulmonary exam sounds. To a lesser degree, the book is also helpful at providing basic differential diagnosis development. While many medical schools specifically assign chapters in this book as required reading during preclinical years, it remains a fantastic reference source throughout clinical rotations as well, with continued potential for residency.

There are a few drawbacks to this book.  First and foremost is the price.  At around $100, this “must buy” book is often times considered a “must borrow” from the library. Purchasing the black 9th version of this book will offer nearly all the same content for a slightly lower price, but has issues with page discordance when professors assign specific pages from the latest version. Second, Bates’ strength in providing full explanations to completely inexperienced medical students can sometimes become undesirable later in medical school when trying to obtain a quick concise answer for an understood concept.  Along those same lines, the weight of this 992 page book can make constant transport somewhat arduous. It should also be noted that this book does not delve into the depths of specialty exams, but rather focuses strongly on the general history and physical exams needed for core clerkships. For example, the basic eye exam is included, but does not cover the depth that an ophthalmologist might assess. The book does however provide a full and thorough neurologic, pediatric, and gynecologic exam.

The first unit is a general overview, and contains specific book chapters on: Physical Exam and History Taking Overview; Clinical Reasoning, Assessment, and Recording; and Interviewing and the Health History. Unit 2 covers regional examination, with chapters on: General Survey, Vital Signs, and Pain; Behavior and Mental Status; The Skin, Hair, and Nails; Head and Neck; Thorax and Lungs; Cardiovascular System; Breasts and Axillae; Abdomen; Peripheral Vascular System; Male Genitalia and Hernias; Female Genitalia; Anus, Rectum, and Prostate; Musculoskeletal System; and Nervous System. The final unit is dedicated to “special populations,” and includes chapters on: Children – Infancy through Adolescence; The Pregnant Woman; and the Older Adults.

Overall, this is a highly recommended book for incoming medical students to master vital skills. Be sure to use the below links to get a starting price comparison between retailers before making a purchase, as the price can be steep.

 

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Books to Avoid: Blueprints Pediatrics

Books to Avoid: Blueprints Pediatrics

Books to Avoid: Blueprints Pediatrics

The purpose of this site is to utilize the first-hand experiences of medical students to create insightful advice when it comes to books and resources.  While many of the resources posted so far have had very positive reviews, it is finally time to recommend avoiding the mistake known as Blueprints Pediatrics.

There are a few reasons why this is a common pitfall for third year med students looking for books on their pediatrics rotation.  First, it is relatively cheap and easy to come by.  Even if you don’t buy it yourself, it’s easy to pick up a free copy that is being given (thrown) away in a med student lounge. Keep in mind it’s being given away for free for a reason.

Secondly, and perhaps the more evil of its qualities, is that it is incredibly easy to read, and herein lies the deceit: reading through Blueprints Pediatrics will make you feel like a medical student superstar genius. You can pick this book up, breeze through any chapter quickly, and feel like you know most of the information already because of your USMLE Step 1 knowledge. Whereas some books really bog the reader down on details, Blueprints Pediatrics takes the exact opposite approach. The end result is a med student who believes they possess mastery of the material for their pediatrics clerkship, when in reality they are ill prepared for the NBME Pediatrics Shelf Exam, NBME Ambulatory Shelf Exam, or wards pimping.

Chapter topics appear like they cover all the bases, but the depth of content is just shallow.  The material it does present is accurate, and there is nothing grossly wrong with the book as far as what it does give.  It just doesn’t give what is truly needed.

As such, I won’t be linking out to online retailers to purchase this book, or using our handy Price Check plugin.  Instead, I recommend Nelson’s Essentials of Pediatrics (reviewed here), as well as Pre-Test Pediatrics for USMLE style questions.  Better yet, just check back to the section on this site for Pediatrics Books from time to time, as more books are reviewed and added.

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Pre-Test Pediatrics USMLE style QBank, Great for the Peds Clerkship

PreTest Pediatrics USMLE Style Qbank Questions

PreTest Pediatrics USMLE Style Qbank

PreTest Pediatrics is the resource to pick up for USMLE style Pediatrics Qbank questions. Pediatrics as a field unfortunately doesn’t have its share of amazing high yield resources for med students. We are usually left choosing between First Aid for the Pediatrics Clerkship (upcoming review), Nelson’s Essentials of Pediatrics (reviewed here), or just hitting up the internet. The problem is that the information tested on the NBME shelf exam focuses on content you will not see on your pediatrics rotation, whether it is outpatient or inpatient.

Nevertheless, on the NBME Pediatrics shelf exam, NBME ambulatory (outpatient) shelf exam, and USMLE Step 2 CK exam, you will need to know the differential diagnosis for things like “child presents with limp.”  Do you remember ever going over that in your preclinical classes?  Yeah, that’s because most med schools don’t hit such topics.  This is precisely where PreTest comes in to boost your scores.

Chapters cover General Pediatrics, the Newborn Infant, Cardiovascular System, Respiratory System (this one is vital for the shelf!), Gastrointestinal System, Urinary Tract, Neuromuscular System, Infectious Disease and Immunology, Hematologic and Neoplastic Diseases, Endocrine, Metabolis, Genetic Disorders, and the Adolescent.

The book has a good number of black and white images to offer.  It would have been nicer in color, but the pathology they are trying to illustrate is actually pretty clear. The ends of each chapter also have matching style questions, but the majority are your usual USMLE style multiple choice qbank questions. Answer explanations are satisfying for both correct and incorrect answer choices, and build upon themselves as you continue reading the book and hit on similar topics.

The differential for child presenting with limp is one of those things that can be solved on USMLE board and NBME shelf exams just by looking at the patient’s age (much like the leukemias).  To really solidify all the additional and weird diseases you most likely won’t see on your Pediatrics clerkship but will most assuredly be tested on, pick up a copy of PreTest Pediatrics.

 

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Nelson’s Essentials of Pediatrics – A Solid Med Student Reference Book

Nelson's Essentials of Pediatrics, Solid Med School Reference Book for the Pediatrics Clerkship

Nelson's Essentials of Pediatrics, A Solid Med School Reference Book for the Pediatrics Clerkship

There really aren’t a ton of great pediatrics books out there for the core clerkship, but Nelson’s Essentials of Pediatrics is just a solid reference book to provide the basis of med student studying.  It represents the condensed version of the 2680-page full version, Nelson’s Textbook of Pediatrics, often times referred to as the Pediatric Bible.  Nelson’s Essentials hits all the key common pediatrics issues, but at 864 pages, it’s a balance between manageable and comprehensive. Still, you’ll have to pick and choose which chapters are read straight through, because you won’t be able to shotgun this entire book in a reasonable amount of time.

The best study technique for pediatrics is to actually use a reference book such as this or Rudolph’s Fundamentals of Pediatrics (to be reviewed later) along with a number of question books such as Pre-Test Pediatrics, as well as online resources like UpToDate. Referencing Nelson’s Essentials of Pediatrics on each of your assigned patients is a great way to prepare for imminent pimping.  Again, as a larger book, it’s tough to read cover to cover, or even carry around to the wards, but it is reliable. With that being said, it also comes with Student Consult, which means you can scratch-off the key code inside the front cover to get access to the book electronically. As usual, this is perfect while roaming around the pediatric floors, and for snagging images for formal presentations.

Nelson’s Essentials of Pediatrics has some easy to understand, straight forward (but not overly amazing) diagrams and graphs. Again, it gets the job done.  The 204 Chapters are grouped into the following units: The Profession of Pediatrics, Growth and Development, Behavioral Disorders, Psychiatric Disorders, Psychosocial Issues (which comes up a lot on the pediatrics rotation), Pediatric Nutrition, Fluids and Electrolytes, The Acutely Ill or Injured Child (perfect for Pediatric Emergency as well), Human Genetics and Dysmorphology, Metabolic Disorders, Fetal and Neonatal Medicine, Adolescent Medicine, Immunology, Allergy, Rheumatic Disorders of Childhood, Infectious Diseases, Digestive System, Respiratory System, Cardiovascular System, Hematology, Oncology, Nephrology and Urology, Endocrinology, Neurology (useful for the Neurology shelf exam), Dermatology, and Orthopedics.

Again, this is a solid reference book, and a good companion during the Pediatric Clerkship.

 

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