By A. Parthasarathy

An cutting edge time-tested venture of the indian academy of pediatrics, already bought greater than 10,000 copies contributions from greater than two hundred nationwide specialists and luminaries of their respective fields of curiosity and services unfold over 21 chapters complete textual content revised and up-to-date conserving in view the current wishes and attainable destiny necessities of practitioners and scholars of pediatrics crisp, concise and but entire textual content provides the topic in a simplified and sensible demeanour contains info of suggested progress charts, consensus tips about immunization and lap nationwide immunization agenda 2012, steered via the lap committee on immunization presents present protocols for administration of varied infectious and non-infectious illnesses, as instructed via numerous chapters and teams of the indian academy of pediatrics significant thrust on preventive pediatrics, to be able to familiarize the younger pediatricians with present in addition to destiny thoughts during this box a publication of significant application for the scholars, lecturers and practitioners of pediatrics in india and south asian organization for local cooperation (saarc) nations devoted to little ones and adolescents-the destiny electorate of india whose care and nurture are our target, predicament and dedication.

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C n They treated the child and family and not just the disease. As science developed, physicians started treating disease and not the child. Subsequently, they have learnt to treat diagnostic tests and not disease. Thus, modern clinical practice revolves around diagnostic tests, often without clinical correlation. Unfortunately, scientific advances have not translated into better health indices or quality of life for children at large. This is mainly because majority children need simple approach to their common problems.

Transillumination of the skull in a dark room is useful in children below one year, to detect subdural effusion or hematoma, if translucency extends beyond 2 cm in the frontal and 1 cm in the occipital region. The face must be observed for any dysmorphic features 8 that may suggest chromosomal or developmental anomalies. 1 shows some common abnormal features and a few conditions where they are seen. The inter-palpebral line of the eyes when continued horizontally backwards, normally divides the ears into the upper one-third and lower two-thirds.

5 cm in the cervical and inguinal region may not be significant. The skin is examined (Fig. 5) by rolling a fold of loosely adherent skin on the abdominal wall between the thumb and forefinger to determine its consistency, the amount of subcutaneous tissue present and the degree of hydration. Examination of the hips must always be carried out in younger children and infants, to look for dislocation. The Ortolani or Barlow procedure is done and the typical clunk of the hip moving in and out of its socket is looked for.

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