Eugene Toy - Case Files Pediatrics, Fourth Edition

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DEDICATION

To my father-in-law J. Yen (Tommy) Ligh,
whose inventive genius and sense of humor are infectious,
and in loving memory of Lillie Woo Ligh,
my mother-in-law whose grace and beauty continue to shine.

Eugene C. Toy

We appreciate all the kind remarks and suggestions from the many medical students over the past 3 years. Your positive reception has been an incredible encouragement, especially in light of the short life of the Case Files series. In this fourth edition of Case Files: Pediatrics, the basic format of the book has been retained. Improvements were made in updating many of the sections. New cases include sickle cell disease, rectal bleeding, juvenile idiopathic arthritis, primary syphilis, pityriasis rosacea, and congenital cataracts. We reviewed the clinical scenarios with the intent of improving them; however, their real-life presentations patterned after actual clinical experience were accurate and instructive. The multiple-choice questions have been carefully reviewed and rewritten to ensure that they comply with the National Board and USMLE format. Through this fourth edition, we hope that the reader will continue to enjoy learning how to diagnose and manage patients through the simulated clinical cases. It certainly is a privilege to be teachers for so many students, and it is with humility that we present this edition.

The Authors

The clerkship curriculum that evolved into the ideas for this edition was inspired by two talented and forthright students, Philbert Yao and Chuck Rosipal, who have since graduated from medical school. It has been a tremendous joy to work with the excellent pediatricians at the University of TexasHouston Medical School. I am greatly indebted to my editor, Catherine Johnson, whose exuberance, experience, and vision helped to shape this series. I appreciate McGraw-Hills believing in the concept of teaching through clinical cases, and I would like to especially acknowledge Catherine Saggese for her production expertise, Cindy Yoo for her editorial guidance, and Ridhi Mathur for her excellent production skills.

At the University of TexasHouston Medical School we appreciate Giuseppe N. Colasurdo, MD and president of the University of Texas Health Sciences Center for his support and dedication to student education. Without my dear colleagues Drs. Konrad Harms, Priti Schachel, and Gizelle Brooks-Carter, this book could not have been written. At Methodist Hospital, I appreciate Dr. Marc Boom, Dr. Judy Paukert, and Dr. Alan Kaplan. Debbie Chambers, an excellent administrator, was instrumental to our success at Methodist. Most of all, I appreciate my ever-loving wife Terri, and my four wonderful children Andy, Michael, Allison, and Christina, for their patience and understanding.

Eugene C. Toy, MD