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The Baby Bear Book
A Practcal Guide on Paediatrics 4th Editon
Kok Wee Chong
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KK Women’s and Children’s Hospital, Singapore
Yi Hua Tan
KK Women’s and Children’s Hospital, Singapore
Descripton
For the past two decades, The Baby Bear Book has been the “go-to” text for healthcare professionals caring for sick children in Singapore. With an emphasis on the clinical aspects o paediatric care, the 4th editon includes important revisions and new chapters b e perienced clinicians to enhance its use ulness in toda s practce. The Baby Bear Book is a practcal guide which provides the latest evidence based in ormaton that is relevant to the care o children rom newborn through adolescence.
his book provides ke messages rom the relevant literature and practcal solutons to real problems aced b those who work with sick children, presented b e perienced, e pert paediatricians. t is a read re erence or paediatricians and amil ph sicians at ever stage o their training, and long a er.
Editors
Dr Chong Kok Wee is Head o the Paediatric llerg Service and a Consultant Paediatrician at the epartment o Paediatrics, KK Women s and Children s Hospital (KKH), Singapore. He received his medical degree rom the atonal Universit o Singapore in 2007 and obtained his post graduate Paediatric edicine specialist ualifcatons in 20 2. n 20 9, he completed his ellowship in paediatric allerg at St ar s Hospital, mperial College, London. His research interests include ood and drug allergies in children, as well as ood oral immunotherap . He has presented his research work in multple internatonal and regional con erences and actvel publishes in peer reviewed ournals. He serves as an d unct ssistant Pro essor in uke US edical School and ong Loo Lin School o edicine in Singapore. He also serves in the oard o irectors o sia Pacifc ssociaton o Pediatric llerg , espirolog and mmunolog ( P P ).
Dr Tan Yi Hua is a Consultant in espirator edicine and Sleep Service at the epartment o Paediatrics, KK Women s and Children s Hospital (KKH), Singapore. He received his medical degree rom atonal Universit o Singapore ( US) in 2006, and obtained his Graduate iploma in amil edicine in 2009 rom US as well as aster o edicine in Paediatric edicine rom US and embership to the o al College o Paediatrics and Child Health in 20 3. He obtained his specialist accreditatons and went on to subspecialise in Paediatric Pulmonolog , ormall oining espirator edicine Service in 20 7. His clinical research interests are in paediatric pulmonolog and sleep related disorders. He serves as an d unct ssistant Pro essor in uke US edical School, Lee Kong Chian School o edicine and ong Loo Lin School o edicine in Singapore.
February 2023
£165| HARDCOVER 978-981-126-628-7
£70 | S C E 978-981-126-715-4
Imprint: World Scientfc Publishing Compan
Extent: 872pp
Type: edical Handbook
Main Subject: Medicine
Sub-Subjects: Paediatrics ermatolog Haematolog mmunolog ephrolog enal edicine ursing
Keywords: ab ear ook Paediatric edicine KKH
Readership: edical and nursing students, paediatric and amil medicine trainees, practsing ph sicians, nursing and allied health practtoners
Contents
• oreword
• Pre ace
• Medical Emergencies:
Recognising the Critcally Ill Child (Loi V-Ter, Mervin; Lim Kian Boon, Joel )
Cardiopulmonary Resuscitaton (Loi V-Ter, Mervin; Lim Kian Boon, Joel )
Drug Overdose and Poisoning (Tan Shi Rui, Victoria; Lim Kae Shin; Ong Yong-Kwang, Gene)
• Surgical Emergencies:
Neurosurgical Emergencies (Low Yin Yee, Sharon)
Acute Abdomen (Ong Choo Phaik, Caroline)
Major Trauma ( Junaidah Binte Badron)
• Procedures:
Urinary Catheterisaton (Chow Wen Hann; Chang Su Ying, Serena; Chan Meng Fai, Joel )
Lumbar Puncture (Chow Wen Hann; Chang Su Ying, Serena; Chan Meng Fai, Joel )
Central Venous Line Inserton (Cher Yuqin; Ng Si Min, Pamela; Lim Kian Boon, Joel )
Chest Tube Inserton (Ng Si Min, Pamela; Cher Yuqin; Chan Meng Fai, Joel; Lee York Tien)
Bone Marrow Aspiraton and Trephine (Cher Yuqin; Ng Si Min, Pamela; Lee Ming Wei )
Exchange Transfusion (Chow Wen Hann; Eleah Nolasco Vidal; Shrenik Vora)
Umbilical Artery and Vein Catheterisaton (Huang Peiqi; Kong Juin Yee)
Peripherally Inserted Central Catheter Inserton (Huang Peiqi; Kong Juin Yee)
• Sedaton and Analgesia:
Sedaton and Analgesia (Wong Ju Ming, Judith; Lim Kian Boon, Joel; Yeo Siok Hoong, Angela)
• Adolescent Health:
The Adolescent Interview (HEADSS Assessment) (Kumudhini Rajasegaran; Courtney Davis; Chew Chu Shan, Elaine; Tan Sher Kit, Juliet; Oh Jean Yin)
Eatng Disorders (Oh Jean Yin; Chew Chu Shan, Elaine; Courtney Davis; Kumudhini Rajasegaran; Tan Sher Kit, Juliet)
Adolescent Sexual Health (Tan Sher Kit, Juliet; Karen Donceras Nadua; Seet Meei Jiun; Lee Hwee Chyen; Courtney Davis; Chew Chu Shan, Elaine; Kumudhini Rajasegaran)
• Allergy & Immunology:
Anaphylaxis (Goh Si Hui; Goh Eng Neo, Anne)
Food Allergy (Chong Kok Wee; Goh Eng Neo, Anne)
Drug Allergy (Tan Liling, Lynete; Loh Wenyin)
Urtcaria (Lee May Ping, Samantha; Ong Lin Xin)
Primary Immunodefciencies (Inborn Errors of Immunity) (Chan SuWan, Bianca; Liew Woei Kang)
• Cardiology:
Chest Pain (Tan Teng Hong)
Syncope (Chan Jiahui, Charmaine; Tan Teng Hong)
Cardiac Arrhythmias (Chan Jiahui, Charmaine; Tan Teng Hong)
Cardiomyopathy and Heart Failure (Zhang Zhewei, Dyan; Sreekanthan Sundararaghavan)
Infectve Endocardits (Tan Teng Hong)
Kawasaki Disease (Kotecha Monika Kantlal; Choo Tze Liang, Jonathan)
• Child Development:
Normal Development (Tan Hui Yin, Jessica; Rachana Koura)
Developmental Disorders (Lourdes Mary Daniel; Wong Chui Mae)
• Child Protecton:
Child Abuse and Neglect (Wong Choong Yi, Peter)
• Dermatology:
Rashes (Ho Pui Yoong, Valerie; Koh Jean Aan, Mark)
Atopic Dermatts (Ho Pui Yoong, Valerie; Koh Jean Aan, Mark)
• Endocrinology:
Adrenal Insufciency ( Aravind Venkatesh; Chan Wei Keong, Daniel; Chin Xinyi; Lek Ngee; Rashida Farhad Vasanwala; Yap Kok Peng, Fabian)
Hypoglycaemia (Chin Xinyi; Chan Wei Keong, Daniel; Aravind Venkatesh; Lek Ngee; Rashida Farhad Vasanwala; Yap Kok Peng, Fabian)
Hyperglycaemia ( Aravind Venkatesh; Chan Wei Keong, Daniel; Chin Xinyi; Lek Ngee; Rashida Farhad Vasanwala; Yap Kok Peng, Fabian)
Normal Puberty and Disorders of Puberty ( Aravind Venkatesh; Chan Wei Keong, Daniel; Chin Xinyi; Lek Ngee; Rashida Farhad Vasanwala; Yap Kok Peng, Fabian)
Obesity (Chin Xinyi; Chew Chu Shan, Elaine; Chan Wei Keong, Daniel; Aravind Venkatesh; Lek Ngee; Rashida Farhad Vasanwala; Yap Kok Peng, Fabian)
Thyroid Disorders (Chan Wei Keong, Daniel; Chin Xinyi; Aravind Venkatesh; Lek Ngee; Rashida Farhad Vasanwala; Yap Kok Peng, Fabian)
Disorders of Calcium Metabolism (Chan Wei Keong, Daniel; Chin Xinyi; Aravind Venkatesh; Lek Ngee; Rashida Farhad Vasanwala; Yap Kok Peng, Fabian)
Diabetes Insipidus (Chan Wei Keong, Daniel; Chin Xinyi; Aravind Venkatesh; Lek Ngee; Rashida Farhad Vasanwala; Yap Kok Peng, Fabian)
• Fluids & Electrolytes:
Management of Fluids and Electrolytes (Chan Meng Fai, Joel; Leow Hui Min, Esther; Mok Yee Hui; Ng Yong Hong)
Sodium Disorders (Chan Meng Fai, Joel; Leow Hui Min, Esther; Mok Yee Hui; Ng Yong Hong)
Potassium Disorders(Chan Meng Fai, Joel; Leow Hui Min, Esther; Mok Yee Hui; Ng Yong Hong)
Acid-base Disorders (Chan Meng Fai, Joel; Leow Hui Min, Esther; Mok Yee Hui; Ng Yong Hong)
• Gastroenterology:
Failure to Thrive (Charanya Rajan; Veena Logarajah)
Recurrent Abdominal Pain (Charanya Rajan; Veena Logarajah)
Vomitng (Ho Wen Wei, Christopher; Veena Logarajah)
Constpaton (Goh Suk-Hui, Lynete; Phua Kong Boo)
Acute Gastroenterits (Ho Wen Wei, Christopher; Phua Kong Boo)
Chronic Diarrhoea (Ng Lay Queen; Phua Kong Boo)
Prolonged Jaundice (Goh Suk-Hui, Lynete; Chiou Fang Kuan)
Gastrointestnal Haemorrhage (Ho Wen Wei, Christopher; Chiou Fang Kuan)
Acute Liver Failure (Sit Nur Hanim Buang; Goh Suk-Hui, Lynete; Tan Wei Wei; Mok Yee Hui; Chiou Fang Kuan)
Infant Formula (Ng Lay Queen; Phua Kar Yin; Chiou Fang Kuan)
• Genetcs and Metabolic:
Suspected Genetc S ndrome (Koh Ai Ling; Saumya Shekhar Jamuar; Lai Hwei Meeng, Angeline)
Common Genetc S ndromes (Koh Ai Ling; Lai Hwei Meeng, Angeline) nborn Errors o etabolism (Koh Ai Ling; Ting Teck Wah; Tan Ee Shien; Teo Siak Hong)
• Haematology: naemia (Lee Ming Wei; Rajat Bhatacharyya; Lam Ching Mei, Joyce) leeding isorders (Lee Ming Wei; Rajat Bhatacharyya; Lam Ching Mei, Joyce) hrombosis and hrombophilia (Rajat Bhatacharyya; Lam Ching Mei, Joyce) rans usion herap (Lam Ching Mei, Joyce)
• Infectous Diseases:
The Febrile Child (Karen Donceras Nadua)
Common Viral Infectons (Tan Woon Hui, Natalie; Chong Chia Yin; Thoon Koh Cheng)
Common Bacterial Infectons (Tan Woon Hui, Natalie; Chong Chia Yin; Thoon Koh Cheng)
Tuberculosis (Tan Woon Hui, Natalie; Karen Donceras Nadua; Chong Chia Yin; Thoon Koh Cheng)
Incubaton and isolaton Periods for Infectous Diseases (Tan Woon Hui, Natalie; Chong Chia Yin; Thoon Koh Cheng)
Immunisatons (Thoon Koh Cheng; Tan Woon Hui, Natalie; Karen Donceras Nadua)
• Neonatology:
Classifcatons of Newborn Babies (Tan Pih Lin; Khoo Poh Choo)
Newborn Resuscitaton (Quek Bin Huey; Abdul Haium Abdul Alim)
Breasteeding (Chua Mei Chien; Pooja Agarwal Jayagobi; Tong Wing Yee)
Neonatal Dermatoses (Odatl Geetha; Koh Jean Aan, Mark)
Birth Trauma (Tan Pih Lin)
Neonatal Jaundice ( Abdul Haium Abdul Alim)
Respiratory Distress (Kong Juin Yee)
Neonatal Sepsis (Yeo Kee Thai )
Necrotsing Enterocolits ( Amudha Jayanthi Anand )
Polycythaemia (Shrenik Vora)
Hyperinsulinaemic Hypoglycaemia (Suresh Chandran; Yap Kok Peng, Fabian; Victor Samuel Rajadurai)
Neonatal Seizures (Nirmal Kavalloor Visruthan)
• Nephrology:
Haematuria (Leow Hui Min, Esther; Ng Yong Hong)
Acute Nephritc Syndrome (Leow Hui Min, Esther; Ng Yong Hong)
Nephrotc Syndrome (Chao Sing Ming; Yap Jia Ying, Celeste)
Hypertension (Leow Hui Min, Esther; Ng Yong Hong)
Urinary Tract Infectons & Vesicoureteric Refux (Chong Siew Le; Chao Sing Ming)
Acute Kidney Injury (Indra Ganesan)
Nocturnal Enuresis (Chao Sing Ming)
Renal Reference Limits (Chong Siew Le)
• Neurology:
Headaches and Migraines (Lim Yi Xiu, Jocelyn; Yeo Tong Hong)
Seizures and Epilepsy (Ngoh Seow Fen, Adeline; Lim Yi Xiu, Jocelyn; Chan Wei Shih, Derrick)
Encephalopathy & Stroke (Lim Yi Xiu, Jocelyn; Terrence Thomas)
Acute Flaccid Paralysis (Lim Yi Xiu, Jocelyn; Simon Ling)
Cerebral Palsy (Ng Zhi Min; Yeo Tong Hong; Arjandas Mahadev; Choong Chew Thye)
Movement Disorders (Yeo Tong Hong)
Bell’s Palsy (Lim Yi Xiu, Jocelyn; Terrence Thomas)
• Oncology:
Oncological Emergencies
Infectve Prophylaxis in Immunocompromised Patents
Lymphadenopathy (Prasad Ramanakrishnan Iyer; Chan Mei Yoke)
Palliatve Care (Chan Mei Yoke; Wyn Yi Yi)
• Psychiatry:
Agitated and Violent Patents (Radha Srikanth, Ong Say How)
Self-harm and Suicidal Behaviours (Ong Say How)
Mental Health (Vicknesan Jeyan Marimutu; Loh Hong Yan, Abigail; Hong Ling Feng; Roselyne Shirley Pat Fong; Poon Ngar Yee)
• Respiratory:
Chronic Cough (Biju Thomas)
Asthma (Teoh Oon Hoe; Chay Oh Moh)
Common Respiratory Conditons ( Arun Pugalenthi; Teoh Oon Hoe)
Pneumonia, Parapneumonic Efusion and Empyema (Biju Thomas; Teoh Oon Hoe)
• Rheumatology: oint Pain (Teh Kai Liang; Thaschawee Arkachaisri )
Common heumatological Conditons (Teh Kai Liang; Thaschawee Arkachaisri ) rugs in heumatolog (Teh Kai Liang; Thaschawee Arkachaisri ) heumatological nvestgatons (Teh Kai Liang; Thaschawee Arkachaisri )
• Sleep Medicine:
Health Sleep (Ting Chun Yi; Cheng Zai Ru) bstructve Sleep pnoea (Tan Yi Hua; Teoh Oon Hoe)
• Appendices:
◊ Growth Charts
◊ Drugs: nt in ectves ( ntbiotcs, nt ungals, ntvirals, nthelmintcs, ntmalarials) (Ong Yue Ling, Rina; Seah Xue Fen, Valerie)
Gastrointestnal S stem ( ntacids, ntre u agents ntulcerants, nt spasmodics, La atves, rugs or n ammator owel isease) (Nurashyura Binte Ishak; Mai Xiangrui )
Cardiovascular S stem ( nt arrh thmics, nt h pertensives, iuretcs, ther Cardiovascular gents, ntcoagulants and ntplatelets) (Poh Bao Hui; Wang Lay Nee) espirator S stem ( nt asthma edicatons, Cold edicatons, asal Preparatons) (Tan Wei Wei; Cedric Poh Wei Ming)
Central ervous S stem ( nt convulsants, uscle ela ants, euromuscular rugs, nt p retcs and nalgesics, rugs or enton defcit h peractvit disorder) (Zhang Yifan; Eng Jing Jia; Lim Guo Yong)
Endocrine S stem (Tan Xin Yi; Christne Choo) ermatolog ( ral anthistamines, rugs or cne, Scabies and Head Lice, n antle Haemangioma, topic ermatts, Complicated ascular nomalites, Severe Cutaneous dverse eactons, itligo) (Chen Mee Kuan; Nicholas Teo) itamins inerals (Lim Kae Shin; Jamie Stephanie)
◊ Useful Formulae