Table Of Content© 2012 PASTEST LTD
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Third edition 2012
Second edition 2006
First published 2002
ISBN 978 1905635 764
eISBN 978 1909491 045
A catalogue record for this book is available from the British Library.
The information contained within this book was obtained by the author from reliable sources. However, while every effort has been made
to ensure its accuracy, no responsibility for loss, damage or injury occasioned to any person acting or refraining from action as a result of
information contained herein can be accepted by the publishers or author.
PasTest Revision Books and Intensive Courses
PasTest has been established in the field of undergraduate and postgraduate medical education since 1972, providing revision books
and intensive study courses for doctors preparing for their professional examinations.
Books, courses and online revision available for:
Medical undergraduates, MRCGP, MRCP Parts 1 and 2, MRCPCH Parts 1 and 2, MRCS, MRCOG, DRCOG, DCH, FRCA,
Dentistry.
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Text prepared in the UK by Keytec Typesetting Ltd, Bridport, Dorset
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Contents
Contributors
Preface to the Third edition
CHAPTERS
1. Cardiology
Robert Tulloh
2. Child Development, Child Mental Health and Community Paediatrics
Joanne Philpot and Ruth Charlton
3. Child Protection and Safeguarding
Joanne Philpot and Ruth Charlton
4. Clinical Governance
Robert Wheeler
5. Clinical Pharmacology and Toxicology
Steven Tomlin
6. Dermatology
Helen M Goodyear
7. Emergency Paediatrics
Serena Cottrell
8. Endocrinology and Diabetes
Heather Mitchell and Vasanta Nanduri
9. Ethics and Law
Vic Larcher and Robert Wheeler
10. Gastroenterology and Nutrition
Mark Beattie and Hemant Bhavsar
11. Genetics
Natalie Canham
12. Haematology and Oncology
Michael Capra
13. Hepatology
Nancy Tan and Anil Dhawan
14. Immunology
Pamela Lee and Bobby Gaspar
15. Infectious Diseases
Nigel Klein and Karyn Moshal
16. Metabolic Medicine
Mike Champion
17. Neonatology
Grenville F Fox
18. Nephrology
Christopher J D Reid
19. Neurology
Neil H Thomas
20. Ophthalmology
Ken K Nischal
21. Orthopaedics
Vel K Sakthivel
22. Respiratory
Rebecca Thursfield and Jane C Davies
23. Rheumatology
Nathan Hasson
24. Statistics
Angie Wade
25. Surgery
Merrill McHoney
Picture Permissions
Index
Contributors to the Third Edition
Dr R M Beattie BSc MBBS MRCP FRCPCH
Consultant Paediatric Gastroenterologist, Southampton General Hospital, Southampton
Hemant S Bhavsar MBBS DCH MRCPCH MD
Specialist Registrar in Paediatric Gastroenterology, Birmingham Children’s Hospital, Birmingham
Natalie L E Canham MBChB BA (Hons) MRCP (Paeds)
Consultant in Clinical Genetics, North West Thames Regional Genetics Service, Northwick Park
Hospital, Harrow, Middlesex
Michael L Capra MBBCH DCH Dip. Obst FRPCH MMedSci (Clinical
Education)
Consultant Paediatric Oncologist, Department of Haematology/Oncology, Our Lady’s Children’s
Hospital, Crumlin, Dublin 12
Michael P Champion BSc MBBS MRCP FRCPCH
Consultant in Paediatric Inherited Metabolic Disease, Evelina Children’s Hospital, Guy’s and St.
Thomas’ NHS Foundation Trust, London
Ruth Charlton MBBS MRCP MRCPCH
Consultant Paediatrician, Epsom and St. Helier University Hospitals NHS Trust, Epsom, Surrey
Serena Cottrell BSc (Hons) MBBS MRCPI MMed Sci FRCPCH
Lead Consultant in Paediatric Emergency Medicine, Queen Alexandra Hospital, Portsmouth
Jane C Davies MBChB MRCP MRCPCH MD
Honorary Consultant, Paediatric Respiratory Department, Royal Brompton Hospital, London
Professor Anil Dhawan MD FRCPCH
Paediatric Liver Centre, Kings College Hospital NHS Foundation Trust, London
Grenville F Fox MBChB MRCP FRCPCH
Consultant Neonatologist, Evelina Children’s Hospital Neonatal Unit, Guys and St Thomas’ Hospital
Foundation Trust, London
Professor Bobby Gaspar BSc MBBS MRCP (UK) PhD MRCPCH
Professor of Paediatrics and Immunology, Centre for Immunodeficiency, Molecular Immunology Unit,
UCL Institute of Child Health, University College London, London
Helen M Goodyear MBChB MRCP FRCPCH MD MMed
Consultant Paediatrician and Associate Postgraduate Dean, Birmingham Heartlands and Solihull NHS
Trust, Department of Child Health, Birmingham
Nathan Hasson MBChB FRCPCH
Consultant Paediatric Rheumatologist, The Portland Hospital, London
Professor Nigel Klein BSc MBBS MRCP FRCPCH PhD
Professor of Infection and Immunology, University College London, Consultant in Infectious Diseases,
Great Ormond Street Hospital, London
Vic Larcher BA MA MB BChir MRCP FRCPCH
Consultant in Adolescent Medicine (Chronic Fatigue) and in Clinical Ethics, Adolescent Medicine
Department, Level 10 Southwood Building, Great Ormond Street Hospital, London
Pamela Lee MBBS MRCPCH
Honorary Clinical Fellow, Great Ormond Street Hospital NHS Trust, London
Merrill McHoney FRCS(Paed Surg) PhD
Consultant Paediatric Surgeon, Royal Hospital for Sick Children Edinburgh, Edinburgh
Heather Mitchell BM.BCh MD MA FRCPCH MRCP(Paeds) MRCGP DCH
DRCOG
Consultant Paediatrician, West Hertfordshire Hospitals Trusts
Karyn Moshal MBChB MRCP (UK) MRCPCH DTM+H
Consultant in Paediatric Infectious Diseases, Great Ormond Street Hospital for Children, London
Vasanta R Nanduri MBBS DCH MRCP MD FRCPCH
Consultant Paediatrician, Watford General Hospital, Watford
Ken K Nischal FRCOphth
Director and Professor, UPMC Children’s Hospital of Pittsburgh, USA
Honorary Consultant, Great Ormond Street Hospital for Children, London
Joanne Philpot BA MBBS MD DCH MRCPCH
Consultant Paediatrician, Wexham Park Hospital, Slough
Christopher J D Reid MB ChB MRCP (UK) FRCPCH
Consultant Paediatric Nephrologist, Evelina Children’s Hospital, London
Vel K Sakthivel FRCS(Ed), FRCS (Orth)
Consultant in Trauma and Orthopaedics, University Hospitals Southampton, Southampton
Nancy Tan MBBS MMED (Paeds) MRCPCH (Edin) Dip (FP) Derm (S’pore)
Consultant, Department of Paediatrics Medicine, KK Women’s and Children’s Hospital, Singapore
Neil H Thomas MA MB MChir FRCP FRCPCH DCH
Consultant Paediatric Neurologist, Southampton General Hospital, Southampton
Rebecca Thursfield MBChB MRCPCH
Clinical Research Fellow, Dept Paediatric Respiratory Medicine, Royal Brompton Hospital, London
Stephen R Tomlin FRPharmS ACPP
Consultant Pharmacist – Children’s Services, Evelina Children’s Hospital, London
Honorary Senior Lecturer, Centre for Paediatric Pharmacy Research, University College School of
Pharmacy
Robert M R Tulloh MA DM FRCP FRCPCH
Consultant in Paediatric Cardiology with an interest in Pulmonary Hypertension, Bristol Congenital
Heart Centre, Hon reader in Clinical Sciences, University of Bristol
Director of Medical Education, University Hospitals Bristol NHS Foundation Trust, Bristol
Angie M Wade MSc PhD CSTAT ILTM
Senior Lecturer in Medical statistics, Centre for Paediatric Epidemiology and Biostatistics, Institute
of Child Health, London
Robert Wheeler FRCS MS LLB(Hons) LLM
Consultant Neonatal and Paediatric Surgeon, Senior Lecturer in Clinical Law, Wessex Regional
Paediatric Surgical Centre, Southampton General Hospital, Southampton
Preface to the Third Edition
The first edition of Essential Revision Notes for the MRCPCH was in response to the candidates
often expressed desire for a single text covering essential information required for the examination in
a clear and concise way. The format of the examination has changed considerably over the 10 years
since, although the need for a sound knowledge base of the principles and practice of paediatrics
remains crucial for success. We have been delighted with the response to the first and second edition
of this text and the consistent positive feedback from trainees. The third edition has been completely
revised and extensively updated and we hope will continue to be considered as relevant to the
examination and future paediatric practice.
We are indebted to the many contributing authors, experts in their fields and expert clinical teachers.
We are indebted to PASTEST for their continued enthusiastic support.
We are also indebted to the candidates for their enthusiasm and commitment to the speciality and hope
very much that this new edition of Essential Revision Notes for the MRCPCH will continue to help
trainees to get through their paediatric membership and be useful to them subsequently as an up to
date and relevant paediatric textbook.
Mark Beattie
Mike Champion
