,Contents
UNIT I ediatric Gener al
P 15 Male Genitalia, 213
Assessment Angel K. Chen
1 Approach to Care and Assessment of 16 Male and Female Breast, 232
Children and Adolescents, 1 Erica Bisgyer Monasterio; Naomi A.
Karen G. Duderstadt Schapiro
2 Assessment Parameters, 9 17 Female Genitalia, 242
Karen G. Duderstadt Erica Bisgyer Monasterio; Naomi A.
Schapiro
3 Developmental Surveillance and
Screening, 24 18 Musculoskeletal System, 259
Abbey Alkon Karen G. Duderstadt; Naomi A.
Schapiro
4 Comprehensive Information
Gathering, 36 19 Neurological System, 288
Karen G. Duderstadt; Naomi A. Karen G. Duderstadt
Shapiro
5 Environmental Health History, 55
UNIT III Charting
Karen G. Duderstadt Pediatric Health
Care Visits
UNIT II System-Specific 20 Charting Pediatric Comprehensive
Assessment and Symptom-Focused Health Care
Visits, 311
6 Skin, 64
Karen G. Duderstadt
Renee P. McLeod
7 Heart and Vascular System, 83
Appendices
Elizabeth Tong; Patricia O’Brien
A Gender- and Age-Specific Growth
8 Chest and Respiratory System, 102
Charts and Preterm Growth
Concettina (Tina) Tolomeo
Chart, 324
9 Head and Neck, 118
B Body Mass Index–for–Age Growth
Karen G. Duderstadt
Charts, 331
10 Lymphatic System, 130
C Modified Checklist for Autism in
Karen G. Duderstadt
Toddlers (M-CHAT), 333
11 Eyes, 140
D Pediatric Symptom Checklist, 335
Karen G. Duderstadt
E Children with Special Health Care
12 Ears, 157
Needs (CSHCN) Screener, 336
Patricia Jackson Allen
F Pediatric Environmental History, 338
13 Nose, Mouth, and Throat, 178
Patricia Jackson Allen G Sports Concussion Assessment Tool 2
(SCAT 2), 342
14 Abdomen and Rectum, 198
Victoria F. Keeton
,KAREN G. DUDERSTADT, PHD, RN, CPNP, PCNS
Clinical Professor
Department of Family Health Care Nursing
School of Nursing
University of California, San Francisco
San Francisco, California;
Children’s Health Center
San Francisco General Hospital
San Francisco, California
, 3251 Riverport Lane
St. Louis, Missouri 63043
PEDIATRIC PHYSICAL EXAMINATION:
AN ILLUSTRATED HANDBOOK, SECOND EDITION ISBN: 978-0-323-10006-9
Copyright © 2014 by Mosby, an imprint of Elsevier Inc.
Copyright © 2006 by Mosby Inc.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical,
including photocopying, recording, or any information storage and retrieval system, without permission in writing from
the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our
arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be
found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as
may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our
understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using
any information, methods, compounds, or experiments described herein. In using such information or methods,
they should be mindful of their own safety and the safety of others, including parties for whom they have a profes-
sional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current
information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to
verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the
responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to
determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors assume any liability
for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or
from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
Library of Congress Cataloging-in-Publication Data
Duderstadt, Karen.
Pediatric physical examination : an illustrated handbook / Karen G. Duderstadt.—2nd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-323-10006-9 (pbk. : alk. paper)
I. Title.
[DNLM: 1. Physical Examination—Handbooks. 2. Child. WS 39]
RJ50
618.92’0075--dc23
2013012810
Executive Content Strategist: Lee Henderson
Content Development Specialist: Jackie Twomey
Publishing Services Manager: Jeff Patterson
Project Manager: Tracey Schriefer
Design Direction: Jessica Williams
Top cover photo: Nurse Practitioner Pat Clinton performing an ear assessment. (Photo by Tim Schoon.
Copyright © University of Iowa, 2002.)
Right cover photo: Nurse Practitioner Julie Tsirambidis assessing
an infant in Haiti. (Photo by Ted Stevens. Copyright © Ted Stevens, 2011.)
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
UNIT I ediatric Gener al
P 15 Male Genitalia, 213
Assessment Angel K. Chen
1 Approach to Care and Assessment of 16 Male and Female Breast, 232
Children and Adolescents, 1 Erica Bisgyer Monasterio; Naomi A.
Karen G. Duderstadt Schapiro
2 Assessment Parameters, 9 17 Female Genitalia, 242
Karen G. Duderstadt Erica Bisgyer Monasterio; Naomi A.
Schapiro
3 Developmental Surveillance and
Screening, 24 18 Musculoskeletal System, 259
Abbey Alkon Karen G. Duderstadt; Naomi A.
Schapiro
4 Comprehensive Information
Gathering, 36 19 Neurological System, 288
Karen G. Duderstadt; Naomi A. Karen G. Duderstadt
Shapiro
5 Environmental Health History, 55
UNIT III Charting
Karen G. Duderstadt Pediatric Health
Care Visits
UNIT II System-Specific 20 Charting Pediatric Comprehensive
Assessment and Symptom-Focused Health Care
Visits, 311
6 Skin, 64
Karen G. Duderstadt
Renee P. McLeod
7 Heart and Vascular System, 83
Appendices
Elizabeth Tong; Patricia O’Brien
A Gender- and Age-Specific Growth
8 Chest and Respiratory System, 102
Charts and Preterm Growth
Concettina (Tina) Tolomeo
Chart, 324
9 Head and Neck, 118
B Body Mass Index–for–Age Growth
Karen G. Duderstadt
Charts, 331
10 Lymphatic System, 130
C Modified Checklist for Autism in
Karen G. Duderstadt
Toddlers (M-CHAT), 333
11 Eyes, 140
D Pediatric Symptom Checklist, 335
Karen G. Duderstadt
E Children with Special Health Care
12 Ears, 157
Needs (CSHCN) Screener, 336
Patricia Jackson Allen
F Pediatric Environmental History, 338
13 Nose, Mouth, and Throat, 178
Patricia Jackson Allen G Sports Concussion Assessment Tool 2
(SCAT 2), 342
14 Abdomen and Rectum, 198
Victoria F. Keeton
,KAREN G. DUDERSTADT, PHD, RN, CPNP, PCNS
Clinical Professor
Department of Family Health Care Nursing
School of Nursing
University of California, San Francisco
San Francisco, California;
Children’s Health Center
San Francisco General Hospital
San Francisco, California
, 3251 Riverport Lane
St. Louis, Missouri 63043
PEDIATRIC PHYSICAL EXAMINATION:
AN ILLUSTRATED HANDBOOK, SECOND EDITION ISBN: 978-0-323-10006-9
Copyright © 2014 by Mosby, an imprint of Elsevier Inc.
Copyright © 2006 by Mosby Inc.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical,
including photocopying, recording, or any information storage and retrieval system, without permission in writing from
the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our
arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be
found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as
may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our
understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using
any information, methods, compounds, or experiments described herein. In using such information or methods,
they should be mindful of their own safety and the safety of others, including parties for whom they have a profes-
sional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current
information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to
verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the
responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to
determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors assume any liability
for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or
from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
Library of Congress Cataloging-in-Publication Data
Duderstadt, Karen.
Pediatric physical examination : an illustrated handbook / Karen G. Duderstadt.—2nd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-323-10006-9 (pbk. : alk. paper)
I. Title.
[DNLM: 1. Physical Examination—Handbooks. 2. Child. WS 39]
RJ50
618.92’0075--dc23
2013012810
Executive Content Strategist: Lee Henderson
Content Development Specialist: Jackie Twomey
Publishing Services Manager: Jeff Patterson
Project Manager: Tracey Schriefer
Design Direction: Jessica Williams
Top cover photo: Nurse Practitioner Pat Clinton performing an ear assessment. (Photo by Tim Schoon.
Copyright © University of Iowa, 2002.)
Right cover photo: Nurse Practitioner Julie Tsirambidis assessing
an infant in Haiti. (Photo by Ted Stevens. Copyright © Ted Stevens, 2011.)
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
