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This problem-oriented guide, now in an updated edition, places practical clinical concerns first in pediatric surgical examinations. It has clear illustrations, often omitted from textbooks, that are a handy reference for clinicians throughout their careers.

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This book demonstrates clearly how to perform a clinical examination in the infant or child with a surgical condition. While most textbooks of pediatric surgery focus on the pathological classification and overall management of disease, in clinical practice physicians and surgeons usually use a problem-oriented approach to clinical diagnosis. Surprisingly, this is rarely taught to students. The authors attempt to redress this imbalance by providing a clinical approach to the patient which can be learned with a minimum of factual information. The book should therefore remain useful to the practitioner throughout his or her medical career. It includes detailed coverage of the usual presentations of common diseases, but does not attempt to cover all aspects of the presentations of uncommon diseases unless their recognition is important for the well-being or survival of the child. Generously illustrated, this is a book for all who are learning the art of pediatric surgical diagnosis.

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General Principles.- Is the Baby Normal.- Abdominal Pain: Is it Appendicitis.- Inguinoscrotal Lesions.- Abnormalities of The Penis.- The Umbilicus.- Non Bile-Stained Vomiting in Infancy.- Colic.- The Neck.- The Head and Face.- The Mouth.- Trauma.- The Limbs.- Urinary Tract Symptoms.- Abdominal Masses.- Gastro-Intestinal Bleeding.- Jaundice.- Spina Bifida.- Abnormalities of the Chest Wall and Breast.- Respiratory Distress in the Newborn.- Neonatal Bowel Obstruction.- Ambiguous Genitalia: Is it a Boy or a Girl.

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From the reviews of the second edition:

"This is a small, pleasant ... simple book that covers, in a meandering sort of way, what the title describes -- examination of children with surgical problems. ... Each chapter concludes with some ´golden rules´ and a list of further readings. ... concluding ´golden rules´ summarize major points for each chapter and are excellent for beginners in pediatric care. Overall, this is a pleasant read, a reminder of lessons learned long ago, and a good primer for novices in the field of childhood surgical care." (Robert M. Arensman, Doody´s Review Service, February, 2013)

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