current diagnosis treatment pediatrics 22e

Cardiac Problems in the Newborn InfantStructural Heart Disease Persistent Pulmonary Hypertension Perinatally Acquired Infections Hematologic Disorders in the Newborn Infant Urinary Tract

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Strategies and Models for Quality Improvement (QI)

Principles of Patient Safety (Incident Reporting, Just Culture, Disclosure, FMEA, RCA,Reliability, Checklists)

2 The Newborn Infant

Adam A Rosenberg, MD

Theresa Grover, MD

The Neonatal History

Assessment of Growth & Gestational Age

Examination at Birth

Examination in the Nursery

Care of the Well Neonate

Feeding the Well Neonate

Early Discharge of the Newborn Infant

The Preterm Infant

The Late Preterm Infant

Cardiac Problems in the Newborn Infant

Structural Heart Disease

Persistent Pulmonary Hypertension

Perinatally Acquired Infections

Hematologic Disorders in the Newborn Infant

Urinary Tract Anomalies

Renal Vein Thrombosis

Neurologic Problems in the Newborn Infant

Inborn Errors of Metabolism

Quality Assessment and Improvement in the Newborn Nursery and Nicu

3 Child Development & Behavior

Edward Goldson, MD

Ann Reynolds, MD

Normal Development

The First 2 Years

Ages 2–4 Years

Early School Years: Ages 5–7 Years

Middle Childhood: Ages 7–11 Years

Behavioral & Developmental Variations

Normality & Temperament

Enuresis & Encopresis

Temper Tantrums & Breath-Holding Spells

Well-Child Surveillance & Screening

Developmental Disorders

Attention-Deficit Hyperactivity Disorder

Autism Spectrum Disorders

Delivery of Health Services

Guidelines for Adolescent Preventive Services

Relating to the Adolescent Patient

The Setting

Confidentiality

The Structure of the Visit

Growth & Development

Puberty

Physical Growth

Sexual Maturation

Psychosocial Development

Behavior & Psychological Health

Psychophysiologic Symptoms & Conversion ReactionsDepression

Predicting the Progression From Use to Abuse

Evaluation of Substance Abuse

Treatment & Referral

Avoidant/Restrictive Food Intake Disorder

Prognosis

Resources for Practioners and Families

7 Child & Adolescent Psychiatric Disorders & Psychosocial Aspects of Pediatrics

Adam Burstein, DO

Ayelet Talmi, PhD

Brian Stafford, MD, MPH

Kimberly Kelsay, MD

Models of Care Encompassing Mental Health in the Primary Care Setting

Early Identification & Prevention of Developmental & Socioemotional ProblemsIdentification & Assessment During Health Maintenance Visits

Consultation-Liaison Psychiatry

The Chronically Ill Child

The Terminally Ill Child

Psychiatric Disorders of Childhood & Adolescence

Pediatric Primary Care Behavioral Health Services

Other Psychiatric Conditions

8 Child Abuse & Neglect

Meghan Treitz, MD

Maya Bunik, MD, MSPH

David Fox, MD

Pediatric History

Pediatric Physical Examination

Health Supervision Visits

Developmental & Behavioral Assessment

Standards for Pediatric Immunization Practices

Routine Childhood & Adolescent Immunization SchedulesVaccine Safety

Vaccination in Special Circumstances

Hepatitis B Vaccination

Rotavirus Vaccination

Diphtheria-Tetanus-Acellular Pertussis Vaccination

Haemophilus Influenzae Type B Vaccination

Typhoid Fever Vaccination

Japanese Encephalitis Vaccination

Special Dietary Products for Infants

Nutrition for Children 2 Years & Older

Pediatric Undernutrition

Pediatric Overweight & Obesity

Nutrition Support

1 Enteral

2 Parenteral Nutrition

Nutrient Requirements & Delivery

12 Emergencies & Injuries

Approach to the Acutely Ill Infant or Child

Preparation for Emergency Management

Reception & Assessment

Approach to the Pediatric Trauma Patient

Disorders Due to Extremes of Environment

Heat-Related Illnesses & Heat Stroke

Pharmacologic Principles of Toxicology

Preventing Childhood Poisonings

General Treatment of Poisoning

Initial Telephone Contact

Initial Emergency Department Contact

Definitive Therapy of Poisoning

Management of Specific Common Poisonings

Acetaminophen (Paracetamol)

Alcohol, Ethyl (Ethanol)

Amphetamines & Related Drugs (Methamphetamine, Mdma)

Anesthetics, Local

Antihistamines & Cough & Cold Preparations

Arsenic

Barbiturates & Benzodiazepines

Belladonna Alkaloids (Atropine, Jimsonweed, Potato Leaves, Scopolamine, Stramonium)β-Blockers & Calcium Channel Blockers

Digitalis & Other Cardiac Glycosides

Diphenoxylate with Atropine (Lomotil) & Loperamide (Imodium)

Disinfectants & Deodorizers

Disk-Shaped “Button” Batteries

Ethylene Glycol & Methanol

γ-Hydroxybutyrate, γ-Butyrolactone, & Butanediol

Hydrocarbons (Benzene, Charcoal Lighter Fluid, Gasoline, Kerosene, Petroleum Distillates,Turpentine)

Opioids & Opiates

Oral Hypoglycemics (Sulfonylureas, Metformin)

Antipsychotics (Typical & Atypical)

Jennifer Exo, DO, Eva N Grayck, MD,

Cameron F Gunville, DO, Carleen Zebuhr, MD

Introduction

Respiratory Critical Care

Acute Respiratory Failure

Conventional Mechanical Ventilation

Major Respiratory Diseases in the Pediatric ICU

Acute Respiratory Distress Syndrome

Additional Therapeutic Considerations in the Pediatric ICU

Acute Kidney Injury and Renal Replacement Therapy

Fluid Management and Nutritional Support of the Critically Ill ChildSedation & Analgesia in the Pediatric ICU

End-of-Life Care and Death in the PICU

Quality Improvement Initiatives in the PICU

15 Skin

Joseph G Morelli, MD

Lori D Prok, MD

General Principles

Diagnosis of Skin Disorders

Treatment of Skin Disorders

Disorders of the Skin in Newborns

Transient Diseases in Newborns

Pigment Cell Birthmarks, Nevi, & Melanoma

Bacterial Infections of the Skin

Fungal Infections of the Skin

Viral Infections of the Skin

Rebecca Sands Braverman, MD

Common Nonspecific Signs & Symptoms

Abusive Head Trauma & Nonaccidental Trauma

Prevention of Ocular Injuries

Disorders of the Ocular Structures

Diseases of the Eyelids

Viral Eyelid Disease

Miscellaneous Eyelid Infections

Eyelid Ptosis

Horner Syndrome

Eyelid Tics

Disorders of the Nasolacrimal System

Nasolacrimal Duct Obstruction

Ocular Manifestations of AIDS

Disorders of the Cornea

Dislocated Lenses/Ectopia Lentis

Disorders of the Retina

Retinal Hemorrhages in the Newborn

Learning Disabilities & Dyslexia

17 Oral Medicine & Dentistry

Ulrich Klein, DMD, DDS, MS

Issues in Pediatric Oral Health

Dental Caries

Oral Examination of the Newborn & Infant

Eruption of the Teeth

Periodontal Disease

Dental Emergencies

Antibiotics in Pediatric Dentistry

Special Patient Populations

Infections of the Ear

Acute Trauma to the Middle Ear

Cerumen Impaction and Ear Canal Foreign BodyAuricular Hematoma

Congenital Ear Malformations

Identification & Management of Hearing LossThe Nose & Paranasal Sinuses

Acute Viral Rhinitis

Foreign Bodies in the Nose

The Throat & Oral Cavity

Acute Stomatitis

Pharyngitis

Peritonsillar Cellulitis or Abscess (Quinsy)

Retropharyngeal Abscess

Ludwig Angina

Acute Cervical Adenitis

Snoring, Mouth Breathing, & Upper Airway Obstruction

Tonsillectomy & Adenoidectomy

Disorders of the Lips

Disorders of the Tongue

Halitosis

Salivary Gland Disorders

Congenital Oral Malformations

19 Respiratory Tract & Mediastinum

Monica J Federico, MD, Christopher D Baker, MD

Vivek Balasubramaniam, MD, Emily M Deboer, MD

Robin R Deterding, MD, Ann Halbower, MD

Oren Kupfer, MD, Stacey L Martiniano, MD

Scott D Sagel, MD, Paul Stillwell, MD

Edith T Zemanick, MD

Respiratory Tract

Growth & Development

Diagnostic AIDS

Physical Examination of the Respiratory Tract

Pulmonary Function Tests

Assessment of Oxygenation & Ventilation

Diagnosis of Respiratory Tract Infections

Imaging of the Respiratory Tract

Laryngoscopy & Bronchoscopy

General Therapy of Pediatric Lung Diseases

Oxygen Therapy

Inhalation of Medications

Airway Clearance Therapy

Avoidance of Environmental Hazards

Disorders of the Conducting Airways

Laryngomalacia & Congenital Disorders of the Extrathoracic AirwayLaryngomalacia

Other Causes of Congenital Extrathoracic Obstruction

Acquired Disorders of the Extrathoracic Airway

Foreign Body Aspiration in the Extrathoracic Airway

Acquired Causes of Intrathoracic Airway Obstruction

Foreign Body Aspiration in the Intrathoracic Airway

Disorders of Mucociliary Clearance

Cystic Fibrosis

Primary Ciliary Dyskinesia

Bronchiolitis Obliterans

Bronchiectasis

Congenital Malformations of the Lung Parenchyma

Pulmonary Agenesis & Hypoplasia

Pulmonary Sequestration

Congenital Lobar Emphysema

Congenital Pulmonary Airway Malformation (Cystic Adenomatoid Malformation)Acquired Abnormalities of the Lung Parenchyma

Bronchopulmonary Dysplasia

Community-Acquired Bacterial Pneumonia

Parapneumonic Effusion & Empyema

Disorders of the Chest Wall & Diaphragm

Scoliosis

Pectus Carinatum

Pectus Excavatum

Neuromuscular Disorders

Eventration of the Diaphragm

Disorders of the Pleura & Pleural Cavity

Obstructive & Central Sleep Apnea

Apparent Life-Threatening Events

Sudden Infant Death Syndrome

Magnetic Resonance Imaging

Cardiopulmonary Stress Testing

Arterial Blood Gases

Cardiac Catheterization & AngiocardiographyPerinatal & Neonatal Circulation

Heart Failure

Genetic Basis of Congenital Heart Disease

Acyanotic Congenital Heart Disease

Defects in Septation

Patent (Persistent) Ductus Arteriosus

Right-Sided Obstructive Lesions

Left-Sided Lesions

Diseases of the Aorta

Coronary Artery Abnormalities

Cyanotic Congenital Heart Disease

Tetralogy of Fallot

Pulmonary Atresia with Ventricular Septal DefectPulmonary Atresia with Intact Ventricular SeptumTricuspid Atresia

Hypoplastic Left Heart Syndrome

Transposition of the Great Arteries

Total Anomalous Pulmonary Venous Return

Truncus Arteriosus

Quality Improvement in Congenital Heart Disease

Acquired Heart Disease

Disorders of Rate & Rhythm

Disorders of the Sinus Node

Disorders of the Esophagus

Gastroesophageal Reflux & GERD

Eosinophilic Esophagitis

Achalasia of the Esophagus

Caustic Burns of the Esophagus

Foreign Bodies in the Alimentary Tract

Disorders of the Stomach & Duodenum

Hiatal Hernia

Pyloric Stenosis

Gastric & Duodenal Ulcer

Congenital Diaphragmatic Hernia

Congenital Duodenal Obstruction

Disorders of the Small Intestine

Intestinal Atresia & Stenosis

Duplications of the Gastrointestinal Tract

Disorders of the Colon

Congenital Aganglionic Megacolon (Hirschsprung Disease)Constipation

Anal Fissure

Congenital Anorectal Anomalies

Clostridium difficile Infection in Children

Disorders of the Peritoneal Cavity

Intestinal Hemangiomas and Vascular Malformations

Major Gastrointestinal Symptoms & Signs

Inflammatory Bowel Disease

22 Liver & Pancreas

Extrahepatic Neonatal Cholestasis

Other Neonatal Hyperbilirubinemic Conditions (Noncholestatic Nonhemolytic)Hepatitis A

Hepatitis B

Hepatitis C

Hepatitis D (Delta Agent)

Hepatitis E

Other Hepatitis Viruses

Acute Liver Failure

Autoimmune Hepatitis

Nonalcoholic Fatty Liver Disease

α1-Antitrypsin Deficiency Liver Disease

Wilson Disease (Hepatolenticular Degeneration)

Drug-Induced Liver Disease

Cirrhosis

Portal Hypertension

Biliary Tract Disease

Pyogenic & Amebic Liver Abscess

Laboratory Evaluation of Renal Function

Laboratory Evaluation of Immunologic Function

Radiographic Evaluation

Renal Biopsy

Congenital Anomalies of the Urinary Tract

Renal Parenchymal Anomalies

Distal Urinary Tract Anomalies

Hematuria & Glomerular Disease

Microhematuria

Glomerulonephritis

Acute Interstitial Nephritis

Proteinuria & Renal Disease

Congenital Nephrosis

Idiopathic Nephrotic Syndrome of Childhood (Minimal Change Disease)

Focal Glomerular Sclerosis

Mesangial Nephropathy (Mesangial Glomerulonephritis)

Membranous Nephropathy (Membranous Glomerulonephritis)

Diseases of the Renal Vessels

Renal Vein Thrombosis

Renal Arterial Disease

Hemolytic-Uremic Syndrome

Renal Failure

Acute Renal Failure

Chronic Renal Failure

Hypertension

Inherited or Developmental Defects of the Kidneys

Disorders of the Renal Tubules

Oculocerebrorenal Syndrome (Lowe Syndrome)

Hypokalemic Alkalosis (Bartter Syndrome, Gitelman Syndrome, & Liddle Syndrome)Cystinosis

Nephrogenic Diabetes Insipidus

Nephrolithiasis

Urinary Tract Infections

25 Neurologic & Muscular Disorders

Sita Kedia, MD, Kelly Knupp, MD

Teri Schreiner, MD, MPH, Michele L Yang, MD

Paul M Levisohn, MD, Paul G Moe, MD

Neurological Assessment & Neurodiagnostics

History & Examination

Diagnostic Testing

Pediatric Neuroradiologic Procedures

Disorders Affecting the Nervous System in Infants & Children

Altered States of Consciousness

Seizure Disorders (Epilepsies)

Sleep Disorders

Headaches

Pseudotumor Cerebri (Idiopathic Intracranial Hypertension)

Cerebrovascular Disease

Congenital Malformations of the Nervous System

Abnormal Head Size

Neurocutaneous Dysplasias

Central Nervous System Degenerative Disorders of Infancy & ChildhoodAtaxias of Childhood

Acute Ataxias of Childhood

Congenital Causes of Chronic & Episodic Ataxias

Syndromes Presenting as Acute Flaccid Weakness

Disorders of Childhood Affecting Muscles

Benign Acute Childhood Myositis

Floppy Infant Syndrome

Web Resources

26 Orthopedics

Mark A Erickson, MD, MMM

Brendan Caprio, BS

Disturbances of Prenatal Origin

Congenital Amputations & Limb Deficiencies

Deformities of the Extremities

Generalized Disorders of Skeletal or Mesodermal Tissues

Growth Disturbances of the Musculoskeletal System

Scoliosis

Slipped Capital Femoral Epiphysis

Genu Varum & Genu Valgum

Tibial Torsion

Femoral Anteversion

Common Foot Problems

Degenerative Problems (Arthritis, Bursitis, & Tenosynovitis)

Trauma

Soft Tissue Trauma (Sprains, Strains, & Contusions)

Traumatic Subluxations & Dislocations

Transient (Toxic) Synovitis & Septic Arthritis of the Hip

Vascular Lesions & Avascular Necrosis (Osteochondroses)

Avascular Necrosis of the Proximal Femur (Legg-Calvé-Perthes Disease)Osteochondritis Dissecans

Neurologic Disorders Involving the Musculoskeletal System

Orthopedic Aspects of Cerebral Palsy

Orthopedic Aspects of Myelodysplasia

Neoplasia of the Musculoskeletal System

Osteochondroma

Osteoid Osteoma

Enchondroma

Chondroblastoma

Unicameral Bone Cyst

Aneurysmal Bone Cyst

Infantile Cortical Hyperostosis (Caffey Syndrome)Ganglion

Baker Cyst

National QI/QA Initiatives in Orthopedics

27 Sports Medicine

Rachel A Coel, MD, PhD, FAAP, CAQSM

Quynh B Hoang, MD, FAAP, CAQSM

Armando Vidal, MD

Basic Principles

Fitness & Conditioning

Sports Nutrition

Preparticipation Physical Evaluation

Rehabilitation of Sports Injuries

Common Sports Medicine Issues & Injuries

Pediatric Brain Injury

Spinal Cord Injury

Brachial Plexus Lesions

Common Rehabilitation Problems

Quality Assurance/Improvement Initiatives in Rehabilitation Medicine

29 Rheumatic Diseases

Jennifer B Soep, MD

Juvenile Idiopathic Arthritis

Systemic Lupus Erythematosus

Normal Hematologic Values

Bone Marrow Failure

Constitutional Aplastic Anemia (Fanconi Anemia)

Acquired Aplastic Anemia

Anemias

Approach to the Child with Anemia

Pure Red Cell Aplasia

Nutritional Anemias

Anemia of Chronic Disorders

Congenital Hemolytic Anemias: Red Cell Membrane Defects

Congenital Hemolytic Anemias: Hemoglobinopathies

Congenital Hemolytic Anemias: Disorders of Red Cell MetabolismAcquired Hemolytic Anemia

Polycythemia & Methemoglobinemia

Congenital Erythrocytosis (Familial Polycythemia)

Eosinophilia

Bleeding Disorders

Abnormalities of Platelet Number or Function

Inherited Bleeding Disorders

Von Willebrand Disease

Acquired Bleeding Disorders

Vascular Abnormalities Associated with Bleeding

Thrombotic Disorders

Splenic Abnormalities

Splenomegaly & Hypersplenism

Asplenia & Splenectomy

Transfusion Medicine

Donor Screening & Blood Processing: Risk ManagementStorage & Preservation of Blood & Blood ComponentsPretransfusion Testing

Transfusion Practice

31 Neoplastic Disease

Doug K Graham, MD, PhD, John A Craddock, MD

Ralph R Quinones, MD, Amy K Keating, MD

Kelly Maloney, MD, Nicholas K Foreman, MD, MRCP Roger H Giller, MD, Brian S Greffe, MD

Major Pediatric Neoplastic Diseases

Acute Lymphoblastic Leukemia

Acute Myeloid Leukemia

Langerhans Cell Histiocytosis

Hematopoietic Stem Cell Transplant

General Considerations

Chronic Pain Management

Pediatric Palliative & End-of-Life Care

Introduction

Children Who May Benefit From Palliative Care Interventions

Pain Management in Pediatric Palliative Care

Quality-of-Life Adjuncts & Symptom Management in Pediatric Palliative CarePsychosocial Aspects of Pediatric Palliative Care

Children’s Concept of Death

Spiritual & Cultural Support

Withdrawal of Medical Life Support

Advance Care Planning

33 Immunodeficiency

Pia J Hauk, MD

Richard B Johnston, Jr, MD

Andrew H Liu, MD

Immunodeficiency Evaluation: Primary Considerations

Antibody Deficiency Syndromes

Severe Combined Immunodeficiency Diseases

Other Combined Immunodeficiency Disorders

Phagocyte Disorders

Complement Deficiencies

Other Well-Defined Immunodeficiency Syndromes

Genetic Syndromes Associated with Immunodeficiency

Disorders of the Posterior Pituitary Gland

Arginine Vasopressin (Antidiuretic Hormone) Physiology

Central Diabetes Insipidus

Gonads (Ovaries & Testes)

Development & Physiology

Disorders of Sexual Development

Abnormalities in Female Pubertal Development & Ovarian Function

Abnormalities in Male Pubertal Development & Testicular Function

Adrenal Cortex

Adrenocortical Insufficiency (Adrenal Crisis, Addison Disease)

Congenital Adrenal Hyperplasias

Adrenocortical Hyperfunction (Cushing Disease, Cushing Syndrome)

Common Clinical Situations

Management of Metabolic Emergencies

Newborn Screening

Disorders of Carbohydrate Metabolism

Glycogen Storage Diseases

Galactosemia

Hereditary Fructose Intolerance

Disorders of Energy Metabolism

Disorders of Amino Acid Metabolism

Disorders of the Urea Cycle

Phenylketonuria & The Hyperphenylalaninemias

Propionic & Methylmalonic Acidemia (Ketotic Hyperglycinemias)Isovaleric Acidemia

Carboxylase Deficiency

Glutaric Acidemia Type I

Disorders of Fatty Acid Oxidation & Carnitine

Fatty Acid Oxidation Disorders

Carnitine

Purine Metabolism Disorders

Lysosomal Diseases

Peroxisomal Diseases

Congenital Disorders of Glycosylation

Smith-Lemli-Opitz Syndrome & Disorders of Cholesterol SynthesisDisorders of Neurotransmitter Metabolism

Creatine Synthesis Disorders

Quality Initiatives in the Field of Metabolic Disease

37 Genetics & Dysmorphology

Family History & Pedigree

Dysmorphology & Human Embryology

Mechanisms

Clinical Dysmorphology

Chromosomal Disorders: Abnormal Number

Trisomies

Sex Chromosome Abnormalities

Chromosomal Abnormalities: Abnormal Structure

Chromosome Deletion Disorders

Contiguous Gene Disorders

Mendelian Disorders

Autosomal Dominant Disorders

Autosomal Recessive Disorders

Disorders of Multifactorial Inheritance

Cleft Lip & Cleft Palate

Neural Tube Defects

Common Recognizable Disorders with Variable or Unknown CauseGenetic Evaluation of the Child with Developmental DisabilitiesPerinatal Genetics

Principles of Antimicrobial Therapy

Antimicrobial Susceptibility Testing

Alteration of Dose & Measurement of Blood Levels

The Use of New Antimicrobial Agents

Prophylactic Antimicrobial Agents

Initial Empiric Antimicrobial Choices for Selected ConditionsSpecific Antimicrobial Agents

Viruses Causing the Common Cold

Infections Due to Adenoviruses

Influenza

Parainfluenza (Croup)

Respiratory Syncytial Virus Disease

Human Metapneumovirus Infection

Infections Due to Enteroviruses

Acute Febrile Illness

Respiratory Tract Illnesses

Rashes (Including Hand-Foot- and-Mouth Disease)

Central Nervous System Illnesses

Infections Due to Herpesviruses

Herpes Simplex Infections

Varicella & Herpes Zoster

Roseola Infantum (Exanthem Subitum)

Cytomegalovirus Infections

Infectious Mononucleosis (Epstein-Barr Virus)

Viral Infections Spread by Insect Vectors

Encephalitis

Dengue

Colorado Tick Fever

Other Major Viral Childhood Exanthems

Erythema Infectiosum

Measles (Rubeola)

Rubella

Infections Due to Other Viruses

Hantavirus Cardiopulmonary Syndrome

Mumps

Rabies

Rickettsial Infections

Human Ehrlichiosis

Rocky Mountain Spotted Fever

Endemic Typhus (Murine Typhus)

Q Fever

41 Human Immunodeficiency Virus Infection

Elizabeth J McFarland, MD

Perinatally HIV-Exposed Infant

Acute Retroviral Syndrome

Progressive HIV Disease

Group A Streptococcal Infections

Group B Streptococcal Infections

Streptococcal Infections with Organisms other than Group A or BPneumococcal Infections

Staphylococcal Infections

Meningococcal Infections

Typhoid Fever & Paratyphoid Fever

Shigellosis (Bacillary Dysentery)

Cholera

Campylobacter Infection

Tularemia

Plague

Haemophilus Influenzae Type B Infections

Pertussis (Whooping Cough)

Nematode Infections

Cestode Infections (Flukes)

Trematode Infections

Pneumocystis and Other Opportunistic Fungal Infections

Pneumocystis Jiroveci Infection

44 Sexually Transmitted Infections

Daniel H Reirden, MD

Ann-Christine Nyquist, MD, MSPH

Adolescent Sexuality

Risk Factors

Prevention of Sexually Transmitted Infections

Screening For Sexually Transmitted Infections

Signs & Symptoms

The Most Common Antibiotic-responsive Sexually Transmitted Infections

Chlamydia trachomatis Infection

Neisseria gonorrhoeae Infection

The Spectrum of Signs & Symptoms of Sexually Transmitted InfectionsCervicitis

Pelvic Inflammatory Disease

Genital Warts & Human Papillomavirus

Other Viral Infections

Preparing Children and Infants for Travel

Vaccinations—Routine Childhood Vaccines Modified for Travel

Vaccinations—Travel-Specific

Traveler’s Diarrhea

Malaria Prophylaxis & Prevention