Case 12: A 13-Year-Old Girl with Chronic Abdominal Pain and Vomiting
A 13-year-old girl presented with the chief complaints of abdominal pain, nausea, and vomiting for 2 weeks. The vomiting was not associated with eating and occurred once to twice daily. Her abdominal pain was mid-epigastric and was described as “deep” in
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Neonatal and Pediatric Liver and Metabolic Diseases
Manoj K. Ghoda
Neonatal and Pediatric Liver and Metabolic Diseases Clinical Casebook
Manoj K. Ghoda Gujarat Super Speciality Clinic Ahmedabad India
ISBN 978-981-15-9230-0 ISBN 978-981-15-9231-7 (eBook) https://doi.org/10.1007/978-981-15-9231-7 © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2021 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd. The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore
This book is written for postgraduate pediatric students and practicing pediatricians in a case record format to make this formidable looking subject easy to understand. Medical science keeps progressing and therefore understanding and interpretation of many things discussed here could change over time so the reader is requested to update himself with current theories and practices. This book is dedicated to my daughter late Shivani, my son Atit, and my wife Hemakshi and all my patients who gave me the opportunity to learn this difficult subject.
Preface
Neonatal and pediatric liver, liver-related metabolic diseases, and pancreatic disease pose a formidable challenge in their diagnosis and management. Many diverse etiologies have a similar phenotype, making things difficult. Investigating them is difficult, time-consuming, and expensive and at times unreliable. Only careful evaluation and meticulous diagnostic workup will pinpoint the underlying problem. To make these difficult problems a little bit easier for the practitioners, we have collected some interesting cases of these conditions and tried to take the reader through the journey we took in a simple language f
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