The MassGeneral Hospital for Children Adolescent Medicine Handbook

The MassGeneral Hospital for Children Adolescent Medicine Handbook, is a definitive, practical guide for the optimal clinical care of adolescents. This unique and invaluable resource is not only replete with user-friendly diagrams, tables, charts and path

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Mark A. Goldstein Editor

The MassGeneral Hospital for Children Adolescent Medicine Handbook

Editor Mark A. Goldstein Massachusetts General Hospital Division of Adolescent and Young Adult Medicine Boston, MA USA [email protected]

ISBN 978-1-4419-6844-9 e-ISBN 978-1-4419-6845-6 DOI 10.1007/978-1-4419-6845-6 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2010937420 © Springer Science+Business Media, LLC 2011 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

First Edition © 2010 by Mark A. Goldstein M.D. Chief, Division of Adolescent and Young Adult Medicine MassGeneral Hospital for Children Department of Pediatrics Massachusetts General Hospital Harvard Medical School 175 Cambridge Street Boston, MA 02114 All rights reserved. This publication is protected by copyright. No part of this publication may be reproduced in any form or by any means, including photocopying, or utilizing by an information storage and retrieval system without written permission from the copyright owner. Disclaimer The authors, editor, and publisher have made every effort to ascertain the accuracy of the information presented and to describe generally accepted practices at the time of publication. However, the authors, editor, and publisher are not responsible for any errors, or omissions or consequences from the application of information in this publication. We further do not make a warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of this publication. The practitioner retains the professional responsibility when information in this publication is applied in a particular situation. The authors, editor, and publisher have made every effort to ensure that drug selection and dosage set forth in this publication are in accordance with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently empl