Nelson Textbook of Pediatrics

Cleft Lip and Palate

Clefts of the lip and palate are distinct entities which are closely related embryologically, functionally, and genetically. It is thought that cleft of the lip appears because of hypoplasia of the mesenchymal layer, resulting in a failure of the medial…

Malocclusion

The oral cavity is essentially a masticatory instrument. The purpose of the anterior teeth is to bite off large portions of food. The posterior teeth reduce foodstuff to a soft, moist bolus. The cheeks and tongue force the food onto…

Development and Developmental Anomalies of the Teeth

Newborn infants do not have teeth for about first 6 mo after birth (predentate period). At this stage, the upper and lower alveolar ridges in the mouth, also known as gum pads, house the primary (deciduous) and some permanent tooth buds.…

Major Symptoms and Signs of Digestive Tract Disorders

Disorders of organs outside the gastrointestinal (GI) tract can produce symptoms and signs that mimic digestive tract disorders and should be considered in the differential diagnosis ( Table 332.1 ). In children with normal growth and development, treatment may be…

Cysticercosis

Etiology Taenia solium, also known as the pork tapeworm , causes 2 different infections in children. In its normal life cycle, children can acquire the tapeworm form by ingestion of undercooked pork containing the larval cysts (see Chapter 328 ).…

Adult Tapeworm Infections

Tapeworms are adult forms of cestodes , multicellular helminth parasites, that live in human intestines and cause non–life-threatening illness. Invasive larval forms of cestodes are associated with cysts that lead to severe human disease such as neurocysticercosis ( Taenia solium…

Flukes (Liver, Lung, and Intestinal)

Several different trematodes , or flukes, can parasitize humans and cause disease. Flukes are endemic worldwide but are more prevalent in the less developed parts of the world. They include Schistosoma, or the blood flukes (see Chapter 326 ), as…