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Small adults

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    This is the standard mantra during pediatrics residency training, an almost sacrosanct statement. It seems designed not to justify the specialized care that children need, but instead to assure ourselves, as pediatricians, that we will not become obsolete. Call the pediatric inquisition!! From the points of view of anatomy obvious and physiology less obvious , children are in a special category. Children behave differently than adults; they require specific testing for their specific illnesses; they need special techniques for procedures. Pediatric hospitalists and nurses must tailor therapies to children, whether those are pain control, preventive medications and vaccinations, or radiation doses for CT scans.
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    Children are not small adults … except when they are

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    Not just small adults: the metaphors of paediatrics

    The point of the aphorism is that pediatric medicine is qualitatively different from adult medicine: kids get different diseases, present in different ways, require different treatments, have different prognoses, and recover differently. But what about diagnostics for kids, and clinical microbiology for pediatric patients in particular? In many other cases, there are critical differences between children and adults in terms of the type of samples the clinical microbiology lab may receive, the tests ordered, and the implications of test results. A few examples are highlighted here. CDI manifests as toxin-mediated diarrhea and, in severe cases, as potentially deadly colitis and toxic megacolon.
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    Not just small adults: the metaphors of paediatrics

    They are only children, but they grow and mature faster than expected. Children suffer and live the same experiences as adults do. Many parents turn a blind eye towards the problems their children may face.
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    It is time to acknowledge that both children and adults belong to the human race. Both children and adults belong to the human race. Progress in medicine more often than not can be applied to and be of benefit to all and the transition from childhood to adulthood should be one of continuity rather than migration. By emphasising that children are not small adults, we unconsciously negate all that is to be gained through a vision which takes in human beings throughout their lives.