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Cervical spine assessment
www.rch.org.au/clinicalguide/guideline_index/Cervical_spine_assessment/
neutrality is maintained during CT head and neck Intubation Assign specific attendant to neck positioning … survey Head injury Thoracic elevation device Key points Cervical spine injury (CSI) is uncommon … Risk factors for significant CSI in children Axial load to the head (diving, trampoline, falling from …
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Head injury
www.rch.org.au/clinicalguide/guideline_index/Head_injury/
) Moderate head injury Consult a senior doctor or neurosurgeon for advice Urgent CT of head (and … rises in intracranial pressure (ICP) Urgent CT of head (and consideration of c-spine imaging if relevant …Head injury …
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Shoulder Dislocations - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Shoulder_Dislocations_-_Emergency_Department/
radiographs should be checked very carefully for a glenoid rim fracture (Bankart lesion), with early CT … position (i.e. hand overhead or outstretched) On examination Lack of humeral head palpable below … May be associated with a bony fracture, either of the humeral head or the glenoid X-ray should …
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Radius - ulna shaft diaphysis fractures - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Radialulna_shaft_diaphysis_fractures_Emergency_Department/
of the radial head (Monteggia fracture-dislocation). Greenstick fracture Figure 2: AP and lateral x-ray … inspected on x-ray . An isolated ulna fracture may be associated with dislocation of the radial head … (ED setting) Mehlman CT, Wall EJ. Injuries to the shafts of the radius and ulna. In Rockwood …
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Cerebral palsy - pain and irritability
www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Pain_and_Irritability/
pain management Key points A careful history and thorough ‘head to toe’ examination is required … a significant impact on quality of life, sleep and mood A careful history and thorough ‘head to toe’ examination … X-ray, abdominal US, CT, bone scan, gastroscopy, CT brain Consider dental review Management Treat …
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Stroke
www.rch.org.au/clinicalguide/guideline_index/Stroke/
more likely History Congenital heart disease Sickle cell disease Recent head/neck injury, chiropractic … In suspected haemorrhagic stroke, urgent non-contrast CT should be performed In suspected arterial ischaemic …, CT, including CT angiography should be performed Immediate investigations to determine eligibility …
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Elbow Dislocations - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Elbow_Dislocations_-_Emergency_Department/
imaging in the form of CT and/or MRI BEWARE seemingly innocent “specks” on an elbow x-ray following … (The Radiographic Appearance Seems Harmless). If in doubt, obtain further imaging in the form of CT/MRI … relocation Beware ulnar nerve neuropathy Valgus posterolateral rotatory Radial head and/or capitellar shear …
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Positional plagiocephaly
www.rch.org.au/clinicalguide/guideline_index/Positional_plagiocephaly/
Common, benign condition that affects the cosmetic appearance of an infant’s head. Does not cause … intervention Background Types of head shape deformities Positional plagiocephaly Skull deformation involving … posterior flattening of either side of the head. This may result in ear misalignment and facial asymmetry …
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Metatarsal Foot Fractures - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Metatarsal_Foot_Fractures_-_Emergency_Department/
– anterior-posterior, oblique and lateral views CT is seldom necessary. The exception is a suspected Lisfranc injuries … as discussed below. Fractures of other metatarsals Figure 7: Undisplaced Fracture of 4th distal metatarsal head … the first and second metatarsal hint at significant injury. CT scan is required to clearly define …
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Altered conscious state
www.rch.org.au/clinicalguide/guideline_index/Altered_conscious_state/
Altered conscious state Altered conscious state PIC Endorsed See also Head injury Hypoglycaemia Trauma - … mortality and morbidity Parental and nursing concerns of conscious state should be taken seriously Head … Blunt, penetrating head injury, falls, concussion Infection Meningitis, encephalitis, sepsis, cerebral …