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Community acquired needle stick injury
www.rch.org.au/clinicalguide/guideline_index/Community_acquired_needle_stick_injury/
, do not routinely investigate for hepatitis C or HIV Source - if known, test for: Hepatitis B surface … antigen Hepatitis C serology HIV serology Do not send the needle or syringe for testing, as results … in a child leading to transmission of a blood borne virus such as hepatitis B, hepatitis C, or HIV …
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Fever in the recently returned traveller
www.rch.org.au/clinicalguide/guideline_index/Fever_in_the_recently_returned_traveller/
Tuberculosis Campylobacter Filariasis Shigella HIV Chikungunya Examination Fever (only clinical finding …, measles Lymphadenopathy Rickettsia, toxoplasmosis, brucellosis, HIV, mononucleosis, visceral leishmaniasis … >2 weeks Malaria, enteric fever, EBV, CMV, toxoplasmosis, acute HIV, acute schistosomiasis …
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Sexual health history taking in the adolescent
www.rch.org.au/clinicalguide/guideline_index/Sexual_health_history_taking_in_the_adolescent/
you ever been tested, or required treatment, for a STI?” Take history of STIs , screening, treatment … and follow up testing Check for current STI symptoms N: No (Sexual abuse) “Has anyone ever tried to hurt you … that all sexually active young people get tested for STIs each year. Can we do this today?” See sexually …
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Sexually transmitted infections (STIs)
www.rch.org.au/clinicalguide/guideline_index/Sexually_transmitted_infections_STIs/
of pregnancy and test where appropriate Need for emergency contraception Ongoing contraceptive needs HEEADSSS … Test (NAAT) using specific swab kit eg cobas® Anorectal and pharyngeal swabs for NAAT for MSM Treatment … with partners from the last 6 months, until the partners have been tested and treated if necessary Complete …
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Nephrotic syndrome
www.rch.org.au/clinicalguide/guideline_index/Nephrotic_syndrome/
, HIV, hepatitis Dysmorphic features that may suggest a syndromic cause Management Investigations … FBE If raised creatinine, atypical history, or concern for systemic disease, consider further testing … Following cessation of steroids, there is a risk of adrenal suppression Adrenal stimulation testing should …
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Prolonged fever
www.rch.org.au/clinicalguide/guideline_index/Prolonged_fever/
in vaccinated child HIV Syphilis If close contact of tuberculosis (TB) or travel to endemic areas …) Faecal-occult blood test (FOBT) Echocardiogram Consideration of further imaging: targeted imaging is preferred … the limitations of the test and recognising that positive tests (eg for respiratory viruses) may not fully account …
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Cervical lymphadenopathy
www.rch.org.au/clinicalguide/guideline_index/Cervical_lymphadenopathy/
specific infectious cause suspected) – EBV, CMV, HIV Toxoplasmosis, Bartonella henselae Tuberculin skin … test, Quantiferon Gold (if TB suspected) Chest X-ray (if malignancy suspected) Neck USS CT or MRI may …
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Primary immunodeficiencies
www.rch.org.au/clinicalguide/guideline_index/Primary_immunodeficiencies/
(CD45RA/RO) is required as CD4/CD8 numbers may be in the normal range HIV antibody An abdominal … for evaluation and consideration of second-line testing Children with suspected PID should not be administered …