RCH logo

Clinical Practice Guidelines

  • Sexually transmitted infections (STIs)
    www.rch.org.au/clinicalguide/guideline_index/Sexually_transmitted_infections_STIs/
    the partners have been tested and treated if necessary Complete other STI screening Contact tracing, factsheet …: educational images STI tools Queensland Health Guide to Offering STI testing to people under 16 Last updated …Sexually transmitted infections (STIs) …
  • 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 …
  • Acute scrotal pain or swelling
    www.rch.org.au/clinicalguide/guideline_index/Acute_scrotal_pain_or_swelling/
    and Gonorrhoea PCR testing (if STI clinically suspected) Viral causes include enterovirus, adenovirus and rarely … Possible No No Possible Possible Other causes of testicular pain Pain may be referred to the testes from … should not be delayed in the interest of investigations Blood tests, ultrasound and doppler ultrasound …
  • Engaging with and assessing the adolescent patient
    www.rch.org.au/clinicalguide/guideline_index/Engaging_with_and_assessing_the_adolescent_patient/
    Could I have it? STI facts, testing, advice and clinic locations Sexual Assault Resource Centre (SARC … transmitted infections (STIs) Management of eating disorders in the emergency department Key points …/sexual abuse, previous pregnancies and risk of pregnancy, contraception and STIs Suicide, depression …
  • Abdominal pain - chronic
    www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_chronic/
    , depending on likely diagnoses, may include: urinalysis (+/- culture +/- pregnancy test +/- STI screen … features of IBD). Do not test under the age of 4 years without discussion with a paediatrician … specialist advice Only test for H. pylori (by stool antigen or urease breath test) if there are red flags …
  • Vulval ulcers
    www.rch.org.au/clinicalguide/guideline_index/Vulval_ulcers/
    , vulval ulcers are not usually due to sexually transmitted infections (STIs) Using clinical appearance … PCR Bacterial: Gram stain and culture, syphilis PCR Fungal: wet prep and culture Consider blood tests …
  • Urinary tract infection
    www.rch.org.au/clinicalguide/guideline_index/Urinary_tract_infection/
    non-specific in infants and young children Urine dipstick is a useful screening test, but a positive urine … screening test to guide initial management The presence of leukocytes and nitrites is suggestive of a UTI … to urine dipstick interpretation Leucocyte esterase Nitrites Further testing (microscopy and culture …