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Clinical Practice Guidelines

  • Epistaxis
    www.rch.org.au/clinicalguide/guideline_index/Epistaxis/
    Epistaxis …Clinical Practice Guidelines : Epistaxis The Royal … resources CPG feedback RCH   >   Health Professionals   >   Clinical Practice Guidelines   >   Epistaxis …
  • Immune thrombocytopenic purpura
    www.rch.org.au/clinicalguide/guideline_index/Immune_thrombocytopenic_purpura/
    bruising in an otherwise often well looking child Excessive bleeding or bruising with injuries Epistaxis … molars only, epistaxis ≤5 mins 3b Moderate high risk Epistaxis >5 min, haematuria, haematochezia, painful …) Epistaxis >5 mins Haematuria Haematochezia Painful oral purpura Significant menorrhagia Often requires …
  • Nasal fracture
    www.rch.org.au/clinicalguide/guideline_index/Nasal_fracture/
    Maxillofacial injury Epistaxis Trauma: inter-hospital transfer Key points Septal haematoma must be excluded … septum, or both Nasal fractures may be complicated by: nasal obstruction epistaxis headache septal … of presentation in relation to injury Presence of epistaxis Clear nasal discharge (may suggest  CSF rhinorrhoea …
  • von Willebrand disease
    www.rch.org.au/clinicalguide/guideline_index/von_Willebrand_disease/
    (particularly epistaxis, oral mucosa, menorrhagia) and post-op bleeding The three main phenotypes of VWD VWF … bleeds and epistaxis in all severities of VWD May be given alone or as adjunct therapy to desmopressin … vial size. Type of bleeding Dose of Biostate® Oral mucosa/epistaxis/menorrhagia 25 Factor VIII units/kg …
  • Haemophilia Treatments
    www.rch.org.au/clinicalguide/guideline_index/Haemophilia_Treatments/
    mucosa and dental 30 100 60 Administer with anti-fibrinolytic treatment Epistaxis (active) 30 100 60 … and is effective for treating and preventing the recurrence of mouth bleeds and epistaxis in all severities …
  • Brief resolved unexplained event (BRUE)
    www.rch.org.au/clinicalguide/guideline_index/Brief_resolved_unexplained_event_(BRUE)/
    , head circumference crossing centiles, epistaxis, oral injury or irritability/drowsiness should raise … or altered neurology, event recurrence ENT consultation Stridor, epistaxis, obstructive symptoms or apnoea …
  • Writing a good medical report
    www.rch.org.au/clinicalguide/guideline_index/Writing_a_good_medical_report/
    explained. For example nose bleed is preferable to epistaxis and pin point bruising preferable to petechiae …
  • Vomiting
    www.rch.org.au/clinicalguide/guideline_index/Vomiting/
    Bilious (dark green)    GIT obstruction Blood    Swallowed blood eg epistaxis, or in neonate from maternal …
  • Intranasal fentanyl
    www.rch.org.au/clinicalguide/guideline_index/Intranasal_fentanyl/
    Altered conscious state Bilateral occluded nasal passage Active epistaxis Procedure Pre-procedure Prior …
  • Adolescent gynaecology - heavy menstrual bleeding
    www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Menorrhagia/
    disorders  epistaxis, bleeding gums, easy bruising Sexual history and adolescent assessment (HEADSS screen …