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Positional plagiocephaly
www.rch.org.au/clinicalguide/guideline_index/Positional_plagiocephaly/
use 4-6 months corrected age), and ongoing growth until the anterior fontanelle closes Self-correction … of cervical rotation Palpate Size of anterior fontanelle The anterior fontanelle can vary in size from small … to large 1% have a closed fontanelle at 3 months of age, 38% at 12 months of age, 96% at 24 months of age …
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Recognition of the seriously unwell neonate and young infant
www.rch.org.au/clinicalguide/guideline_index/Recognition_of_the_seriously_unwell_neonate_and_young_infant/
) Fluids/hydration Dry mucous membranes, reduced skin turgor, sunken fontanelle Reduced urine output Poor … Bleeding Infection Fever or hypothermia Bulging fontanelle Neck stiffness Vesicular rash, encephalopathy … fontanelle Bone or joint Reduced movement of limb +/- swelling Skin Skin erythema, swelling, tenderness …
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Vomiting
www.rch.org.au/clinicalguide/guideline_index/Vomiting/
(eg Cushing's triad) may suggest intracranial pathology Bulging fontanelle may be a sign of raised ICP … bulging fontanelle in infant Neck stiffness, photophobia and fever in older child Signs of peritonitis …
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Radiology - Acute indications
www.rch.org.au/clinicalguide/guideline_index/Radiology_Guidelines_Acute_indications/
: Large head Rapidly enlarging head with open fontanelle. Neurological concerns in neonates/ infants … Clinical usefulness will vary depending on size of fontanelle and indications and should be discussed …
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Lumbar puncture
www.rch.org.au/clinicalguide/guideline_index/Lumbar_puncture/
Note: a bulging fontanelle in the absence of other signs of raised ICP is not a contraindication ….3-A106. 10.1136/archdischild-2012-301885.250 Beri S et al 2011. Bulging fontanelle in febrile infants …
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Dehydration
www.rch.org.au/clinicalguide/guideline_index/Dehydration/
& fontanelle Not sunken Sunken Deeply sunken Mucous membranes Moist Dry Dry Skin turgor Instant recoil Mildly …
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Acute meningococcal disease
www.rch.org.au/clinicalguide/guideline_index/Acute_meningococcal_disease/
stiffness , headache , photophobia , bulging fontanelle Non-blanching rash: petechiae/purpura Note …
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Gastrooesophageal reflux disease in infants
www.rch.org.au/clinicalguide/guideline_index/Gastrooesophageal_reflux_disease_in_infants/
Hepatosplenomegaly Bulging fontanelle and/or increasing head circumference Management Investigations Investigations …
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Febrile child
www.rch.org.au/clinicalguide/guideline_index/Febrile_child/
Reduced skin turgor Reduced urine output Neurological Bulging fontanelle Excessive irritability Neck …
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Vitamin D deficiency
www.rch.org.au/clinicalguide/guideline_index/Vitamin_D_deficiency/
(eg genu varum/valgus - if weight bearing) widening of wrists/ankles delayed anterior fontanelle …