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Clinical Practice Guidelines

  • Apophysitis of the Pelvis and Hip - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Apophysitis_of_the_Pelvis_and_Hip_-_Emergency_Department/
    Apophysitis of the Pelvis and Hip - Emergency Department … and Hip - Emergency Department The Royal Children's Hospital Melbourne Internet Home About News Careers …   >   Health Professionals   >   Clinical Practice Guidelines   >   Apophysitis of the Pelvis and Hip - …
  • The limping or non-weight bearing child
    www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
    that hip pain may localise to knee) Joint examination using "Look, Feel, and Move" including joints above … pathology should always be considered Pain causing limp can be referred. Assess the joints above and below … fracture Bone and joint infection Transient hip synovitis Acute myositis Developmental dysplasia of hip …
  • Slipped upper femoral epiphysis SUFE - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Slipped_upper_femoral_epiphysis_SUFE_-_Emergency_Department/
    complain of vague pain in the groin, thigh or knee. A very reliable clinical sign of a chronic SUFE, even … when mild, is obligatory external rotation of the leg during hip flexion. Anteroposterior (AP) and frog … lateral pelvis x-rays of both hips should be obtained. All patients with a SUFE should be admitted under …
  • Cerebral palsy - pain and irritability
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Pain_and_Irritability/
    , features of irritability or pain started Full physical examination including dentition, ENT, abdomen, hips …Cerebral palsy - pain and irritability …Clinical Practice Guidelines : Cerebral palsy - pain …
  • Bone and joint infection
    www.rch.org.au/clinicalguide/guideline_index/Bone_and_joint_infection/
    index of suspicion. Assessment History Site of pain Septic arthritis: most commonly hip or knee … with fever, pain and limited use of the affected limb or joint Urgent surgical intervention reduces the risk …” Look for resting limb position (eg hip flexed, abducted and externally rotated), swelling and erythema …
  • Abdominal pain - acute
    www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_acute/
    Abdominal pain - acute …Clinical Practice Guidelines : Abdominal pain - acute …   >   Health Professionals   >   Clinical Practice Guidelines   >   Abdominal pain - acute In this section …
  • Cerebral palsy
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_palsy/
    impairment correlates with increasing risk of hip dislocation and scoliosis Initial clinical assessment (pain … -- pain and irritability Key points CP is a non-progressive motor disorder with many different causes … and sensation, mental health and pain Children with CP are at an increased risk of secondary medical issues …
  • Pelvic Avulsion Injuries – Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Pelvic_Avulsion_Injuries_–_Emergency_Department/
    to anterior groin pain with hip flexion and limitation of range of flexion). 13. References Ghanem I … like – clinically? The adolescent patient will present with a history of a sudden pain during forceful … On examination the patient will have local tenderness and pain at the site exacerbated by passive stretching (or …
  • Neck of femur - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/neck_of_femur_emergency/
    clinically? The patient will have a painful leg or hip and will not want to weight bear.  The leg may … setting) Boardman MJ, Herman MJ, Buck B, Pizzutillo PD. Hip Fractures in Children . J Am Acad Ortho Surg … 2009; 17:162-73. McCarthy JM, Noonan K. Fractures and traumatic dislocations of the hip in children …
  • Acute scrotal pain or swelling
    www.rch.org.au/clinicalguide/guideline_index/Acute_scrotal_pain_or_swelling/
    intraabdominal: appendicitis/renal colic/UTI referred hip pain Skin infections of the scrotum cellulitis/shingles …Acute scrotal pain or swelling …Clinical Practice Guidelines : Acute scrotal pain …