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Abdominal pain - acute
www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_acute/
Pancreatitis Hepatitis Inflammatory bowel disease Pelvic inflammatory disease Renal calculi Epididymitis Hip …, lethargy, irritability, anorexia, weight loss Dietary history Stool eg diarrhoea, constipation, blood … present with persistent crying, irritability, poor feeding and lethargy, draw up legs, refusal to weight …
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Gastrooesophageal reflux disease in infants
www.rch.org.au/clinicalguide/guideline_index/Gastrooesophageal_reflux_disease_in_infants/
trial for irritable infants Background Gastro-oesophageal reflux (GOR) occurs when the lower oesophageal … of age in the majority of cases does not cause crying and irritability in healthy infants. Infant crying … complications such as feeding problems eg refusal to feed, pronounced irritability with/after feeding, gagging …
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Abdominal pain - chronic
www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_chronic/
, tiredness) Condition : Key features : Irritable bowel syndrome Abdominal pain at least 4 days per month … weight loss/stunting of height unexplained fever changes in bowel habit, chronic diarrhoea, blood … of inflammatory bowel disease (IBD) (eyes, skin, joints, perianal) History of reflux symptoms (heartburn …
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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/
History Irritability Fever Lethargy or increased sleepiness Poor feeding (volume taken in previous 24 … Irritability Not responding normally to social cues Difficult to wake Weak, high-pitched or continuous cry …, tachypnoea, increased work of breathing Irritable, neck stiffness or bulging fontanelle Bone or joint Reduced …
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Hypomagnesaemia
www.rch.org.au/clinicalguide/guideline_index/Hypomagnesaemia/
excretion Other Reduced intake Reduced absorption Malabsorption Short bowel syndrome Increased losses …: nystagmus, seizures, depression, agitation, confusion, irritability Management Investigations Serum … Hypomagnesaemia in a child with refeeding syndrome Consider consultation with renal team when Unexplained …
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Dysmenorrhoea
www.rch.org.au/clinicalguide/guideline_index/Dysmenorrhoea/
. Jamieson D, Steege JF. The prevalence of dysmenorrhea, dyspareunia, pelvic pain, and irritable bowel … pain) Associated symptoms: premenstrual syndrome, menorrhagia, migraine, non-gynaecological symptoms … (urinary, bowel, musculoskeletal) Impact on daily life: missing school, sports, social activities …
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Micronutrient deficiency
www.rch.org.au/clinicalguide/guideline_index/Micronutrient_deficiency/
syndrome, inflammatory bowel disease Maternal deficiency Some refugee populations Vitamin B1 (Thiamine … to infection Poor growth Malabsorption eg exocrine pancreatic insufficiency, chronic liver disease, short bowel …) Fatigue, irritability, apathy, nausea, abdominal discomfort Dry beriberi (symmetric peripheral neuropathy …
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Vulval and vaginal conditions
www.rch.org.au/clinicalguide/guideline_index/Vulval_and_vaginal_conditions/
be painful including Vulvovaginitis Environmental eg poor hygiene, excess moisture or contact irritants … Discharge Dysuria and urinary frequency (also see urinary tract infection ) Bowel habit to exclude …, tight clothing, wet swimming costumes, obesity) Poor hygiene Irritants (soap residue, bubble baths …
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Acute scrotal pain or swelling
www.rch.org.au/clinicalguide/guideline_index/Acute_scrotal_pain_or_swelling/
be painless in neonates Irritable Usually sudden onset Usually minimal at rest Sudden or subacute onset May … ( nephrotic syndrome ) and urine MCS For suspected epididymo-orchitis Urine MCS (ideally first pass urine … on free drainage if bowel obstruction is suspected Provide adequate analgesia Torsion of testicular …
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Dehydration
www.rch.org.au/clinicalguide/guideline_index/Dehydration/
diabetic ketoacidosis Cutaneous eg excessive sweating, burns Third space losses eg sepsis, bowel … months old Gastrointestinal pathology (eg short gut syndrome, ileostomy, colostomy, Hirschsprung disease … markedly abnormal Conscious state Alert and responsive Lethargic, irritable Reduced conscious state Heart …