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Clinical Practice Guidelines

  • The acutely swollen joint
    www.rch.org.au/clinicalguide/guideline_index/The_acutely_swollen_joint/
    idiopathic arthritis/mixed connective tissue disease Fever, rash Oligo/polyarticular arthritis Enthesitis … ones Acute inability to walk or weight bear is a red flag Septic arthritis is an orthopaedic emergency … differential diagnoses Category Condition Clinical features Infection Septic arthritis/ Osteomyelitis Severe …
  • Upper limb non-use
    www.rch.org.au/clinicalguide/guideline_index/Upper_Limb_NonUse/
    disturbance Limb incoordination or ataxia Rheumatological /  Immunological Juvenile idiopathic arthritis Fever … arthritis Systemic features: fever (acute onset) Severe localised joint and/or limb pain Hot, swollen …, rash Oligo/polyarticular arthritis Enthesitis Psoriasis Haematuria Hepatosplenomegaly Reactive …
  • Acquired torticollis
    www.rch.org.au/clinicalguide/guideline_index/Acquired_torticollis/
    or upper lobe chest Inflammation: juvenile idiopathic arthritis Neoplasm: CNS (posterior fossa) and bone … tumours Dystonic syndromes (idiopathic spasmodic torticollis, drug reactions) Ocular dysfunction Benign …
  • Urticaria
    www.rch.org.au/clinicalguide/guideline_index/Urticaria/
    nerve) Juvenile rheumatoid arthritis Pityriasis rosea (early lesions) Urticaria is not a feature of C1 … reactions Key Points There are many causes for urticaria, most are idiopathic or viral  If urticaria occurs … of urticaria (idiopathic) Urticaria is rarely due to serious underlying disease Infection Viral infection …
  • Serum Sickness and Serum Sickness like reactions (SSLRs)
    www.rch.org.au/clinicalguide/guideline_index/Serum_Sickness_and_Serum_Sickness_like_reactions_(SSLRs)/
    Urticaria Systemic onset juvenile idiopathic arthritis Erythema multiforme* Stevens-Johnson syndrome …
  • Prolonged fever
    www.rch.org.au/clinicalguide/guideline_index/Prolonged_fever/
    fever (ARF), juvenile idiopathic arthritis (JIA) and systemic lupus erythematosus (SLE) Management …, migratory polyarthralgia, arthritis, rash (hands/feet) Blood culture Sample for MCS (skin swab, joint … virus National 3 to 11 days Arthralgia, arthritis, prolonged fatigue/malaise PCR (limited availability …
  • Kawasaki disease
    www.rch.org.au/clinicalguide/guideline_index/Kawasaki_disease/
    administration) Additional tests Concern for systemic onset juvenile idiopathic arthritis (SoJIA): ferritin … and CAAs may present with prolonged fever and fewer clinical features Background KD is an acute, idiopathic …, jaundice Gallbladder mucocoele ("gallbladder hydrops") Pancreatitis Musculoskeletal Arthralgia/arthritis …