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Hypoglycaemia
www.rch.org.au/clinicalguide/guideline_index/Hypoglycaemia/
Hyperinsulinaemia Lactate Increased in: Metabolic liver disease Glycogen storage disorders Sepsis Prolonged … function tests Abnormal in: Sepsis Liver Disease Metabolic defects Urine Ketones Decreased in: Fatty acid … Diabetes mellitus ), toxin ingestion (see Poisoning ), other illness eg sepsis, congenital heart disease …
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Fever in the recently returned traveller
www.rch.org.au/clinicalguide/guideline_index/Fever_in_the_recently_returned_traveller/
, especially if hospitalised Background Common diseases unrelated to travel are more likely than exotic ones … periods table below) Always consider whether the presentation may indicate a disease of public health … national notifiable diseases and contact local health department for advice ) Any child in whom measles …
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Blood product prescription
www.rch.org.au/clinicalguide/guideline_index/Blood_product_prescription/
and prothrombinex Liver disease, with clinically significant bleeding in the context of coagulopathy Acute DIC … prolongation of the INR/APTT) in a non-bleeding child Liver disease when there are minor coagulation …) Cryoprecipitate is NOT indicated for: Non-bleeding children with mildly reduced fibrinogen levels Liver disease …
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Hypercholesterolaemia
www.rch.org.au/clinicalguide/guideline_index/Hypercholesterolaemia/
Secondary causes include thyroid, renal and liver disease, diabetes, medications and lifestyle-related …), hypercholesterolaemia or known FH Symptoms or signs of secondary causes Hypothyroidism, diabetes, liver disease … Family history of premature coronary artery disease (males <55 years, females <65 years …
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Contact prophylaxis for invasive meningococcal or Hib disease
www.rch.org.au/clinicalguide/guideline_index/Contact_prophylaxis_for_invasive_meningococcal_or_Hib_disease/
is preferred in neonates Rifampicin is contraindicated in pregnancy and severe liver disease Rifampicin PO BD …Contact prophylaxis for invasive meningococcal or Hib disease … for invasive meningococcal or Hib disease The Royal Children's Hospital Melbourne Home About News Careers Shop …
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Benzodiazepine poisoning
www.rch.org.au/clinicalguide/guideline_index/Benzodiazepine_poisoning/
unaffected by age and liver disease. Although midazolam possesses a short half-life, it has active …, and demonstrate impaired clearance in children with liver disease They are rapidly absorbed …
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Metabolic disorders
www.rch.org.au/clinicalguide/guideline_index/Metabolic_disorders/
), family history (eg relatives with undiagnosed 'syndrome'), ethnic group (certain diseases only … dehydration stroke like episodes acute liver or renal failure cardiomyopathy unexplained encephalopathy … in Phenylketonuria (PKU)), ocular involvement (eg cherry red spots in Tay Sachs disease), cataracts (eg galactosaemia …
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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/
seconds Cardiac murmur, weak peripheral pulses, enlarged liver, reduced femoral pulses Increased weight … Not using an extremity Distended abdomen Enlarged liver (cardiac, metabolic) Fluids/hydration Dry mucous … disease and meconium ileus Abdominal distention with absent or infrequent bowel motions Necrotising …
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Micronutrient deficiency
www.rch.org.au/clinicalguide/guideline_index/Micronutrient_deficiency/
to infection Poor growth Malabsorption eg exocrine pancreatic insufficiency, chronic liver disease, short bowel … and tetany Lack of skin exposure to sun Dark skin Obesity Liver/renal failure Gastrointestinal disease … syndrome, inflammatory bowel disease Maternal deficiency Some refugee populations Vitamin B1 (Thiamine …
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Abdominal pain - acute
www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_acute/
fibrosis Liver disease and/or ascites Primary bacterial peritonitis Nephrotic syndrome Splenectomy VP shunt … Pancreatitis Hepatitis Inflammatory bowel disease Pelvic inflammatory disease Renal calculi Epididymitis Hip … disease Imaging AXR if obstruction suspected. It is not helpful in diagnosing constipation CXR …