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Epistaxis
www.rch.org.au/clinicalguide/guideline_index/Epistaxis/
. The two most important factors in childhood epistaxis are: minor trauma - from nose picking, rubbing … slightly apply continuous pressure on the anterior portion (cartilage) of the nose with thumb …, may require initial spray in to nose followed by spray on to cotton ball applied directly to bleeding …
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Nasal fracture
www.rch.org.au/clinicalguide/guideline_index/Nasal_fracture/
in septal necrosis or growth-centre disruption This can in turn cause deformity (classically "saddle nose …, dural tears, and traumatic brain injury A lateral blow to the nose (often in the context of assault …), p757-759 Higuera, S et al. Nasal Trauma and the Deviated Nose. Plastic and Reconstructive Surgery. 2007 …
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Rhinitis and rhinosinusitis
www.rch.org.au/Persistent_nasal_discharge_rhinosinusitis/.aspx
resolves without treatment Assessment Examination Examine the nasal mucosa Use the 'pig nose' manoeuvre … use of intranasal decongestants Allergic rhinitis History Risk factors Sneezing, itchy nose, sniffing …, upward rubbing of the nose Nasal obstruction/congestion eg nasal speech, mouth breathing, snoring Itchy …
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COVID-19 swabbing
www.rch.org.au/clinicalguide/guideline_index/COVID-19_swabbing/
Bleeding - there may be slight bleeding from the nose in some children Inadequate sample for testing …
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Foreign bodies inhaled
www.rch.org.au/clinicalguide/guideline_index/Foreign_bodies_inhaled/
wheeze or decreased breath sounds Check for other FB in ears, nose and throat (if child is stable …
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Inhalants / volatile substance use - chroming
www.rch.org.au/clinicalguide/guideline_index/Inhalants_/_volatile_substance_use_-_chroming/
– inhaling from a chemically soaked cloth held over the nose and mouth Bagging – the substance is placed …
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Writing a good medical report
www.rch.org.au/clinicalguide/guideline_index/Writing_a_good_medical_report/
explained. For example nose bleed is preferable to epistaxis and pin point bruising preferable to petechiae …
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Trauma: Tertiary Survey
www.rch.org.au/clinicalguide/guideline_index/Trauma__Tertiary_Survey/
(in blast injuries). Assess hearing Nose Bleeding, septal haematoma, CSF leak , palpate for bony …
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Cervical lymphadenopathy
www.rch.org.au/clinicalguide/guideline_index/Cervical_lymphadenopathy/
, nose, throat or teeth Further examination should be guided by history and differential diagnosis …
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Fever in the recently returned traveller
www.rch.org.au/clinicalguide/guideline_index/Fever_in_the_recently_returned_traveller/
likely pathogens: measles serology +/- throat or nose swabs for PCR urine microscopy and culture CSF …