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Clinical Practice Guidelines

  • Adolescent gynaecology - lower abdominal pain
    www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Lower_Abdominal_Pain/
    +/- blood culture if high degree of concern for pelvic inflammatory disease or sepsis Assessment … surgical intervention Pelvic inflammatory disease Consider transfer when Needing advice regarding … in adolescents, Archives of Disease in Childhood 97, p554–60 Robert CB et al, 2015, Pelvic Inflammatory Disease …
  • Dysmenorrhoea
    www.rch.org.au/clinicalguide/guideline_index/Dysmenorrhoea/
    tract anomalies Adenomyosis Infection including pelvic inflammatory disease Ovarian cysts Assessment … or features suggestive of pelvic inflammatory disease Dysuria or dyschezia during menses Family history … and/or late/missed period Consider STI screen if features suggestive of STI or pelvic inflammatory …
  • 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 … /rupture  Inflammatory bowel disease Hirschsprung associated enterocolitis (HAEC) Incarcerated hernia … Associated symptoms Causes Bloody diarrhoea Gastroenteritis Meckel diverticulum Inflammatory bowel disease …
  • Sexually transmitted infections (STIs)
    www.rch.org.au/clinicalguide/guideline_index/Sexually_transmitted_infections_STIs/
    are a major cause of infertility and pregnancy-related complications as well as pelvic inflammatory disease … treatment is completed. Re-testing to detect re-infection at 3 months is recommended Pelvic inflammatory … disease Polymicrobial inflammatory condition Usually a complication of undiagnosed or improperly treated …
  • The limping or non-weight bearing child
    www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
    (DDH) Transient hip synovitis Acute myositis Perthes disease Inflammatory arthritis Stress fractures … for identifying SUFE, DDH (>6 mths), Perthes disease and common pelvic avulsions normal x-ray does not exclude … femoral epiphysis (SUFE) Inflammatory arthritis All ages Infections: osteomyelitis/septic arthritis …
  • Contraception
    www.rch.org.au/clinicalguide/guideline_index/Contraception/
    inflammatory disease and some STIs Levonorgestrel IUD (Mirena™) Releases small amount of progestogen … disease Medications that may interact with hormonal contraception eg enzyme inducing anti-epileptic … of expulsion Irregular menstrual bleeding common in first 3-6 months Contraindicated in patients with pelvic …