• Parapneumonic effusion
    www.rch.org.au/clinicalguide/guideline_index/Parapneumonic_effusion/
    organised or complicated effusion will likely require pleural space drainage A well child with a simple … to the respiratory and/or surgical teams for consideration of drainage Background A pleural effusion … is a pathological collection of fluid between the parietal and visceral pleura A parapneumonic effusion is a pleural …
  • Thoracocentesis and chest drain insertion
    www.rch.org.au/clinicalguide/guideline_index/Thoracocentesis_and_chest_drain_insertion/
    , chylothorax, large pleural effusion or large pneumothorax  Ventilated patients require an ICC, after …   Traumatic pneumothorax Haemothorax Pleural effusions Thoracocentesis should only be considered after … not be used as it may enter the pleural space and rapidly increase the volume of the pneumothorax Chest X-ray …
  • Chest pain
    www.rch.org.au/clinicalguide/guideline_index/Chest_pain/
    murmur with no alternative aetiology Difference in BP’s upper limbs Pericardial effusion Pleural effusion … pleural effusion) Inhaled Foreign Body High degree suspicion children <4 years age High degree suspicion … flattening; deep symmetrical T wave inversion) CXR changes possible (if effusion present) Troponin raise …
  • Primary spontaneous pneumothorax
    www.rch.org.au/clinicalguide/guideline_index/Primary_spontaneous_pneumothorax/
    the contralateral side Small pleural effusions are commonly present If CXR is taken in supine position, signs … descriptive study. BMC Emerg Med. 2019;19(1):1–9 Macduff A, Arnold A, Harvey J, Pleural BTS. Management … of spontaneous pneumothorax: British Thoracic Society pleural disease guideline 2010. Thorax. 2010;65 Robinson PD …
  • Community acquired pneumonia
    www.rch.org.au/clinicalguide/guideline_index/Community_acquired_pneumonia/
    note suggest a pleural effusion  Assessment of severity See Assessment of severity of respiratory … effusion Sepsis Influenza Assessment of severity of respiratory conditions Key points Community acquired … such as parapneumonic effusion, empyema, lung abscess or necrotising pneumonia  Assessment History Fever Tachypnoea …
  • Abdominal pain - acute
    www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_acute/
    quadrant Pancreatitis Cholecystitis Cholelithiasis Gastritis/peptic ulcer disease Pleural effusion … infection Obstruction Volvulus Ovarian torsion Cough, fever, SOB Pleural effusion Pneumonia Underlying …
  • Nephrotic syndrome
    www.rch.org.au/clinicalguide/guideline_index/Nephrotic_syndrome/
    , pulmonary oedema, pleural and pericardial effusions, ascites, scrotal/labial oedema, skin breakdown … for pleural effusion or significant pulmonary oedema) Renal tract ultrasound (including doppler) in cases …
  • Sepsis – assessment and management
    www.rch.org.au/clinicalguide/guideline_index/SEPSIS_assessment_and_management/
    /mm 3 ) unrelated to chemotherapy Large pleural effusion (near white out of the hemithorax …
  • Primary immunodeficiencies
    www.rch.org.au/clinicalguide/guideline_index/Primary_immunodeficiencies/
    acquired pneumonia Pleural effusion and empyema Meningitis and encephalitis Key points Primary …
  • Post-streptococcal glomerulonephritis (PSGN)
    www.rch.org.au/clinicalguide/guideline_index/Post-streptococcal_glomerulonephritis_(PSGN)/
    for MCS if signs of acute Streptococcal infection Chest X-ray (if any concerns for pleural effusion …