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Hirschsprung associated enterocolitis HAEC
www.rch.org.au/clinicalguide/guideline_index/Hirschsprung_associated_enterocolitis_HAEC/
Rectal bleeding Recent viral infections (respiratory, gastrointestinal) History of recurrent episodes … Current management for HD (rectal bowel washout type and frequency) Type of definitive procedure Swenson - … be subtle) Explosive gas/stool on direct rectal examination (to be performed by senior clinician/surgical …
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Straddle injuries
www.rch.org.au/clinicalguide/guideline_index/Straddle_injuries/
) and lack distensibility. Therefore, even minor trauma can cause injury and bleeding which may appear … Is there an expanding haematoma? Is there any anal or rectal involvement? Management General principles of care … below) Compression of bleeding with a clean dressing pad If there is significant vaginal bleeding …
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Trauma - Pelvic injury
www.rch.org.au/clinicalguide/guideline_index/Trauma_-_Pelvic_injury/
joints, ischial tuberosities, lumbosacral spine Rectal or vaginal bleeding , blood at the urethral meatus … with life-threatening abdominal, genitourinary, spinal, thoracic and intracranial injuries Pelvic bleeding Mainly … is contraindicated as it can increase bleeding The secondary survey may identify significant injuries associated …
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Haematuria
www.rch.org.au/clinicalguide/guideline_index/Haematuria/
than the urinary tract (eg vaginal bleeding, rectal fissure) Common causes include isolated …, renal disease/ stones or hearing loss History of underlying bleeding disorder or immunodeficiency …
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Constipation
www.rch.org.au/clinicalguide/guideline_index/Constipation/
behaviours, pain while defecating or rectal bleeding or fissures may benefit from inpatient disimpaction … management Rectal medications Rectal treatment with suppositories or enemas should be avoided. Anal … radiography, colonic transit time, and rectal ultrasound scanning in the diagnosis of idiopathic constipation …
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Trauma – secondary survey
www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_the_secondary_survey/
finished your examination Secondary survey Head and face Face, scalp and skull: bleeding, lacerations … , foreign bodies, subconjunctival haemorrhage, hyphaema Ears: bleeding, blood behind tympanic membrane …: bleeding, septal haematoma, CSF leak , palpate for bony crepitus or deformity Mouth: wounds to the lips …
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Fractures of the Pelvic Ring and Acetabulum - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Fractures_of_the_Pelvic_Ring_and_Acetabulum_-_Emergency_Department/
wounds over the pelvis rectal or vaginal bleeding blood at the urethral meatus scrotal swelling. 5. What … or there is suspicion of open fracture via vaginal or rectal injuries. 6. What do they look like on x-ray? Immature …
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Intussusception
www.rch.org.au/clinicalguide/guideline_index/Intussusception/
and can lead to a misdiagnosis of gastroenteritis. Rectal bleeding or the classic "red currant jelly … when the child is settled in between episodes Inspect the nappy and perianal region. A rectal …
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Vomiting
www.rch.org.au/clinicalguide/guideline_index/Vomiting/
Rectal bleeding Gastroenteritis Colitis Intussusception Meckel's diverticulum Infection Fever or systemic … Infection History of head injury/concern for NAI Intracranial bleed Metabolic Abdominal pain, polyuria …
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Vulval ulcers
www.rch.org.au/clinicalguide/guideline_index/Vulval_ulcers/
perianal rash, itching and rectal pain Molluscum contagiosum Firm papules with central dimple, may ulcerate … of secondary skin changes (excoriation, lichenification, oedema, crust, bleeding, pigmentation, scar) Oral …