• Cellulitis and other bacterial skin infections
    www.rch.org.au/clinicalguide/guideline_index/Cellulitis_and_other_bacterial_skin_infections/
    that are not covered in this guideline Assessment Typical presentation of all skin infections Soft tissue redness … is a spreading infection of the skin extending to involve the subcutaneous tissues. Many conditions present … infections include soft tissue redness, warmth and swelling, but other features are variable Allergic …
  • Burns - post acute care and dressings
    www.rch.org.au/clinicalguide/guideline_index/Burns_-_post_acute_care_and_dressings/
    not require dressings, use white soft paraffin cream to protect healing skin There is no evidence to support … pain increased exudate increased odour friable granulation tissue erythema in surrounding skin …: re-epithelialisation and connective tissue formation (2-24 days) remodelling (>24 days) In superficial burns …
  • The acutely swollen joint
    www.rch.org.au/clinicalguide/guideline_index/The_acutely_swollen_joint/
    /soft tissue injury History of injury Child abuse Unexplained injury, bruising Particularly if non … present with papular or purpuric rash Polyarthritis Malignancy Leukaemia Bone/soft tissue malignancy … swollen joint PIC Endorsed See also The limping or non-weight bearing child Bone and joint infection …
  • Upper limb non-use
    www.rch.org.au/clinicalguide/guideline_index/Upper_Limb_NonUse/
    , swelling and deformity along the line of the clavicle Soft tissue injury History of injury Infection Septic … of refusal to use limb Limb pain may be poorly localised Malignancy Leukaemia Bone/soft tissue malignancy … of activity for pulled elbows and soft tissue injuries Splint/manage suspected fractures and follow up …
  • The limping or non-weight bearing child
    www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
    injury Malignancy: haematological, bone, soft tissue Rheumatological/immunological disorders: reactive …) or Streptococcal infection (throat and skin) Dietary history High-risk group for ARF Examination Fever (absence … in mobility eg from walking to crawling Identify location if possible — bone vs joint vs soft tissue Identify …
  • Lacerations
    www.rch.org.au/clinicalguide/guideline_index/Lacerations/
    Impairment of blood supply to surrounding tissue if a flap or area of soft tissue distal to the laceration … infection Keep dry for 72 hours Tissue adhesive (eg Dermabond™) Can be used on wounds which have clean edges … of wound See Cellulitis and skin infections Consider consultation with local paediatric team when …
  • Cervical lymphadenopathy
    www.rch.org.au/clinicalguide/guideline_index/Cervical_lymphadenopathy/
    Features of deep tissue head and neck infection (eg trismus, muffled voice) Overseas travel, including … skin changes Unilateral or bilateral Features on palpation: eg soft, rubbery, firm, matted, fluctuant … and self-limited, however, the differential diagnosis is broad Viral upper respiratory tract infection is the most …
  • Chickenpox (varicella)
    www.rch.org.au/clinicalguide/guideline_index/Chickenpox_varicella/
    , see Cellulitis and other bacterial skin infections For underlying eczema, continue eczema treatment …. Mikaeloff Y, Kezouh A, Suissa S. Nonteroidal anti-inflammatory drug use and the risk of severe skin and soft … 7 days of age, unimmunised adolescents and immunocompromised children Recurrence of infection …
  • Febrile child
    www.rch.org.au/clinicalguide/guideline_index/Febrile_child/
    include: pneumonia , meningitis , bone and joint infections , skin and soft tissue infections, mastoiditis … can be signs of serious bacterial infection (or other serious illness) The severity of illness cannot … in children are viral infections, however serious bacterial infections (SBIs) need to be considered The most …
  • Fingertip and nail injuries – Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Fingertip_and_nail_injuries_–_Emergency_Department/
    Nail deformity (particularly when a nail bed injury has been missed) Soft tissue deformity Unrecognised … the fingers to protect the skin from maceration over the following week/s. Management of specific injuries … of the finger: Adhesive strips and in simple non-bleeding lacerations, consider tissue glue. Lacerations over …