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Clinical Practice Guidelines

  • Vulval and vaginal conditions
    www.rch.org.au/clinicalguide/guideline_index/Vulval_and_vaginal_conditions/
    an identifiable cause Candida infection (unusual in children from 2 years to puberty) Systemic conditions eg … first eg for evidence of systemic skin conditions Perineal examination Carefully consider the purpose … of the vulva), pale atrophic patches (lichen sclerosis), bruising Swelling, dryness, excoriation Discharge …
  • Nitrous Oxide Misuse
    www.rch.org.au/clinicalguide/guideline_index/Nitrous_Oxide_Misuse/
    and maintenance of nervous system myelin sheaths Loss of methionine leads to demyelination in the peripheral and …/or central nervous system and bone marrow suppression User surveys suggest the likelihood … Sensory deficits, may be dermatomal but can be patchy (akin to findings in multiple sclerosis) Impaired …
  • Headache
    www.rch.org.au/clinicalguide/guideline_index/Headache/
    system) or secondary (due to another underlying condition) The most common primary headaches in children … injury Known systemic disorder: haematological condition (bleeding tendency, prothrombotic state … of neurocutaneous syndromes (eg neurofibromatosis, tuberous sclerosis) Red flag findings include: Altered conscious …