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Suprapubic aspirate
www.rch.org.au/clinicalguide/guideline_index/Suprapubic_aspirate/
procedure The use of ultrasound increases the success of the procedure Any growth of pathogenic bacteria … infants <3 months) or topical anaesthetic cream Ultrasound/Bladder scanner and gel if available Analgesia … Obtain consent, verbal consent is adequate If possible, perform bladder ultrasound prior A successful SPA …
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Antenatal urinary tract dilation
www.rch.org.au/clinicalguide/guideline_index/Antenatal_urinary_tract_dilation/
ultrasound, reported in up to 5% of pregnancies The term UTD encompasses any dilation of the kidney, renal … by anterior-posterior renal pelvic diameter (APD or APRD) and/or degree of calyceal dilation via ultrasound Urinary … Assessment The finding of UTD on antenatal ultrasound should prompt the clinician to look for the following …
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Acute scrotal pain or swelling
www.rch.org.au/clinicalguide/guideline_index/Acute_scrotal_pain_or_swelling/
and irreducible hernia are emergencies and if suspected, require urgent surgical evaluation Ultrasound should only … should not be delayed in the interest of investigations Blood tests, ultrasound and doppler ultrasound … are not useful in the acute setting (excluding traumatic injuries) Although ultrasound has the capacity to assess …
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Intravenous access - Peripheral
www.rch.org.au/clinicalguide/guideline_index/Intravenous_access_Peripheral/
and combine with blood sampling if needed If available, consider ultrasound guidance if intravenous …: forearm > hand > foot > cubital fossa Ultrasound guided peripheral IV access (may last up to 7 days) 7-14 … ultrasound guidance by an experienced clinician if intravenous cannulation is predicted to be difficult …
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Pyloric stenosis
www.rch.org.au/clinicalguide/guideline_index/Pyloric_stenosis/
are unlikely in early presentations of pyloric stenosis Abdominal ultrasound may be equivocal in early … of abnormality is proportionate to the duration of symptoms Abdominal ultrasound (95% sensitive in the diagnosis … of pyloric stenosis). If ongoing clinical suspicion despite initial equivocal ultrasound, consider repeat …
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Intussusception
www.rch.org.au/clinicalguide/guideline_index/Intussusception/
bowel obstruction, bowel perforation, peritonitis and/or shock Ultrasound is the initial study of choice … or perforation on AXR, or if planning transfer by air Investigations Ultrasound scan High sensitivity (>98 …%) and specificity (>98%) when performed by an experienced paediatric ultrasonographer Point of Care Ultrasound …
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Adolescent gynaecology - lower abdominal pain
www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Lower_Abdominal_Pain/
are clinical diagnoses, and gynaecological referral should not be delayed by investigations (eg ultrasound … ultrasound Pelvic ultrasound: transabdominal (with full bladder) or transvaginal (in sexually active …
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Urinary tract infection
www.rch.org.au/clinicalguide/guideline_index/Urinary_tract_infection/
abnormalities and infants <3 months usually require IV antibiotics Ultrasound during the acute stage of illness … suspected at any age Renal tract ultrasound in all children with atypical UTI (see criteria above … an ultrasound for a first UTI. A non-urgent renal ultrasound should be arranged for children who have recurrent …
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Urinary Incontinence - Daytime wetting
www.rch.org.au/clinicalguide/guideline_index/Urinary_Incontinence_-_Daytime_wetting/
about possible renal/metabolic disease Secondary Investigations: Renal tract ultrasound (with pre … incontinence, review and repeat ultrasound if it is not adequate or recent Initial (standard) management …
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The limping or non-weight bearing child
www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
septic arthritis or early osteomyelitis signs of inflicted injury may be subtle Ultrasound (hip) assess … and ultrasound finding of an effusion ≥ 7 mm has a high specificity and sensitivity in diagnosing paediatric hip …