• Hyperosmolar hyperglycaemic state
    www.rch.org.au/clinicalguide/guideline_index/Hyperosmolar_hyperglycaemic_state/
    Abdominal pain, nausea or vomiting Signs of underlying infection or precipitating illness Family history … Assess neurological status Look for signs of underlying infection or illness Note: deep sighing …
  • Acute asthma
    www.rch.org.au/clinicalguide/guideline_index/Acute_asthma/
    by a respiratory viral infection Coexisting atopy is common Children <12 months of age presenting with wheeze …) Preventer treatment (technique and adherence) Triggers (including upper respiratory tract infection, passive …
  • Slow weight gain
    www.rch.org.au/clinicalguide/guideline_index/Slow_weight_gain/
    gain table below) Past history: chronic and current illness, recurrent infections Family growth … utilisation Urinary tract infection Chronic illness / inflammation Chronic Respiratory disease eg Cystic …
  • Hereditary angioedema (C1-esterase inhibitor deficiency)
    www.rch.org.au/clinicalguide/guideline_index/Hereditary_angioedema_(C1-esterase_inhibitor_deficiency)/
    , dental or other surgery), infection, psychological stress, medications (especially oestrogen containing … Consider trigger (stress, infection, injury) Prodromal symptoms: fatigue, flu-like symptoms, indigestion …
  • Diabetic Ketoacidosis
    www.rch.org.au/clinicalguide/guideline_index/Diabetic_Ketoacidosis/
    investigations for precipitating cause: if clinical signs of infection consider septic work up The following … Assess for underlying infections and consider antibiotics after obtaining relevant cultures … if appropriate.  Overall, infective precipitants are uncommon.  In children with known T1DM the most common cause …
  • Substance use (abuse)
    www.rch.org.au/clinicalguide/guideline_index/Substance_use_abuse/
    or biological reasons for the presentation (eg head injury, acute infection, electrolyte imbalance, CVA …
  • Cyanotic Episodes in Congenital Heart Disease
    www.rch.org.au/clinicalguide/guideline_index/Cyanotic_Episodes_in_Congenital_Heart_Disease/
    unwell with an infection, when upset or upon waking Most episodes are self-limiting Assessment History …
  • Kawasaki disease
    www.rch.org.au/clinicalguide/guideline_index/Kawasaki_disease/
    diagnosis Group A streptococcal infections: tonsillitis, scarlet fever, acute rheumatic fever Viral … infections including EBV, CMV, Adenovirus, HHV-6, SARS-CoV-2 Systemic juvenile idiopathic arthritis (JIA …
  • Lumbar puncture
    www.rch.org.au/clinicalguide/guideline_index/Lumbar_puncture/
    meningococcal infection is suspected, LP may not change the management and may cause deterioration In term … or persistent paraesthesia/numbness (very uncommon) Respiratory arrest from positioning (rare) Infection
  • Neck of femur - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/neck_of_femur_emergency/
    Infection - this is uncommon after surgical fixation of femoral neck fractures.  It is reported to occur …

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.