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Animal and human bites
www.rch.org.au/clinicalguide/guideline_index/Animal_and_human_bites/
with an infected wound CT head: in children who have sustained a dog bite of uncertain depth to the scalp, or bite … over the dorsum and MCP joints of the hand Associated injuries C-spine/head if fall has occurred Long … marks on opposing sides of the skull, a CT should be performed to evaluate for associated skull fracture …
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Cervical lymphadenopathy
www.rch.org.au/clinicalguide/guideline_index/Cervical_lymphadenopathy/
is abnormal enlargement of lymph nodes (LNs) in the head and neck usually >1 cm Most cases are benign … Features of deep tissue head and neck infection (eg trismus, muffled voice) Overseas travel, including …, mumps, rubella) Dental disease Response to antibiotic treatment Examination LN groups in the head …
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Penetrating eye injury
www.rch.org.au/clinicalguide/guideline_index/Penetrating_eye_injury/
outcomes Open globe injuries may accompany multiple trauma or serious head injury Assessment History Full … injuries (may accompany multiple trauma or serious head injury) Examination Examination may only need … expulsion of ocular contents Place the child on bed rest with head of bed elevated to 30 degrees …
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Ataxia
www.rch.org.au/clinicalguide/guideline_index/Ataxia/
also Acute poisoning Head injury Metabolic disorders Stroke Key points Assessment focuses on a thorough … History or clinical findings of head injury Risk factors for NAI ADEM Autoimmune condition leading … History Time course (acute <72 hours) Antecedents include recent viral illness rash head trauma earache …
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Clavicle fractures - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Clavicle_fractures_Emergency_Department/
tilt x-ray of the clavicle will show the fracture in two planes and define displacement. A CT scan may … on x-ray. B) The posterior dislocation (red arrow) is more evident on CT scan. 7. When is reduction (non …, Oakley EA. Fractures and minor head injuries: Minor injuries in children II. Med J Aust 2005; 182: 644-8 …
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Acute upper airway obstruction
www.rch.org.au/clinicalguide/guideline_index/Acute_upper_airway_obstruction/
or size Reduced conscious state eg after drug or alcohol ingestion, recent seizure, head injury (including … Children with croup do not require any investigations X-ray (chest and/or soft tissue neck) or CT may … obstruction in infants and children. JAMA Otolaryngology - Head&Neck Surgery. 2017. 143(6) pp539 Loftis L …
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Trauma - primary survey
www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_The_primary_survey/
Facial burns Hoarseness of voice Harsh cough Head or neck swelling Soot in mouth, nose or saliva Anterior … to debris Loss of pharyngeal tone (due to head injury or intoxication with drugs / alcohol) Incorrect … positioning (hyperflexion of infant due to large occiput) Use an age appropriate neutral head position Use …
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Acquired torticollis
www.rch.org.au/clinicalguide/guideline_index/Acquired_torticollis/
/dislocation, spinal haematoma Atlantoaxial rotary subluxation/fixation Infection: head and neck, spine, CNS …, Larsen syndrome, Marfan syndrome). See Cervical spine assessment CT neck and/or the brain if: associated …
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Ethanol poisoning
www.rch.org.au/clinicalguide/guideline_index/Ethanol_Posioning/
dangerous contributors to decreased conscious state (including head Injury ingestion of other drugs) For 24 … / injury, especially trauma to head Level of neurological depression, and progression of symptoms which … acidosis) ECG if any consideration of poly drug overdose Consider CT brain if decreased conscious state …
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Procedural sedation
www.rch.org.au/clinicalguide/guideline_index/Procedural_sedation/
body, head and facial trauma Past history: previous airway surgery, laryngomalacia, craniofacial … Example Goals Agent of Choice Alternatives Diagnostic imaging CT USS MRI Reduce movement Anxiolysis …