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Trauma – secondary survey
www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_the_secondary_survey/
, gums, tongue or palate Teeth: subluxed, missing or fractured teeth Jaw: identify pain, trismus … or handlebar injury), abdominal distension Palpate for signs of peritonism such as guarding or rigidity Palpate … crests, bruising, deformity Feel for pain or crepitus on gentle palpation of bony prominences Assessment …
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Hereditary angioedema (C1-esterase inhibitor deficiency)
www.rch.org.au/clinicalguide/guideline_index/Hereditary_angioedema_(C1-esterase_inhibitor_deficiency)/
and can be life-threatening Abdominal pain: often associated with nausea, vomiting and diarrhoea and can … treatment Abdominal pain : moderate to severe pain, vomiting and/or abdominal distension require C1-INH … unpredictable, episodes of painful, non-pruritic and non-pitting angioedema (swelling) In an acute attack …
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Constipation
www.rch.org.au/clinicalguide/guideline_index/Constipation/
Abdominal pain Urinary incontinence Urinary tract infections Key points Constipation is a common condition … the urge to defaecate, causing a build-up of large hard bowel actions. When this leads to painful …) Mucus in the stool Painful or frightening precipitant prior to the onset of constipation …
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Acute scrotal pain or swelling
www.rch.org.au/clinicalguide/guideline_index/Acute_scrotal_pain_or_swelling/
& foreskin Acute abdominal pain Key Points Testicular torsion is an emergency. It requires immediate referral … scheduled (if required) Parent information Inguinal hernia Abdominal pain Testicle injuries and conditions …Acute scrotal pain or swelling …
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Iron poisoning
www.rch.org.au/clinicalguide/guideline_index/Iron_poisoning/
: Gastrointestinal Due to direct injury from iron. May occur without systemic toxicity. 0.5-6 hours Abdominal pain … Hypoglycaemia Coma 5: Bowel obstruction 2–8 weeks Abdominal pain Vomiting Gastrointestinal fibrosis Cirrhotic … and tablets visible on AXR or symptomatic (nausea, vomiting, diarrhoea, abdominal pain, haematemesis, fever …
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Haematuria
www.rch.org.au/clinicalguide/guideline_index/Haematuria/
: Proteinuria Hypertension Fluid overload: oedema, ascites Flank/abdominal pain Immunocompromise Management … associated with pain, oedema, hypertension or proteinuria needs investigation Background Microscopic … of urinary infection: dysuria, frequency, pain, fever Systemic symptoms such as fatigue, oedema, rash …
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Immigrant health - acute presentations
www.rch.org.au/clinicalguide/guideline_index/Immigrant_Health_acute_presentations/
screening Sickle cell disease Abdominal pain Acute infection Constipation Surgical or gynaecological …/vomiting, family history Hepatitis Abdominal pain Immigrant health – Intestinal Parasites Immigrant health … causes. Parasite infection Helicobacter pylori gastritis - epigastric pain, early satiety, nausea …
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Gastroenteritis
www.rch.org.au/clinicalguide/guideline_index/Gastroenteritis/
Vomiting ) Age under 6 months Bilious vomiting Haematemesis Diarrhoea for >10 days Severe abdominal pain … occur with bacterial infection or inflammatory bowel conditions Crampy abdominal pain Recent fluid … for similar symptoms Examination Many children will have a normal examination, or generalised abdominal …
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Foreign body ingestion
www.rch.org.au/clinicalguide/guideline_index/Foreign_body_ingestion/
GIT symptoms: Coughing, drooling, pain on swallowing, reduced oral intake, abdominal pain or vomiting … advice or return to ED if any of the following symptoms occur: breathing problems abdominal pain fever … gastroenterology team Acutely symptomatic children (drooling, neck or chest pain) require urgent endoscopy Children …
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Suprapubic aspirate
www.rch.org.au/clinicalguide/guideline_index/Suprapubic_aspirate/
Urinary tract infection Febrile child Acute pain management Key Points Suprapubic aspirate (SPA … response Contraindications Bleeding diathesis Abdominal distension Massive organomegaly Urogenital … or gastrointestinal abnormality where SPA may compromise any pelvic/abdominal organs Overlying skin infection …