• 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 …
  • 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 …
  • 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 …
  • Iron poisoning
    www.rch.org.au/clinicalguide/guideline_index/Iron_poisoning/
    . May occur without systemic toxicity. 0.5-6 hours Abdominal pain Vomiting Diarrhoea * Lack of symptoms …–8 weeks Abdominal pain Vomiting Gastrointestinal fibrosis Cirrhotic liver disease Always check for … and tablets visible on AXR or symptomatic (nausea, vomiting, diarrhoea, abdominal pain, haematemesis, fever …
  • Acute scrotal pain or swelling
    www.rch.org.au/clinicalguide/guideline_index/Acute_scrotal_pain_or_swelling/
    Acute scrotal pain or swelling PIC Endorsed See also Penis and foreskin Acute abdominal pain Sexually … Abdominal pain Testicle injuries and conditions Last updated January 2026 Reference list Brenner, J et al …Acute scrotal pain or swelling …
  • Anaphylaxis
    www.rch.org.au/clinicalguide/guideline_index/Anaphylaxis/
    to avoid missed diagnosis Gastrointestinal symptoms (eg abdominal pain) are not always due to anaphylaxis … ) Severe/persistent GI symptoms (abdominal pain and/or vomiting) are a sign of anaphylaxis of any cause … Mild GI symptoms (abdominal pain and/or vomiting) are a sign of anaphylaxis when caused by insect …
  • 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 …
  • 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 …
  • 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
  • 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 …