• Upper limb non-use
    www.rch.org.au/clinicalguide/guideline_index/Upper_Limb_NonUse/
    medical conditions, such as bleeding disorders or haemoglobinopathies, should be reviewed carefully …, lethargy, anorexia History of other medical conditions eg bleeding disorders, sickle cell disease … Special considerations: Minor trauma can result in haemarthrosis in children with an underlying bleeding …
  • Iron deficiency
    www.rch.org.au/clinicalguide/guideline_index/Iron_deficiency/
    a nutritional disorder (insufficient iron-rich foods or excessive cow milk consumption) and is rarely due … to malabsorption or gastrointestinal bleeding Blood transfusion is rarely required Risk factors for iron deficiency … Gastrointestinal disorders eg Meckel diverticulum, coeliac disease, inflammatory bowel disease, gastric …
  • Child abuse
    www.rch.org.au/clinicalguide/guideline_index/Child_abuse/
    history Previous events or similar injuries Personal and family history of bleeding disorders, connective … situation and may include: All sites of possible injury Symptoms (pain, limitation of movement, bleeding … tissue disease, developmental disorders Prior contact with child protection agencies and police …
  • Vomiting
    www.rch.org.au/clinicalguide/guideline_index/Vomiting/
    Rectal bleeding Gastroenteritis Colitis Intussusception Meckel's diverticulum Infection Fever or systemic … Infection History of head injury/concern for NAI Intracranial bleed Metabolic Abdominal pain, polyuria …/infant Consider inborn errors of metabolism See Metabolic disorders Other Specific pattern of vomiting …
  • Seizures - acute management
    www.rch.org.au/clinicalguide/guideline_index/Seizures_-_acute_management/
    seizure Developmental delay or regression Headache prior to the seizure Hypertension Bleeding disorder … of elevated ICP new focal signs or symptoms suggestive of stroke bleeding disorder / anticoagulation child has … history Family history of seizures or cardiac disorders/sudden death History suggestive of absence …
  • Micronutrient deficiency
    www.rch.org.au/clinicalguide/guideline_index/Micronutrient_deficiency/
    in the absence of an underlying medical condition or eating disorder, and differs from ‘fussy eating’, which … seen in children with: Neurodevelopmental conditions including autism spectrum disorder Avoidant … restrictive food intake disorder (ARFID) Multiple food allergies Elective dietary restrictions due to cultural …
  • Haematuria
    www.rch.org.au/clinicalguide/guideline_index/Haematuria/
    , renal disease/ stones or hearing loss History of underlying bleeding disorder or immunodeficiency … than the urinary tract (eg vaginal bleeding, rectal fissure) Common causes include isolated …
  • Anaemia
    www.rch.org.au/clinicalguide/guideline_index/Anaemia/
    or neutropenia, may indicate malignancy or an infiltrative disorder Severe vitamin B12 or folate deficiency Need …/aplastic anaemia Causes Acute leukaemia, aplastic anaemia, infiltrative disorders Drugs (eg cytotoxics … Reticulocyte count may be normal or elevated Correlate with any bleeding symptoms Macrocytic anaemia Vitamin …
  • Constipation
    www.rch.org.au/clinicalguide/guideline_index/Constipation/
    with autism spectrum disorders and attention deficit / hyperactive disorder have an increased risk … Coeliac disease  Hypothyroidism Hypercalcaemia  Slow-transit constipation Neurological disorders … behaviours, pain while defecating or rectal bleeding or fissures may benefit from inpatient disimpaction …
  • Headache
    www.rch.org.au/clinicalguide/guideline_index/Headache/
    injury Known systemic disorder: haematological condition (bleeding tendency, prothrombotic state …), malignancy, rheumatological disorder, immunosuppression, hypertension Medications: anticoagulants … Psychiatric disorder Anxiety Depression Somatisation disorders Increased psychosocial stressors See Mental …