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The limping or non-weight bearing child
www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
bearing child PIC Endorsed See also Fractures Bone and joint infections Acutely swollen joint Child abuse … Common differential diagnoses by age 0-4 years 5-10 years Over 10 years Trauma or child abuse Toddler's … , sepsis , bursitis, discitis, epidural collection Trauma (see Fractures ) including child abuse/inflicted …
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Vulval and vaginal conditions
www.rch.org.au/clinicalguide/guideline_index/Vulval_and_vaginal_conditions/
, including straddle injuries or sexual abuse Vulvodynia Persistent pain in vulval area for ≥3 months without … or sexual abuse Precocious puberty (consider when secondary sexual characteristics <8 yo) Urethral prolapse … menstrual bleeding Assessment and management Be aware of signs of sexual abuse based on history …
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Unsettled or crying babies
www.rch.org.au/clinicalguide/guideline_index/Crying_Baby_Infant_Distress/
mediated food allergy Slow weight gain Child abuse Recognition of the seriously unwell neonate and young … baby syndrome) See Child abuse Parental post-natal depression (PND) and social isolation Screen for PND … or inflicted injury, see Child abuse Infection, see Sepsis Hair tourniquet Corneal foreign body/abrasion, see …
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Slow weight gain
www.rch.org.au/clinicalguide/guideline_index/Slow_weight_gain/
gain Slow weight gain PIC Endorsed See also Child abuse Key points Optimal growth assessment requires … appointments Parental substance abuse Family violence Trauma or neglect Current or past child protection … or dehydration Failed outpatient management Concern about potential child abuse or neglect Significant mental …
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CHILDREN IN NEED OF PROTECTION
www.rch.org.au/clinicalguide/guideline_index/CHILDREN_IN_NEED_OF_PROTECTION/
as a result of sexual abuse and the child's parents have not protected, or are unlikely to protect … IN NEED OF PROTECTION When is a child in need of protection? (1) For the purposes of this Act a child … is in need of protection if any of the following grounds exist- (a) the child has been abandoned by his …
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Acute eye injury
www.rch.org.au/clinicalguide/guideline_index/Acute_eye_injury/
In infants, subconjunctival haemorrhage may be a sign of non-accidental injury, see Child abuse Acute eye … injury Consider consultation with local paediatric team when A child with suspected child abuse … assessment and photography is required for suspected child abuse Consider transfer when A child with a sight …
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Sexual health history taking in the adolescent
www.rch.org.au/clinicalguide/guideline_index/Sexual_health_history_taking_in_the_adolescent/
consultation See child abuse E: Etiquette (Consent) “It’s important that you always feel safe during sex. Can … and follow up testing Check for current STI symptoms N: No (Sexual abuse) “Has anyone ever tried to hurt you … during sex, or make you have sex when you’ve said no?” If sexual abuse is suspected, refer to local …
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Animal and human bites
www.rch.org.au/clinicalguide/guideline_index/Animal_and_human_bites/
bites as quickly as 12 hours Consider child abuse if there is any suspicion that bite is from a human … hospital Child abuse or neglect is suspected due to nature of injuries or circumstances surrounding injury …. See Child abuse Consider discussion with Infectious Diseases team for management of bites from exotic …
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Epistaxis
www.rch.org.au/clinicalguide/guideline_index/Epistaxis/
in children <2 years is rare and should prompt consideration of child abuse or underlying systemic disease Try … Red flags Age <2 years : high association with trauma, child abuse or underlying illness Bleeding >30 … the bleeding Position child sitting up in a comfortable position eg on parent's lap Tilt head forward …
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Trauma: Tertiary Survey
www.rch.org.au/clinicalguide/guideline_index/Trauma__Tertiary_Survey/
to relevant specialty teams for all injuries Consider the possibility of child abuse or neglect for all … paediatric team when Child abuse or neglect is suspected Child has complications or comorbidities … identified after the tertiary survey is complete, or after the child is discharged Assessment Children …