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Bone and joint infection
www.rch.org.au/clinicalguide/guideline_index/Bone_and_joint_infection/
with fever, pain and limited use of the affected limb or joint Urgent surgical intervention reduces the risk … index of suspicion. Assessment History Site of pain Septic arthritis: most commonly hip or knee … be any bone Onset and duration of symptoms – eg acute (<2 weeks) or chronic Fever – may not be present …
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Cough
www.rch.org.au/clinicalguide/guideline_index/Cough/
of chronic or wet or productive cough Recurrent pneumonia Chest pain Haemoptysis Systemic symptoms (fever … acute cough : daily cough lasting 2-4 weeks Chronic cough: daily cough lasting >4 weeks Specific cough … : cough occurring with condition known to be cause of chronic cough Non-specific cough: chronic cough …
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Ankle Sprains - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Ankle_Sprains_-_Emergency_Department/
rotation Lateral swelling Tenderness over the ATFL (shown above) Pain with ankle inversion Medial swelling … and tenderness Pain with ankle eversion Swelling may be subtle Inability to bear weight, and especially to walk … will present with a painful ankle, with swelling with or without bruising. Generally patients can walk …
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Dysmenorrhoea
www.rch.org.au/clinicalguide/guideline_index/Dysmenorrhoea/
effect on physical and psychosocial functioning and mental health, and associated with other chronic pain … Dysmenorrhoea Dysmenorrhoea PIC Endorsed See also Adolescent gynaecology - lower abdominal pain Adolescent … features or persistent pain despite an adequate trial of empiric treatment for at least 3-6 months …
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Headache
www.rch.org.au/clinicalguide/guideline_index/Headache/
use and common triggers Headache patterns Acute recurrent Migraine Chronic non-progressive … Tension-type headache Anxiety, depression Somatisation Chronic progressive Tumour Benign intracranial … hypertension Brain abscess Hydrocephalus Acute on chronic non-progressive Tension headache with co-existent …
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Immigrant health - acute presentations
www.rch.org.au/clinicalguide/guideline_index/Immigrant_Health_acute_presentations/
not have been available in country of origin Tuberculosis (TB) consider in children with chronic cough … screening Sickle cell disease Abdominal pain Acute infection Constipation Surgical or gynaecological … causes. Parasite infection Helicobacter pylori gastritis - epigastric pain, early satiety, nausea …
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Hypertension in children and adolescents
www.rch.org.au/clinicalguide/guideline_index/Hypertension_in_children_and_adolescents/
/intrauterine growth restriction Prematurity Excess dietary salt intake Physical inactivity Chronic health … concerns, eg chronic kidney disease, diabetes Causes of Hypertension Primary Hypertension Situational … Hypertension Stress, pain, anxiety Secondary Hypertension Renal parenchymal disease GN, polycystic kidneys, CKI …
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Rhinitis and rhinosinusitis
www.rch.org.au/Persistent_nasal_discharge_rhinosinusitis/.aspx
weeks Chronic : >12 weeks Acute rhinosinusitis is most commonly caused by viral infections … facial pain Headache Fever Inflamed nasal mucosa Signs of acute otitis media are commonly seen … Meningitis Encephalitis Subdural and epidural empyema Chronic rhinosinusitis History Risk factors Uncommon …
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Immune thrombocytopenic purpura
www.rch.org.au/clinicalguide/guideline_index/Immune_thrombocytopenic_purpura/
from time of diagnosis Chronic ITP -- persistent thrombocytopenia >12 months. More common … of autoimmune condition(s) Red flags for alternative diagnosis Bone pain, limp, anorexia, weight loss, jaundice … molars only, epistaxis ≤5 mins 3b Moderate high risk Epistaxis >5 min, haematuria, haematochezia, painful …
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Ataxia
www.rch.org.au/clinicalguide/guideline_index/Ataxia/
or pain. A frightened or very unwell child may also appear ataxic Background Ataxia is defined …) Chronic Recurrent Post-infectious* Toxins* Tumours* Trauma* Metabolic Infections Vascular, may require … on chronic Usually present with normal conscious level Features of raised ICP Constitutional symptoms Focal …