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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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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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Recreational drug use and overdose
www.rch.org.au/clinicalguide/guideline_index/Recreational_drug_use_and_overdose/
include: Amphetamines Cannabis GHB Hallucinogens Inhalants/Volatile Substance Abuse Opiates Drug Also … tranquilisers (eg haloperidol) may worsen anti-cholinergic symptoms Inhalants/Volatile Substance Abuse Huffing … to their culture and their Elders past, present and emerging. The Royal Children’s Hospital, Melbourne values …
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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 … Unexplained injuries Excessive crying is a risk factor for abusive head trauma (previously known as shaken … baby syndrome) See Child abuse Parental post-natal depression (PND) and social isolation Screen for PND …
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Sexually transmitted infections (STIs)
www.rch.org.au/clinicalguide/guideline_index/Sexually_transmitted_infections_STIs/
Vulval and vaginal conditions Child abuse Engaging with and assessing the adolescent patient Key points … to investigation and management Rarely, STIs may be an indication of sexual abuse. If concerns of sexual abuse … risk ie harm to self or others, physical or sexual abuse History Undertake a risk assessment including …
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The acutely swollen joint
www.rch.org.au/clinicalguide/guideline_index/The_acutely_swollen_joint/
/soft tissue injury History of injury Child abuse Unexplained injury, bruising Particularly if non … with local paediatric team when Suspected child abuse Diagnosis is unclear Refer for specialist assessment if … the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders …
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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 … to their Elders past and present. The Royal Children’s Hospital (RCH) acknowledges the traditional owners …
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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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Cannabis withdrawal syndrome
www.rch.org.au/clinicalguide/guideline_index/Cannabis_withdrawal_syndrome/
state examination Substance use (abuse) Key points Most young people do not require medication … as strategies that soothe Youth Recovery Toolkit, Substance & Alcohol Abuse Help for Youth SMART Tool Enjoyable … UW. The cannabis withdrawal syndrome: current insights. Subst Abuse Rehabil. 2017 Apr 27. Vol 8, pg …
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Contraception
www.rch.org.au/clinicalguide/guideline_index/Contraception/
risk (ie harm to self or others, physical or sexual abuse) History Sexual health history Current sexual … behaviour, including risk of sexual abuse Current and past contraceptive use (type, frequency) Past history … relationship or abuse. If sexual assault is suspected, refer to local guidelines . Early consultation …