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Common causes of ataxia
www.rch.org.au/clinicalguide/guideline_index/Common_causes_of_ataxia/
Toxin ingestion Basilar artery migraine Seizure disorder Metabolic Brain tumours Hydrocephalus … of the CNS, which is monophasic but multifocal in nature associated with encephalopathy. Febrile illness 1- 4 …
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Fever in the recently returned traveller
www.rch.org.au/clinicalguide/guideline_index/Fever_in_the_recently_returned_traveller/
Endorsed See also Immigrant health - acute presentations Malaria Gastroenteritis Febrile child COVID-19 Key … are more likely to have a serious cause for illness upon return When assessing a febrile child recently … microscopy and culture in severely unwell patients with meningism, encephalopathy or seizures (after …
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Ataxia
www.rch.org.au/clinicalguide/guideline_index/Ataxia/
Functional neurological disorder Episodic ataxia Basilar artery migraine Seizure disorder Metabolic … to demyelination of the CNS Typically occurs 1-4 weeks after a febrile illness Lethargy or irritability associated … vertigo Family history, including: metabolic disease hereditary ataxia migraine seizure disorder Drugs …
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Meningitis and encephalitis
www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
Afebrile seizures CSF interpretation Febrile child Lumbar puncture Key points Making a clinical distinction … URTI may be present Seizures Recent antibiotics Immunisation history Travel history Medical condition … of the brain: unusual behaviour confusion personality change emotional lability Seizures (common) Abnormal …
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Periorbital and orbital cellulitis
www.rch.org.au/clinicalguide/guideline_index/Periorbital_and_orbital_cellulitis/
Febrile child Sepsis Local antimicrobial guidelines Key points Orbital cellulitis is an emergency … In The Home (HITH) admission if available locally Consider blood culture if febrile and unwell Antibiotics … or orbital cellulitis present Suspecting intracranial involvement with altered conscious state, seizures …
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Influenza
www.rch.org.au/clinicalguide/guideline_index/Influenza/
features more likely to have febrile seizures more likely to have gastrointestinal features more likely … in returned traveller Febrile child Key points Most influenza in healthy children is self-limited … to have severe disease. See Febrile child Clinical features of severe influenza, consider treatment (see …
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Lumbar puncture
www.rch.org.au/clinicalguide/guideline_index/Lumbar_puncture/
episodes New focal neurological signs or seizures Seizure within previous 30 min and/or ongoing decreased … conscious state following a seizure INR >1.5 or platelets <50 x 10 9 /L for child on anticoagulant ….3-A106. 10.1136/archdischild-2012-301885.250 Beri S et al 2011. Bulging fontanelle in febrile infants …
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Acute upper airway obstruction
www.rch.org.au/clinicalguide/guideline_index/Acute_upper_airway_obstruction/
harsh barking cough Hoarse voice/cry Stridor May be febrile and miserable but systemically well … or size Reduced conscious state eg after drug or alcohol ingestion, recent seizure, head injury (including …
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Malaria
www.rch.org.au/clinicalguide/guideline_index/Malaria/
in the recently returned traveller Key points Malaria should be suspected in children with any febrile illness …) Examination Pallor Splenomegaly Impaired consciousness Seizures Respiratory distress Shock Jaundice …
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Nephrotic syndrome
www.rch.org.au/clinicalguide/guideline_index/Nephrotic_syndrome/
in mental state, seizures, chest pain, palpitations, shortness of breath, cardiac failure Atypical features … congenital malformations, renal vein thrombus Blood culture (if febrile, or systemically unwell) Treatment …