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  • Upper limb non-use
    www.rch.org.au/clinicalguide/guideline_index/Upper_Limb_NonUse/
    points The most common cause is trauma eg pulled elbow Give analgesia early Fever or systemic features … Duration of symptoms ≥ 7 days Systemic features: fever, night sweats, malaise, rash, pallor, bruising … Examination General appearance of child – well/unwell, significant distress or pain Fever Fully expose …
  • Chest pain
    www.rch.org.au/clinicalguide/guideline_index/Chest_pain/
    catheter Pleuritic pain Haemoptysis Fever Cough Lethargy Pleuritic chest pain Chronic respiratory disease … possible CRP/ESR raise possible (see COVID-19 ) Endocarditis Fever of unknown origin Congenital or acquired … Acute Chest Syndrome Known sickle cell disease Current or recent infection, dehydration, fever, hypoxia …
  • Febrile seizure
    www.rch.org.au/clinicalguide/guideline_index/Febrile_seizure/
    not prevent febrile convulsions Background Definition: a seizure associated with a fever (of at least 38 0 C … with febrile seizures plus spectrum" (GEFS+) Assessment History Onset of illness Determine source of the fever … seizure: as above but occurring during an acute infectious illness without a documented fever Focal …
  • Sickle cell disease
    www.rch.org.au/clinicalguide/guideline_index/Sickle_cell_disease/
    with the following problems   Vaso-occlusive crisis  Fever Acute chest syndrome  Acute splenic sequestration Aplastic … and duration of pain, dyspnoea, fever, pallor and lethargy Provoking factors (fever, travel, procedures, recent … Fever & sickle cell disease Background Patients are functionally asplenic and thus at greater risk …
  • 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 … be any bone Onset and duration of symptoms – eg acute (<2 weeks) or chronic Fever – may not be present … diagnosis Examination Fever and signs of sepsis Bone and joint examination – using “Look, Feel and Move …
  • Parapneumonic effusion
    www.rch.org.au/clinicalguide/guideline_index/Parapneumonic_effusion/
    with pneumonia who has persistent fever despite 48 hrs of appropriate antibiotic treatment The stage … aureus and Group A Streptococcus are the most common causes of an empyema Assessment History Fever … Particularly fever that persists after 48 hours of appropriate treatment of pneumonia Tachypnoea Cough …
  • The limping or non-weight bearing child
    www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
    with fever) Background Transient synovitis, acute myositis and minor trauma are common causes of limp … sickness, post infectious arthritis, Guillain-Barre syndrome, acute rheumatic fever Intra-abdominal … or weight bear Symptoms of infection: fever, night sweats, chills, rigors, rash Constitutional symptoms …
  • Petechiae and purpura
    www.rch.org.au/clinicalguide/guideline_index/Fever_and_Petechiae_Purpura/
    including meningococcal disease can present with a non-blanching rash, with or without fever The incidence …: purpura on the torso and back/face of a child Assessment All children with fever and petechiae/purpura … Rashes Fever in children …
  • Abdominal pain - acute
    www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_acute/
    (see Additional notes for causes associated with these pain characteristics) Systemic symptoms: fever … in the course of illness May not present with classical symptoms Presentation often includes fever, vomiting … Bilious vomiting Volvulus Obstruction Polyuria, polydipsia, weight loss DKA Dysuria, frequency and fever …
  • Urinary tract infection
    www.rch.org.au/clinicalguide/guideline_index/Urinary_tract_infection/
    clear focus of fever and the child is not systemically unwell Background A UTI is a bacterial infection … UTI in any child if fever without focus persists after 48 hours Assessment History Infants … and pre-verbal children often present with non-specific symptoms such as fever, vomiting, poor feeding, jaundice …