• Upper limb non-use
    www.rch.org.au/clinicalguide/guideline_index/Upper_Limb_NonUse/
    The Royal Children's Hospital Melbourne Internet Home About News Careers Shop Contact SharePoint Intranet … points The most common cause is trauma eg pulled elbow Give analgesia early Fever or systemic features … are red flags Consider child abuse in children with an unclear history or concerning physical and/or …
  • Chest pain
    www.rch.org.au/clinicalguide/guideline_index/Chest_pain/
    Children's Hospital Melbourne Internet Home About News Careers Shop Contact SharePoint Intranet Health … that is necessary Background Cardiac-related causes account for as few as 1% of children who present with chest pain … In children without risk factors for serious disease (see below), the most commonly identified causes of chest …
  • Febrile seizure
    www.rch.org.au/clinicalguide/guideline_index/Febrile_seizure/
    if duration ongoing after 5 minutes , see afebrile seizures Manage the underlying cause of the fever Children … Children's Hospital Melbourne Home About News Careers Shop Contact Donate SharePoint Intranet Health … not prevent febrile convulsions Background Definition: a seizure associated with a fever (of at least 38 0 C …
  • Bone and joint infection
    www.rch.org.au/clinicalguide/guideline_index/Bone_and_joint_infection/
    The Royal Children's Hospital Melbourne Internet Home About News Careers Shop Contact SharePoint Intranet … with fever, pain and limited use of the affected limb or joint Urgent surgical intervention reduces the risk … in children with sickle-cell disease). Discitis is inflammation/infection of an intervertebral disc, typically …
  • Sickle cell disease
    www.rch.org.au/clinicalguide/guideline_index/Sickle_cell_disease/
    The Royal Children's Hospital Melbourne Internet Home About News Careers Shop Contact Quicklinks Intranet … A great children's hospital, leading the way Health Professionals Patients and Families Departments … disease All children with sickle cell disease are managed with the assistance of the Royal Children's …
  • Parapneumonic effusion
    www.rch.org.au/clinicalguide/guideline_index/Parapneumonic_effusion/
    The Royal Children's Hospital Melbourne Internet Home About News Careers Shop Contact SharePoint Intranet … 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 …
  • The limping or non-weight bearing child
    www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
    bearing child The Royal Children's Hospital Melbourne Home About News Careers Shop Contact Donate … Key points Most children presenting with a limp do not require investigation Observing the child's … child presenting with limp, swelling and reduced range of motion (especially with fever) Background …
  • Petechiae and purpura
    www.rch.org.au/clinicalguide/guideline_index/Fever_and_Petechiae_Purpura/
    : purpura on the torso and back/face of a child Assessment All children with fever and petechiae/purpura … Rashes Fever in children … The Royal Children's Hospital Melbourne Internet Home About News Careers Shop Contact SharePoint Intranet …
  • Abdominal pain - acute
    www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_acute/
    The Royal Children's Hospital Melbourne Internet Home About News Careers Shop Contact SharePoint Intranet … are guided by the most likely cause. Most children do not need investigations Appendicitis in young children … torsion Sepsis Hirschsprung associated enterocolitis (HAEC) Dietary protein allergy Infants and children …
  • Urinary tract infection
    www.rch.org.au/clinicalguide/guideline_index/Urinary_tract_infection/
    and pre-verbal children often present with non-specific symptoms such as fever, vomiting, poor feeding, jaundice … The Royal Children's Hospital Melbourne Home About News Careers Shop Contact Donate SharePoint Intranet … non-specific in infants and young children Urine dipstick is a useful screening test, but a positive urine …