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Altered conscious state
www.rch.org.au/clinicalguide/guideline_index/Altered_conscious_state/
primary survey Meningitis and encephalitis Sepsis - assessment and management Afebrile seizures Child …, attend to ABCDE first, see Resuscitation If traumatic cause is possible, immobilise cervical spine …, confusion, seizures Focal neurology Time course of symptoms: abrupt vs gradual deterioration, recurrent …
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Recognition of the seriously unwell neonate and young infant
www.rch.org.au/clinicalguide/guideline_index/Recognition_of_the_seriously_unwell_neonate_and_young_infant/
History of brief resolved unexplained event (BRUE) or seizures Growth history and trajectory Maternal … Reduced tone Abnormal movements Focal neurological signs Focal, complex or prolonged seizures Exposure … Bronchiolitis Tachypnoea, increased work of breathing, wheeze or crackles on auscultation Primary HSV, in first …
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Cerebral palsy
www.rch.org.au/clinicalguide/guideline_index/Cerebral_palsy/
management, refer to: Cerebral palsy -- chest infection Cerebral palsy -- increased seizures Cerebral palsy …, intellectual disability, seizures, movement disorders Prenatal: maternal infection during pregnancy, pregnancy … infection, neonatal seizures, special care/NICU admission, postnatal steroids prior to 32 weeks CGA …
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Brief resolved unexplained event (BRUE)
www.rch.org.au/clinicalguide/guideline_index/Brief_resolved_unexplained_event_(BRUE)/
event (BRUE) PIC Endorsed See also Gastrooesophageal reflux in infants Afebrile seizures Child Abuse Key …, periodic breathing Lower respiratory tract infection More serious (less common) Seizure/infantile spasms … professional first event event lasted <1 minute Patients not meeting these criteria have a higher-risk BRUE 4-8 …
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Hypocalcaemia
www.rch.org.au/clinicalguide/guideline_index/Hypocalcaemia/
Key points Severe hypocalcaemia can cause life-threatening arrhythmia or seizures Commence cardiac … Confusion, agitation, delirium, seizures Assess for possible causes (see table above) Examination … Muscle cramps Tetany Severe <1.6 Arrhythmia Stridor, apnoea Confusion, agitation, seizures Investigations …
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Haemophilia Treatments
www.rch.org.au/clinicalguide/guideline_index/Haemophilia_Treatments/
, including anaphylaxis, to clotting factor replacement. These reactions can be the first symptom of inhibitor … <3 years old or children with seizure disorders (can cause hyponatraemia and seizures) Fluid …
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Hypertension in children and adolescents
www.rch.org.au/clinicalguide/guideline_index/Hypertension_in_children_and_adolescents/
Seizures Chest pain/palpitations Shortness of breath Cardiac failure Past history of Acute Kidney Injury …, seizures, coma) +/- target-end organ damage >180/120 associated with encephalopathy, eg headache vomiting …, vision changes and neurological symptoms (facial nerve palsy, lethargy, seizures, coma) +/- target-end …
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Diabetes mellitus: management of unwell children with established diabetes at home
www.rch.org.au/clinicalguide/guideline_index/Diabetes_mellitus__management_of_unwell_children_with_established_diabetes_at_home/
in the first instance Distance from hospital Management Home management of unwell child with established …% of their normal rate. See child's individual management plan in the first instance See Additional notes … management plan in the first instance Children on pumps receive only rapid-acting insulin and are therefore …
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Local anaesthetic poisoning
www.rch.org.au/clinicalguide/guideline_index/Local_anaesthetic_poisoning/
tongue numbness Metallic taste More severe toxicity manifests by: CNS: seizures, coma Cardiovascular … be the first clinical manifestation following massive intravenous overdose. Always check for Medicalert …; AVOID calcium channel blockers, beta blockers, local anaesthetics Treat seizures with benzodiazepines …
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Nephrotic syndrome
www.rch.org.au/clinicalguide/guideline_index/Nephrotic_syndrome/
of oedema/fluid overload Discharge education is crucial following a first presentation due to the high risk … in mental state, seizures, chest pain, palpitations, shortness of breath, cardiac failure Atypical features … and hypertension) Persistent hypertension (can have mild elevation in first 1-2 days) Persistent renal impairment …