• Malaria
    www.rch.org.au/clinicalguide/guideline_index/Malaria/
    (range 7-30) P. vivax  and  P. ovale  produce liver hypnozoite forms which can cause relapse … alternatives with Infectious Disease if Artemether-lumefantrine not available Outpatient management may … are alternatives Exclude G6PD deficiency before starting Primaquine - if deficient, consult Infectious Diseases  P …
  • Anaemia
    www.rch.org.au/clinicalguide/guideline_index/Anaemia/
    anticonvulsants, immunosuppressants and zidovudine Liver disease Hypothyroidism Consider consultation with local … staining (diagnosis of hereditary spherocytosis)  Sickle cell anaemia See  Sickle cell disease Hypoplastic …) Bone marrow aspirate is usually required for diagnosis Chronic disease Normochromic normocytic anaemia …
  • Iron deficiency
    www.rch.org.au/clinicalguide/guideline_index/Iron_deficiency/
    not exclude iron deficiency in the presence of coexisting infection, inflammation or liver disease  Iron … Gastrointestinal disorders eg Meckel diverticulum, coeliac disease, inflammatory bowel disease, gastric … Gastrointestinal disorders eg coeliac disease, inflammatory bowel disease, gastric or intestinal surgery …
  • Prolonged fever
    www.rch.org.au/clinicalguide/guideline_index/Prolonged_fever/
    disease, disseminated disease (liver, spleen, eye, musculoskeletal or nervous system) Serology Sample … Sepsis: assessment and management Kawasaki disease Key points Infection is the most common cause … returned international traveller noting that with increasing globalisation, diseases that were …
  • Tricyclic Antidepressant (TCA) Poisoning
    www.rch.org.au/clinicalguide/guideline_index/Tricyclic_Antidepressant_(TCA)_Poisoning/
    metabolism in the liver, TCA metabolites are renally excreted. Some metabolites have pharmacological activity … or neurological disease Doses >5 mg/kg in children should be referred to hospital   Patients with Doses >10-15 mg … or neurological disease those with co-ingestion of cardio depressant medications or MAO inhibitors. Patients …
  • Contraception
    www.rch.org.au/clinicalguide/guideline_index/Contraception/
    liver disease Side effects not common, may include irregular menstrual bleeding, nausea, headaches … for contraindications to specific contraceptive options. These may include: Risk of thromboembolism Malabsorption Liver … disease Medications that may interact with hormonal contraception eg enzyme inducing anti-epileptic …
  • Slow weight gain
    www.rch.org.au/clinicalguide/guideline_index/Slow_weight_gain/
    ) Pancreatic insufficiency eg Cystic fibrosis Chronic diarrhoea Chronic liver disease Excessive caloric … disease Early (<4 months) or delayed (>6 months) introduction of solids Psychosocial factors Parental … involvement Inadequate absorption Cow milk protein allergy Coeliac disease (if having gluten containing diet …
  • Death of a child
    www.rch.org.au/clinicalguide/guideline_index/Death_of_a_child/
    and liver failure, cystic renal disease, metabolic disorders with lactic acidosis, immunodeficiency or bone …) see Death of a child: Sudden unexplained death in infancy For children with an infectious disease … diagnosis and inform future family planning  This often includes biopsies of skin, liver and muscle, as well …
  • Substance use (abuse)
    www.rch.org.au/clinicalguide/guideline_index/Substance_use_abuse/
    liver disease etc.) Take an Alcohol and other Drug (AOD) use history.   Enquire about AOD use on the day …
  • Ataxia
    www.rch.org.au/clinicalguide/guideline_index/Ataxia/
    vertigo Family history, including: metabolic disease hereditary ataxia migraine seizure disorder Drugs … Blood glucose Venous Blood gas Electrolytes Liver function tests Anticonvulsant level, ethanol …