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Primary immunodeficiencies
www.rch.org.au/clinicalguide/guideline_index/Primary_immunodeficiencies/
Absence of thymus Chronic diarrhoea Recurrent/severe sinusitis or otitis media Severe eczema or nappy rash … disease Other autoinflammatory disorders Recurrent fevers Inflammatory arthritis or peritonitis Rash … abscesses Digital clubbing Severe eczema or eczema-like rashes Splenomegaly Poor muscle bulk, fat stores …
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The limping or non-weight bearing child
www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
sweats, chills, rigors, rash Constitutional symptoms: unexplained weight loss, lethargy, anorexia …, skin changes eg rash, wound, bruising, erythema Feel: heat, cold, tenderness (including calf), crepitus …, scrotum, back/spine and hips, features of systemic disease eg rash, organomegaly Management Investigations …
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Antifungal prophylaxis for children with cancer or undergoing haematopoietic stem cell transplant
www.rch.org.au/clinicalguide/guideline_index/Antifungal_prophylaxis_for_children_with_cancer_or_undergoing_haematopoietic_stem_cell_transplant/
Monitor for rash (rare) and hepatotoxicity (rare) Monitor for QT prolongation if other risk factors … as solubilizer may accumulate. Significance is not known; consult pharmacy Monitor for rash, hepatotoxicity … for rash, hepatotoxicity, neurotoxicity and GI upset Monitor for QT prolongation if other risk factors …
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Henoch-Schönlein purpura
www.rch.org.au/clinicalguide/guideline_index/HenochSchonlein_Purpura/
rash, and one or more of: Arthritis/arthralgia (50-75%) Abdominal pain (50%) Nephritis (25-50%) History … nephritic syndrome, hypertension, renal impairment, renal failure Typical rash distribution Management …, in the absence of significant renal disease, usually resolves within 4 weeks. Rash is often the last symptom …
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Upper limb non-use
www.rch.org.au/clinicalguide/guideline_index/Upper_Limb_NonUse/
Duration of symptoms ≥ 7 days Systemic features: fever, night sweats, malaise, rash, pallor, bruising …, bruising, rash Feel: palpate from clavicle to fingers assessing for tenderness, temperature changes …, rash Oligo/polyarticular arthritis Enthesitis Psoriasis Haematuria Hepatosplenomegaly Reactive …
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Non-IgE mediated food allergy
www.rch.org.au/clinicalguide/guideline_index/Non-IgE_mediated_food_allergy/
behaviour Rash (morphology and duration) Age at time of initial reaction, timing of other reactions Dietary … for rash or fissures Growth parameters: weight, length, head circumference Skin: assess for rashes, ie …
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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/
Jitteriness Altered conscious state Haematological Non-blanching rash Bruising Bleeding Infection Fever … or hypothermia Bulging fontanelle Neck stiffness Vesicular rash, encephalopathy (HSV) Causes that need … Enterovirus or parechovirus Fever, rash, poor feeding, irritable, possible seizures, persistent or marked …
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Vulval ulcers
www.rch.org.au/clinicalguide/guideline_index/Vulval_ulcers/
perianal rash, itching and rectal pain Molluscum contagiosum Firm papules with central dimple, may ulcerate … ulcers Joint and eye examination when autoimmune causes being considered Skin inspection for eczema, rash …
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Sepsis – assessment and management
www.rch.org.au/clinicalguide/guideline_index/SEPSIS_assessment_and_management/
rash Features of cardiovascular dysfunction: reduced peripheral perfusion, pale, cool or mottled skin …, diarrhoea, myalgia, conjunctival injection, confusion, collapse and a widespread erythematous rash Red flag …
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Food allergy - IgE mediated food allergy
www.rch.org.au/clinicalguide/guideline_index/Food_allergy_-_IgE_mediated_food_allergy/
within 60 minutes of exposure and involve any of the following: Skin: Rash (eg urticaria) Erythema …, hypotension Skin – rashes, urticaria and angioedema Differential diagnosis Contact skin reaction – erythema …