• 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 …
  • Upper limb non-use
    www.rch.org.au/clinicalguide/guideline_index/Upper_Limb_NonUse/
    sweats, malaise, rash, pallor, bruising Neurological signs/symptoms: headache, seizures, paraesthesia …, deformity, open wounds, erythema, bruising, rash Feel: palpate from clavicle to fingers assessing … /  Immunological Juvenile idiopathic arthritis Fever, rash Oligo/polyarticular arthritis Enthesitis Psoriasis …
  • 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 …
  • 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 …
  • 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/
    weight gain Glucose Apnoea Jitteriness Altered conscious state Haematological Non-blanching rash Bruising … Bleeding Infection Fever or hypothermia Bulging fontanelle Neck stiffness Vesicular rash, encephalopathy …, lethargic, nasal congestion Enterovirus or parechovirus Fever, rash, poor feeding, irritable, possible …
  • 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
  • Kawasaki disease
    www.rch.org.au/clinicalguide/guideline_index/Kawasaki_disease/
    sparing (zone around the iris is clear) Rash Erythematous polymorphous rash occurs in the first few days … multiforme-like or scarlatiniform Bullous, vesicular, or petechial rashes are not typical in KD Oral Changes …
  • 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 …
  • 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 …
  • The limping or non-weight bearing child
    www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
    • Nocturnal pain and symptoms • Systemic symptoms: fever, night sweats, chills, rigors, rash • Constitutional …, skin changes e.g. rash, wound, bruising, erythema, pallor Feel: heat, cold, tenderness (including calf …

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.