-
Acquired torticollis
www.rch.org.au/clinicalguide/guideline_index/Acquired_torticollis/
child Congenital torticollis Key Points If torticollis occurs in setting of trauma, manage as Cervical … spectrum of aetiologies Causes of acquired torticollis include: Muscle spasm (wry neck) Trauma: fracture … arrangement History of trauma Infective symptoms: fever (see Febrile child), increased drooling , sore throat …
-
Ataxia
www.rch.org.au/clinicalguide/guideline_index/Ataxia/
evaluation for serious and treatable causes including CNS infection or inflammation, trauma, stroke, toxin …) Chronic Recurrent Post-infectious* Toxins* Tumours* Trauma* Metabolic Infections Vascular, may require … Brain tumours Hydrocephalus Metabolic Nutritional Congenital malformations Hereditary ataxia Trauma …
-
Cervical spine assessment
www.rch.org.au/clinicalguide/guideline_index/Cervical_spine_assessment/
feedback Cervical spine assessment Cervical spine assessment PIC Endorsed See also Trauma - the primary … blunt trauma. It does not cover the management of confirmed CSI Cervical spine assessment in children … to support clinical clearance and guide imaging decisions after blunt trauma Common injury patterns differ …
-
Upper limb non-use
www.rch.org.au/clinicalguide/guideline_index/Upper_Limb_NonUse/
points The most common cause is trauma eg pulled elbow Give analgesia early Fever or systemic features … and fractures of the upper limb and clavicle Toddlers may present with just upper limb non-use as trauma … Assessment History History of trauma and mechanism of injury History of “pull” on the arm Unable to move arm …
-
The limping or non-weight bearing child
www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
Transient synovitis, acute myositis and minor trauma are common causes of limp in children, but serious … Common differential diagnoses by age 0-4 years 5-10 years Over 10 years Trauma or child abuse Toddler's … , sepsis , bursitis, discitis, epidural collection Trauma (see Fractures ) including child abuse/inflicted …
-
Acute scrotal pain or swelling
www.rch.org.au/clinicalguide/guideline_index/Acute_scrotal_pain_or_swelling/
Scrotal trauma/bruising, especially in infants or where the causal mechanism is unclear, should prompt … Torsion of testicular appendage Epididymo-orchitis Trauma eg testicular or epididymal rupture Typical age … and rest Pain should resolve in 5-10 days Trauma Surgical review for all testicular trauma, unless …
-
Child abuse
www.rch.org.au/clinicalguide/guideline_index/Child_abuse/
to account for the injury History of unwitnessed trauma History of family violence Mechanism incompatible … organ injury Any Unexplained Pancreatic trauma / pseudocyst Unexplained encephalopathy Any altered … conscious state, collapse or arrest. Consider abusive head trauma, ingestion/poisoning, toxins …
-
Straddle injuries
www.rch.org.au/clinicalguide/guideline_index/Straddle_injuries/
) and lack distensibility. Therefore, even minor trauma can cause injury and bleeding which may appear … extensive. Urogenital trauma frequently raises the question of non-accidental injury, however … of Accidental Genital Trauma in Girls. J Pediatr Adolesc Gynecol 2018 Feb;31(1):19-22 Mendez DR., Straddle …
-
Penetrating eye injury
www.rch.org.au/clinicalguide/guideline_index/Penetrating_eye_injury/
injury, and laceration as a result of trauma from a sharp object or high velocity projectile Most … outcomes Open globe injuries may accompany multiple trauma or serious head injury Assessment History Full … injuries (may accompany multiple trauma or serious head injury) Examination Examination may only need …
-
Thoracocentesis and chest drain insertion
www.rch.org.au/clinicalguide/guideline_index/Thoracocentesis_and_chest_drain_insertion/
drain insertion PIC Endorsed See also Primary spontaneous pneumothorax Acute pain management Trauma Key … Failure to drain collection, requires reattempt Trauma to viscera in the thorax or abdomen Tension … during the procedure Position the patient Place trauma patient in head-up, supine position All other …