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Altered conscious state
www.rch.org.au/clinicalguide/guideline_index/Altered_conscious_state/
to voice P = Responds to pain U = Unresponsive Any impairment on AVPU scale should prompt a formal … Spontaneously 4 Spontaneously 4 To verbal stimuli 3 To verbal stimuli 3 To painful stimuli 2 To pain 2 … No response to pain 1 No response to pain 1 Best verbal response Best verbal response Orientated and converses …
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COVID-19
www.rch.org.au/clinicalguide/guideline_index/COVID-19/
symptoms Cough Sore throat Coryza Gastrointestinal features Vomiting Diarrhoea Abdominal pain Risk factors … and abdominal pain Several features overlap with Kawasaki disease and toxic shock syndrome Other infectious … pain ) Children should be investigated and treated based on clinical appearance, presence …
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Gastroenteritis
www.rch.org.au/clinicalguide/guideline_index/Gastroenteritis/
infection or inflammatory bowel conditions Urine output Crampy abdominal pain Past GI / surgical history (eg … Many children will have a normal examination, or generalised abdominal tenderness Pallor, irritability … unwell child Focal abdominal tenderness Guarding Significant distension Absent or high-pitched bowel …
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Nephrotic syndrome
www.rch.org.au/clinicalguide/guideline_index/Nephrotic_syndrome/
): cellulitis spontaneous bacterial peritonitis – abdominal pain, fever, nausea/vomiting, rebound tenderness … be concurrently intravascular volume deplete): dizziness, abdominal cramps …, abdominal), gross scrotal / vulval oedema gross limb oedema with potential for skin breakdown / cellulitis …
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Upper limb non-use
www.rch.org.au/clinicalguide/guideline_index/Upper_Limb_NonUse/
, anorexia, night sweats Nocturnal pain Pallor, bruising Hepatosplenomegaly/abdominal mass Pain syndrome … of “pull” on the arm Unable to move arm without history of injury Pain present or absent Location … distress or pain Fever Fully expose the upper limb Joint and limb assessment using the “Look, Feel, Move …
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Haemophilia
www.rch.org.au/clinicalguide/guideline_index/Haemophilia/
of iliopsoas haemorrhage) undiagnosed abdominal pain persistent haematuria bleeding causing severe pain … or mobility Prompt clotting factor replacement reduces the pain and long-term consequences of bleeding … and muscle bleeds For muscle and joint bleeds P.R.I.C.E will limit bleeding and reduce pain. Initiate …
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Resuscitation: Care of the seriously unwell child
www.rch.org.au/clinicalguide/guideline_index/Resuscitation__Care_of_the_seriously_unwell_child/
recession Abdominal breathing Hoarse voice Drooling Stridor Stertor Keep child calm (e.g. hands off approach … or suprasternal recession, abdominal breathing, nasal flare, head bob, tracheal tug, forward posture Respiratory … hypothermia Pain management Acute pain management Important considerations Cardiac dysfunction & pericardial …
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Gastrostomy acute replacement of displaced tubes
www.rch.org.au/clinicalguide/guideline_index/Gastrostomy_acute_replacement_of_displaced_tubes/
be difficult to identify but is typically associated with pain and distress with abdominal distension … and does not leak before inserting the new tube. Analgesia Reinsertion of a gastrostomy tube can be painful … recommencing feeds, consider the following complications: Ileus (this can be identified by the presence of pain …
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Vulval and Vaginal Conditions
www.rch.org.au/clinicalguide/guideline_index/Vulval_and_Vaginal_Conditions/
Sexually transmitted infections Adolescent gynaecology - lower abdominal pain Adolescent gynaecology - … vaginal or perineal pain and/or itch Children with recurrent urinary tract infection symptoms but negative … discharge is usually minimal Menarche usually occurs 2-3 years after thelarche Vulval and vaginal pain …
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Family Violence
www.rch.org.au/clinicalguide/guideline_index/Family_Violence/
developmental milestones School aged child Recurrent abdominal pain and headache Regressed behaviours (eg … and or petechiae around neck or head could suggest recent attempt at strangulation Unexplained pain: abdominal pain …