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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/
, discolouration or erythema of abdominal wall Intussusception Intermittent severe abdominal pain, vomiting, pallor … Bile-stained vomit, abdominal distension Pyloric stenosis Progressive, non-bilious and projectile vomiting … inguinal swelling Hirschsprung's disease and meconium ileus Abdominal distention with absent or infrequent …
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Nephrotic syndrome
www.rch.org.au/clinicalguide/guideline_index/Nephrotic_syndrome/
infection due to loss of complement Spontaneous bacterial peritonitis Abdominal pain with rebound tenderness … ultrasound (including doppler) in cases of unclear diagnosis, significant flank or abdominal pain, atypical … Dizziness, abdominal cramps, poor perfusion, tachycardia, reduced urine output, transient hypertension …
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Spider Bite - Big Black Spider
www.rch.org.au/clinicalguide/guideline_index/Spider_Bite_-_Big_Black_Spider/
, they do so over 10 min - 4 hours Perioral tingling Headache, nausea, vomiting, abdominal pain Salivation … such as bite-site pain, headache and nausea Whilst Sydney Funnel Webs should not be found in Victoria, beware … Risk Assessment History and Examination Bitten by a big black spider, with sudden pain Bite marks …
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Sickle cell disease
www.rch.org.au/clinicalguide/guideline_index/Sickle_cell_disease/
.g. arm or leg pain) but maybe back or abdominal pain. (Most patients will be able to tell you … and duration of pain, dyspnoea, fever, pallor and lethargy Provoking factors (fever, travel, procedures, recent … hospital admission) Past history of chest crises and management - ICU admission/ ventilation Bone pain (e …
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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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Upper limb non-use
www.rch.org.au/clinicalguide/guideline_index/Upper_Limb_NonUse/
, bruising Hepatosplenomegaly/abdominal mass Pain syndrome Complex regional pain syndrome Limb pain … without history of injury Pain present or absent Location of symptoms Acute or sub-acute onset of symptoms … Examination General appearance of child – well/unwell, significant distress or pain Fever Fully expose …
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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 …