• Thoracocentesis and chest drain insertion
    www.rch.org.au/clinicalguide/guideline_index/Thoracocentesis_and_chest_drain_insertion/
    Contraindications Need for immediate thoracotomy Relative contraindications include uncorrected clotting disorder …  Potential complications Pain or chest wall numbness Wound infection and bleeding Subcutaneous emphysema … than a formal purse string suture If there are concerns of bleeding from the site, infection …
  • Hirschsprung associated enterocolitis HAEC
    www.rch.org.au/clinicalguide/guideline_index/Hirschsprung_associated_enterocolitis_HAEC/
    and surgical referral are necessary Background HAEC is an inflammatory disorder of the colon in children …   Rectal bleeding Recent viral infections (respiratory, gastrointestinal) History of recurrent episodes …
  • Non-IgE mediated food allergy
    www.rch.org.au/clinicalguide/guideline_index/Non-IgE_mediated_food_allergy/
    diagnoses Infectious gastroenteritis Early onset inflammatory bowel disease Bleeding disorder Infectious … be present in GI tract and present with rectal bleeding) Summary of conditions Proctocolitis Enteropathy …
  • Gastrooesophageal reflux disease in infants
    www.rch.org.au/clinicalguide/guideline_index/Gastrooesophageal_reflux_disease_in_infants/
    stenosis Haematemesis: may indicate potentially severe upper GI bleed Chronic diarrhoea and rectal bleeding …, CMPA Hepato(spleno)megaly: can be present in a variety of conditions including metabolic disorders …
  • Vulval ulcers
    www.rch.org.au/clinicalguide/guideline_index/Vulval_ulcers/
    Respiratory symptoms Oral ulcers, skin lesions, eye and joint symptoms Family history autoimmune disorders … of secondary skin changes (excoriation, lichenification, oedema, crust, bleeding, pigmentation, scar) Oral …
  • The acutely swollen joint
    www.rch.org.au/clinicalguide/guideline_index/The_acutely_swollen_joint/
    Haemophilia Personal/Family history Unexplained bruising/bleeding Most commonly knee Rheumatological Juvenile … Psoriasis Haematuria Hepatosplenomegaly Normally can weight bear Other systemic inflammatory disorders …
  • Prolonged fever
    www.rch.org.au/clinicalguide/guideline_index/Prolonged_fever/
    of prolonged fever. However, malignancy, rheumatological disorders and other inflammatory conditions should … Systemic symptoms: weight loss, night sweats, bruising/bleeding, joint pain or swelling Environmental … conditions, autoimmune disorders or recurrent fever syndromes Sexual history : sexually transmitted …
  • Acute red eye
    www.rch.org.au/clinicalguide/guideline_index/Acute_red_eye/
    resolves spontaneously within 1 – 3 weeks If recurrent, investigate cause (eg bleeding disorder). Consider …
  • Fascia iliaca block of the femoral nerve
    www.rch.org.au/clinicalguide/guideline_index/Fascia_iliaca_block_of_the_femoral_nerve/
    at injection site Bleeding disorders or anticoagulant therapy (relative contraindication) Potential …