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Clinical Practice Guidelines

  • The acutely swollen joint
    www.rch.org.au/clinicalguide/guideline_index/The_acutely_swollen_joint/
    /soft tissue injury History of injury Child abuse Unexplained injury, bruising Particularly if non … with local paediatric team when Suspected child abuse Diagnosis is unclear Refer for specialist assessment if … swollen joint PIC Endorsed See also The limping or non-weight bearing child Bone and joint infection …
  • Burns - acute management
    www.rch.org.au/clinicalguide/guideline_index/Burns/
    ) Consider co-existing non-burn injuries Consider child abuse Look for pattern of burn and/or inconsistent … of tetanus-prone wounds Consider consultation with local paediatric team when Suspected child abuse … Suspected child abuse For emergency advice and paediatric or neonatal ICU transfers, see Retrieval Services …
  • Sexually transmitted infections (STIs)
    www.rch.org.au/clinicalguide/guideline_index/Sexually_transmitted_infections_STIs/
    Vulval and vaginal conditions Child abuse Engaging with and assessing the adolescent patient Key points … to investigation and management Rarely, STIs may be an indication of sexual abuse. If concerns of sexual abuse … risk ie harm to self or others, physical or sexual abuse History Undertake a risk assessment including …
  • Straddle injuries
    www.rch.org.au/clinicalguide/guideline_index/Straddle_injuries/
    for abuse is a priority of care. Assessment History Mechanism of injury Timing and setting of injury First … of the child looking for evidence of other injuries Examination should be performed only once , therefore … in the supine frog-legged position. Explanation and gentle handling of the child is important. Consider …
  • Petechiae and purpura
    www.rch.org.au/clinicalguide/guideline_index/Fever_and_Petechiae_Purpura/
    disease Child abuse Key points The majority of children with petechiae do not have a serious bacterial … Purpura are larger non-blanching spots (>2 mm) Image: petechiae on the torso and legs of a child Image …: purpura on the torso and back/face of a child Assessment All children with fever and petechiae/purpura …
  • Hypomagnesaemia
    www.rch.org.au/clinicalguide/guideline_index/Hypomagnesaemia/
    24-hour urinary magnesium excretion The clinical context of the child is required to interpret … Diarrhoea Laxative abuse Excessive gastric suctioning or vomiting Drug-induced Loop diuretics, thiazides … the child is symptomatic Treatment Oral/enteral dosing Consider oral magnesium replacement in asymptomatic …
  • Management of Eating Disorders in the Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/Management_of_Eating_Disorders_in_the_Emergency_Department/
    Assessment approach depends on whether this is the child or adolescent's first presentation of suspected ED … whether the child/adolescent adequately meets criteria for admission Risk Stratification for Admission … of vomiting and/or laxative abuse Regular (>3/week) vomiting and/or laxative abuse Mental Health Concerns …
  • Engaging with and assessing the adolescent patient
    www.rch.org.au/clinicalguide/guideline_index/Engaging_with_and_assessing_the_adolescent_patient/
    or physical, emotional or sexual abuse) Some disorders such as psychosis, may need special consideration about … history, physical examination, procedures and treatments Adolescents involved with child protection …/sexual abuse, previous pregnancies and risk of pregnancy, contraception and STIs Suicide, depression …
  • Penetrating eye injury
    www.rch.org.au/clinicalguide/guideline_index/Penetrating_eye_injury/
    is suspected Consider consultation with local paediatric team when A child with suspected child abuse Consider … the child from the time they are seen Do not give any eye drops Use appropriate analgesia. Consider NSAIDs … expulsion of ocular contents Place the child on bed rest with head of bed elevated to 30 degrees …
  • Cannabis withdrawal syndrome
    www.rch.org.au/clinicalguide/guideline_index/Cannabis_withdrawal_syndrome/
    state examination Substance use (abuse) Key points Most young people do not require medication … as strategies that soothe Youth Recovery Toolkit, Substance & Alcohol Abuse Help for Youth SMART Tool Enjoyable … services Child protection agencies Legal services Consider consultation with local paediatric team when …