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Sickle cell disease
www.rch.org.au/clinicalguide/guideline_index/Sickle_cell_disease/
this is pain similar to previous episodes.) Comorbidities - asthma Usual Treatment- chronic transfusion program … 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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The acutely swollen joint
www.rch.org.au/clinicalguide/guideline_index/The_acutely_swollen_joint/
, recurrent subluxation/dislocation Fatigue, chronic pain Easy bruising/scarring of skin Joint laxity … and should be suspected in any child presenting with localised severe joint pain and swelling, especially … eg refusal to weight bear, or use affected joint Constant severe pain or night pain Trauma/injury …
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Post-streptococcal glomerulonephritis (PSGN)
www.rch.org.au/clinicalguide/guideline_index/Post-streptococcal_glomerulonephritis_(PSGN)/
risk factor for chronic kidney disease in Aboriginal and Torres Strait Islander people Priorities … vision, vomiting Oedema: shortness of breath, swelling Cardiac: chest pain, palpitations Previous … flank or abdominal pain, atypical history or poor response to diuretics eg congenital malformations …
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Wound dressings - acute traumatic wounds
www.rch.org.au/clinicalguide/guideline_index/Wound_dressings_acute_traumatic_wounds/
of wound care are to: reduce pain promote wound healing reduce infection risk optimise cosmetic … status Red flags for child abuse Underlying chronic illness or disability Examination Fully examine … chlorhexidine 0.05% or povidine-iodine 1% irrigation Provide adequate pain management , anaesthesia (see …
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Vulval and vaginal conditions
www.rch.org.au/clinicalguide/guideline_index/Vulval_and_vaginal_conditions/
children Urethral prolapse Chronic onset, bleeding, pain, dysuria, constant need to strain Treat … 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 …
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Communicating procedures to children
www.rch.org.au/clinicalguide/guideline_index/Communicating_procedures_to_children/
(eg very unwell, chronic pain) Children who have different ways of communicating or are non-verbal … Procedural pain management Autism and developmental disability: Management of distress/agitation Key Points … when their movement is restricted and not because of pain or bad behaviour Discuss positioning that may …
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Cervical lymphadenopathy
www.rch.org.au/clinicalguide/guideline_index/Cervical_lymphadenopathy/
of neck lump Growth over time, colour, pain, and overlying skin changes Restriction of neck movement … Subacute cervical lymphadenopathy (2–6 weeks) – commonest cause viral infection Chronic cervical … loss Atypical mycobacterial infections Indolent, chronic unilateral cervical lymphadenopathy …
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The limping or non-weight bearing child
www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
pathology should always be considered Pain causing limp can be referred. Assess the joints above and below … and severity of pain and limp, severe localised joint pain, pain waking from sleep Change to urinary or bowel … joint(s) involved (note that hip pain may localise to knee) Joint examination using "Look, Feel …
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Syncope
www.rch.org.au/clinicalguide/guideline_index/Syncope/
orthostatic tachycardia syndrome (POTS) Daily symptoms of chronic orthostatic intolerance and Within 5-10 … and the position in which episode occurred Sudden or prolonged standing, painful or emotional stimulus … no prodrome , however may have chest pain or palpitations Past cardiac history Family history of early cardiac …
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Gastrooesophageal reflux disease in infants
www.rch.org.au/clinicalguide/guideline_index/Gastrooesophageal_reflux_disease_in_infants/
/choking with feeding respiratory symptoms eg aspiration, chronic cough, wheezing, recurrent pneumonia slow … indistinguishable from GORD. CMPA is more likely in patients with blood/mucous in their stool, chronic diarrhea … or faltering growth Feeding problems or oral aversion Respiratory symptoms (aspiration, chronic cough, wheezing …