RCH logo
  • Sepsis – assessment and management
    www.rch.org.au/clinicalguide/guideline_index/SEPSIS_assessment_and_management/
    quickly but also to not over-diagnose. Most children with fever (with or without a focus) do not have … ± grunting (not adequately explained by a respiratory illness) Unexplained pain Fever or hypothermia … from toxin-producing strains of S. aureus or GAS Clinical features may include fever, vomiting …
  • Primary immunodeficiencies
    www.rch.org.au/clinicalguide/guideline_index/Primary_immunodeficiencies/
    Familial Mediterranean Fever (FMF) Chronic Recurrent Multifocal Osteomyelitis (CRMO) Inflammatory bowel … disease Other autoinflammatory disorders Recurrent fevers Inflammatory arthritis or peritonitis Rash … with known or suspected primary immunodeficiency with fever Unclear whether investigation and follow-up …
  • Malaria
    www.rch.org.au/clinicalguide/guideline_index/Malaria/
    Calendar CPG information Other resources CPG feedback Malaria Malaria PIC Endorsed See also Fever … rapidly and are more likely to have severe and cerebral malaria than adults Assessment History Fever … with fever spikes until positive test or 3 negative films Other investigations Consider (depending …
  • Vomiting
    www.rch.org.au/clinicalguide/guideline_index/Vomiting/
    sounds History of previous GIT obstruction or surgery GIT obstruction Abdominal tenderness and fever … Rectal bleeding Gastroenteritis Colitis Intussusception Meckel's diverticulum Infection Fever or systemic … bulging fontanelle in infant Neck stiffness, photophobia and fever in older child Signs of peritonitis …
  • Cervical lymphadenopathy
    www.rch.org.au/clinicalguide/guideline_index/Cervical_lymphadenopathy/
    Recent illness Presence of fever Loss of weight Night sweats Bruising Lymphadenopathy noted elsewhere … of the neck Associated with fever and neck swelling May be firm and tender with overlying erythema, limited … Mycobacterium tuberculosis Non-tender nodes. History of exposure. Systemic symptoms of fever, malaise, weight …
  • Meningitis and encephalitis
    www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
    should cover both Meningitis Encephalitis History Fever Infant:  subtle or non-specific symptoms …, immunodeficiency Fever Features of  altered mental state  can be subtle and depend on the affected region … encephalomyelitis (ADEM), toxins or metabolic Exam Full or bulging fontanelle High-pitched cry  Fever or hypothermia …
  • Invasive group A streptococcal infections: management of household contacts
    www.rch.org.au/clinicalguide/guideline_index/Invasive_group_A_streptococcal_infections__management_of_household_contacts/
    osteomyelitis or septic arthritis meningitis Cellulitis, scarlet fever and pharyngitis are not considered … and the early signs and symptoms of iGAS that require prompt medical evaluation. These include: fever severe …
  • Immune thrombocytopenic purpura
    www.rch.org.au/clinicalguide/guideline_index/Immune_thrombocytopenic_purpura/
    purpura Immune thrombocytopenic purpura PIC Endorsed See also Fever and petechiae - purpura Key points …, fever, sweats or infective symptoms Rash, arthritis, myalgias, dry eyes, mouth ulcers, recurrent … infections or fever Family or personal history of bleeding disorders Recent medication use (NSAIDs …
  • Acquired Torticollis
    www.rch.org.au/clinicalguide/guideline_index/Acquired_Torticollis/
    the child has signs of fever, infection or abnormal neurology, appropriate imaging should be performed … of trauma Infective symptoms: fever  (see Febrile child), increased drooling , sore throat, dysphagia …
  • COVID-19
    www.rch.org.au/clinicalguide/guideline_index/COVID-19/
    of disease remains broad. Typical symptoms include: General features Fever Headache Lethargy Respiratory … by a senior clinician Other investigations as per the clinical presentation, for example: Prolonged fever see … include: injection site pain headache fatigue fever These occur usually within 3 to 4 days after mRNA …