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Febrile child
www.rch.org.au/clinicalguide/guideline_index/Febrile_child/
of febrile seizures; the appearance of the child is the most useful indicator Background Definition of fever … or prolonged seizures Other Non-blanching rash Fever for ≥5 days Swelling of a limb or joint Non-weight bearing … or infrared thermometers are unreliable Rectal temperature: in neonates, screen first with axillary …
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Drowning
www.rch.org.au/clinicalguide/guideline_index/Drowning/
Assessment History Timeline Immersion time Time to and type of basic life support delivered Time to first … in children who are competent swimmers, for example: seizures hypoglycaemia arrhythmias and Long QT Syndrome …
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Shoulder Dislocations - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Shoulder_Dislocations_-_Emergency_Department/
MRI and surgical repair. 2. How are shoulder dislocations classified? Traumatic, unidirectional First … are uncommon; where they occur they are usually associated with seizures or electrocution. 4. What do they look … stability. First time, traumatic shoulder dislocations in young patients are often associated with important …
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Adrenal crisis and acute adrenal insufficiency
www.rch.org.au/clinicalguide/guideline_index/Adrenal_crisis_and_acute_adrenal_insufficiency/
features indicating increased risk) Adrenal crisis may also be the first presentation of underlying adrenal … insufficiency or there may be a history suggestive of chronic hypoadrenalism. Consider first presentation …, confusion, seizure Fever, screen for infective symptoms or injury as a trigger for presentation Known …
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Fever in the recently returned traveller
www.rch.org.au/clinicalguide/guideline_index/Fever_in_the_recently_returned_traveller/
on appropriate first line investigations are: Careful assessment (history and examination) Use of epidemiological … microscopy and culture in severely unwell patients with meningism, encephalopathy or seizures (after … consideration of need for further neuroimaging first) Fever + diarrhoea Malaria* Typhoid Dengue Hepatitis …
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Hydrofluoric acid exposure
www.rch.org.au/clinicalguide/guideline_index/Hydrofluoric_acid_exposure/
, including: Perioral numbness, paraesthesias, muscle cramps Irritability, seizures Tetany Chovostek’s sign … of hypocalcaemia Consider referral for urgent endoscopy in cases of ingestion Acute Management First aid Apply …
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Vitamin D deficiency
www.rch.org.au/clinicalguide/guideline_index/Vitamin_D_deficiency/
and irritability (infants) Symptoms of low calcium: muscle cramps, tetany, stridor, seizures (rare beyond 6–12 …, stridor, seizures) or severe rickets Specialist review: infants with symptoms/signs, clinical rickets … infants at risk of low vitamin D should be given 400 units vitamin D daily for at least the first 12 …
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Anaemia
www.rch.org.au/clinicalguide/guideline_index/Anaemia/
, exclude other causes first) Pre-pregnancy carrier testing of partner is important Rare causes … (regression, seizures, irritability, poor feeding) Vitamin B12 deficiency may be seen in exclusively …
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Diabetic ketoacidosis
www.rch.org.au/clinicalguide/guideline_index/Diabetic_ketoacidosis/
or adolescent with known diabetes eg missed insulin doses, insulin pump failure First presentation of T1DM … The following bloods are part of a diagnostic work up for first presentation T1DM. Collect with initial blood … the first 6 hours The three key parameters to monitor and manage are glucose potassium sodium Osmolality can …
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Micronutrient deficiency
www.rch.org.au/clinicalguide/guideline_index/Micronutrient_deficiency/
gross motor development, generalised musculoskeletal pain Hypocalcaemia: may present with seizures … collection in many children at risk for micronutrient deficiency, consider performing all first line … Estimated blood volume required for first line investigations is 10-15 mL whole blood, with specific …