• Cerebral palsy - pain and irritability
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Pain_and_Irritability/
    with throat pain/reduced intake Otitis media Dental infection UTI Skin, bone, or joint infections Meningitis
  • Prolonged fever
    www.rch.org.au/clinicalguide/guideline_index/Prolonged_fever/
    : change in personality, unexplained lethargy or confusion, meningism or focal neurological findings … aspirate) Snails, slugs Unwashed vegetables Contaminated dirt being ingested Eosinophilic meningitis
  • Kawasaki disease
    www.rch.org.au/clinicalguide/guideline_index/Kawasaki_disease/
    ) Peripheral gangrene ( extremely rare ) Nervous system Extreme irritability Aseptic meningitis Sensorineural … to antibiotics and unilateral, often appearing as a cluster of enlarged nodes ("grape-like") Viral meningitis … Consider KD in an infant with prolonged fever and unexplained irritability/aseptic meningitis Urinary tract …
  • Dehydration
    www.rch.org.au/clinicalguide/guideline_index/Dehydration/
    illnesses (eg respiratory infection, diabetic ketoacidosis , meningitis and electrolyte disturbances …
  • Periorbital and orbital cellulitis
    www.rch.org.au/clinicalguide/guideline_index/Periorbital_and_orbital_cellulitis/
    thrombosis and extension to intracranial infection with subdural empyema, and meningitis the majority (>80 …
  • Vomiting
    www.rch.org.au/clinicalguide/guideline_index/Vomiting/
    illness Sepsis UTI Meningitis Neurological Headache Migraine Intracranial pathology ie raised ICP …
  • Nasal fracture
    www.rch.org.au/clinicalguide/guideline_index/Nasal_fracture/
    and Management. Journal of Craniofacial Surgery. 2011. 22 (4), p1327-1329 Eavey, R et al. Bacterial Meningitis
  • Procedural sedation
    www.rch.org.au/clinicalguide/guideline_index/Procedural_sedation/
    cardiac disease Neurological Acute: altered level of consciousness, seizure, meningitis, trauma, space …
  • Non-IgE mediated food allergy
    www.rch.org.au/clinicalguide/guideline_index/Non-IgE_mediated_food_allergy/
    solids) Underlying immune-deficiency Infection (sepsis, meningitis, UTI, gastroenteritis) Pyloric …
  • Neonatal intravenous fluids
    www.rch.org.au/clinicalguide/guideline_index/Neonatal_intravenous_fluids/
    : meningitis congenital cardiac lesions HIE renal impairment. Seek senior advice Higher fluid requirements may …