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Trauma - primary survey
www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_The_primary_survey/
doctor Assess airway, anterior neck and level of consciousness (using AVPU) Look for evidence of facial … Facial burns Hoarseness of voice Harsh cough Head or neck swelling Soot in mouth, nose or saliva Anterior … neck should be assessed for blunt or penetrating trauma by looking/feeling for the following (TWELVE-C …
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Meningitis and encephalitis
www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
(any of the above and/or): headache neck pain photophobia nausea altered conscious state Preceding … Hyper or hypotonia Neck stiffness (may be absent in infants) Focal neurological signs Purpuric rash … (see Petechiae and purpura ) Pain and involuntary effort to reduce meningeal “stretch” eg Kernig …
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Phalangeal Finger Fractures
www.rch.org.au/clinicalguide/guideline_index/fractures/Phalangeal_Finger_Fractures/
clinically so the clinician should have a low threshold for arranging Xray in the presence of pain and loss … Fixation Phalangeal Neck Fracture On examination there is usually evident dorsal displacement along … neck fractures have much better outcomes with surgical treatment within a few days of injury. Severe …
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Thumb Fractures - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Thumb_Fractures_-_Emergency_Department/
associated with local bruising, swelling, pain and loss of function, with or without deformity. Rotational … tenderness to ulnar aspect of joint and pain there with pinch grip. Test the ligament by applying a valgus … clinic within a week. Proximal Phalanx Neck fracture Examination will reveal local swelling …
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Vomiting
www.rch.org.au/clinicalguide/guideline_index/Vomiting/
vomiting Raised ICP Associated signs and symptoms Respiratory Wheeze, stridor, rash, cough, chest pain … Appendicitis UTI Lower abdominal/pelvic pain or testicular pain Testicular torsion Ovarian torsion Gastro … Infection History of head injury/concern for NAI Intracranial bleed Metabolic Abdominal pain, polyuria …
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Radius /ulna shaft diaphysis fractures - Fracture clinics
www.rch.org.au/clinicalguide/guideline_index/fractures/Radialulna_shaft_diaphysis_fractures_Outpatient_fracture_clinics/
neck fractures, and surgically treated forearm fractures g) Infection Rates reported at 0.2% for deep … rupture with flexible nail insertion and removal from radius j) Complex regional pain syndromes Uncommon … referral to pain clinic for medical treatment 5. When should I refer for an orthopaedic consultant opinion …
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Facial weakness and Bell palsy
www.rch.org.au/clinicalguide/guideline_index/Facial_weakness_and_Bells_palsy/
1-2 days) Facial pain: usually mild pain in the face or behind the ear (common in Bell palsy) Dry eyes … Severe pain (may indicate mastoiditis, VZV) Examination Full neurological examination (cranial …. 351(13), p1323-31. House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg …
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von Willebrand disease
www.rch.org.au/clinicalguide/guideline_index/von_Willebrand_disease/
haemorrhage bleeding into neck or throat forearm or calf bleed at risk of compartment syndrome bleeding … into hip or inguinal area (due to risk of iliopsoas haemorrhage) undiagnosed abdominal pain persistent … haematuria bleeding causing severe pain ongoing mucosal bleeding For emergency advice and paediatric …
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Proximal humeral fractures - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Proximal_humeral_fractures_Emergency_Department/
injury with pain and loss of movement around the shoulder. There may be swelling and deformity … is reluctance to move the shoulder and pain. 5. What radiological investigations should be ordered … of the humeral shaft diameter Angulation of neck shaft - varus (decreased) or valgus (increased) Figure 1 …
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Headache
www.rch.org.au/clinicalguide/guideline_index/Headache/
(photophobia, neck stiffness) Primary Headache Headache feature Tension-type headache Migraine with or without … aura Cluster headache Age All ages All ages Typically ≥12 years of age Pain location Bilateral … Unilateral or bilateral Unilateral, often around the eye Pain quality Pressing/tightening (non-pulsatile …