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Supracondylar fracture of the humerus - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Supracondylar_fracture_of_the_humerus_Emergency_Department/
radiological assessment). These must always be managed by orthopaedics Observation overnight Fracture clinic … examine for associated injuries. A thorough neurological examination including screening of the median … in forearm and or elbow skin puckering or anterior bruising open injury neurological injury 5. What …
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Risperidone Poisoning
www.rch.org.au/clinicalguide/guideline_index/Risperidone_Poisoning/
Serious effects include cardiac instability such as arrhythmias and neurological instability including CNS … in the presence of cardiovascular or neurological disease Consult Victorian Poisons Information Centre 13 11 26 … Period of observation Warn that extrapyramidal movements may occur up to 3 days later Assessing risk …
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Urinary Incontinence - Daytime wetting
www.rch.org.au/clinicalguide/guideline_index/Urinary_Incontinence_-_Daytime_wetting/
neurological and anatomical causes from functional causes of bladder dysfunction A thorough history of voiding … a female epispadias Lower Back/Spine – exclude occult spinal dysraphism/tethered cord Neurology - … assessment of lower limbs, observation of gait Management Investigations Routine investigations: Urinalysis …
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Positional plagiocephaly
www.rch.org.au/clinicalguide/guideline_index/Positional_plagiocephaly/
craniosynostosis Place infant on parent’s lap with examiner standing at the infant’s back Observe head from above … protuberance (‘bump’) on the opposite ‘normal’ side Turn infant so their back is to parent’s chest Observe …, and neurological examination to exclude other conditions associated with plagiocephaly Severity Severity assessment …
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The limping or non-weight bearing child
www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
not require investigation Observing the child's gait may help localise the problem and narrow the differential … for other abnormal joints Neurological exam including tone, power, and reflexes and neurovascular assessment … observational study , Emergency Medicine Journal, 42:360–366 Queensland Emergency Care Children Working Group …
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Prolonged fever
www.rch.org.au/clinicalguide/guideline_index/Prolonged_fever/
be guided by the child's clinical presentation If the child is stable, observation and investigation prior … syndromes Sexual history : sexually transmitted infections should be considered Examination Neurological …: change in personality, unexplained lethargy or confusion, meningism or focal neurological findings …
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Acute behavioural disturbance: Acute management
www.rch.org.au/clinicalguide/guideline_index/Acute_behavioural_disturbance__Acute_management/
drugs or prescribed medication Examination Briefly exclude obvious focal neurology, acute pain, altered … using an appropriate local sedation assessment scale An alert child should have 30 minutely observations … for 2 hours post sedation medication An agitated child needs continuous clinical observation and regular …
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Cerebral palsy
www.rch.org.au/clinicalguide/guideline_index/Cerebral_palsy/
to non-progressive neurological insults, have cerebral palsy. There are many causes, a wide range of manifestations … difficulties and unexplained irritability. Many other conditions present with these features. *Observation …
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Clavicle fractures - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Clavicle_fractures_Emergency_Department/
of the clavicle, and a history of a fall. Toddlers and infants may present having been observed not using the arm … and potentially significant injuries are identified. ! Careful neurological examination should be performed …
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Anaemia
www.rch.org.au/clinicalguide/guideline_index/Anaemia/
for observation. Frequent heart rate monitoring is required to identify tachycardia which may indicate a further … methylmalonic acid Treatment must be commenced urgently, particularly if neurological symptoms or regression …