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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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Urinary Incontinence - Daytime wetting
www.rch.org.au/clinicalguide/guideline_index/Urinary_Incontinence_-_Daytime_wetting/
dysraphism/tethered cord Neurology - assessment of lower limbs, observation of gait Management … of evaluation of daytime incontinence is to distinguish neurological and anatomical causes from functional …
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Risperidone Poisoning
www.rch.org.au/clinicalguide/guideline_index/Risperidone_Poisoning/
and neurological instability including CNS depression, seizures and extra pyramidal symptoms Management is mainly … 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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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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Anaphylaxis
www.rch.org.au/clinicalguide/guideline_index/Anaphylaxis/
, bradycardia Hypotension, pallor Collapse with or without unconsciousness Cardiac arrest Neurological Dizziness … antagonists have no proven benefit in anaphylaxis Avoid NSAIDs Observation and admission All children … with anaphylaxis should be observed for at least 4 hours in a supervised setting with facilities to manage …
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Recognition of the seriously unwell neonate and young infant
www.rch.org.au/clinicalguide/guideline_index/Recognition_of_the_seriously_unwell_neonate_and_young_infant/
can present with non-specific findings — a period of observation, serial examinations and baseline … urine output / Hypotension Neurological Bulging fontanelle Neck stiffness Tone Focal neurological …
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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 …