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Adolescent gynaecology - Heavy menstrual bleeding
www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Menorrhagia/
gynaecology - Heavy menstrual bleeding PIC Endorsed See also Adolescent Gynaecology - Lower Abdominal Pain … flags in red History Menstrual history (menarche, last menstrual period, frequency, duration, flow, pain … , tachycardia Skin: pallor, petechiae, bruising Abdominal examination: tenderness or pelvic mass Secondary …
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Gastrostomy - common problems
www.rch.org.au/clinicalguide/guideline_index/Gastrostomy_Common_problems/
on the tube and then adjusting the retention disc to fit snugly against the abdominal wall may help. Skin …, the tube may have to be removed to relieve pain. If there is discharge from the site, a skin/wound swab …
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Nitrous Oxide - oxygen mix
www.rch.org.au/clinicalguide/guideline_index/Nitrous_Oxide_Oxygen_Mix/
sedation Procedural sedation Emergency Airway Management Acute Pain Management Communicating procedures … for short, potentially painful procedures due to its rapid onset and offset. Onset is within minutes … for procedures that may cause pain, discomfort or anxiety and that require only short-term sedation Procedures …
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CPG Committee Calendar
www.rch.org.au/clinicalguide/guideline_index/CPG_Committee_Calendar/
Thompson / Amanda Stock Wednesday 15th Acute abdominal pain Shirisha Samudrala / Noha Soliman October … December 2023 Thursday 7th CPG Update & Discussion Forum CPG Team Wednesday 20th Acute pain management …
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Bone and joint infection
www.rch.org.au/clinicalguide/guideline_index/Bone_and_joint_infection/
localised Hot, swollen, painful, immobile joint Pain usually well localised. May have abdominal pain (psoas … with fever, pain and limited use of the affected limb or joint Urgent surgical intervention reduces the risk … index of suspicion. Assessment History Site of pain Septic arthritis: most commonly hip or knee …
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Nasogastric Fluids
www.rch.org.au/clinicalguide/guideline_index/Nasogastric_Fluids/
electrolyte abnormalities Not suitable if <6 months, significant comorbidities present, or abdominal pain. See … (see Vomiting ) If significant abdominal pain or ongoing vomiting seek senior clinician review Consider …, severe abdominal distension, ileus Altered conscious state, or the critically unwell child Facial trauma …
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High risk - low dose paediatric ingestions
www.rch.org.au/clinicalguide/guideline_index/High_risk_-_low_dose_paediatric_ingestions/
Seizures Aspiration (rapid onset) Lead foreign body (eg fishing sinker) Abdominal pain Nausea Delayed …
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Paracetamol poisoning
www.rch.org.au/clinicalguide/guideline_index/Paracetamol_poisoning/
dose per day for more than 48 hours in patients who also have abdominal pain, nausea or vomiting Risk … 48 hours in patients who also have abdominal pain, nausea or vomiting Acute management Commence … nausea, vomiting, abdominal pain, diarrhoea Nonimmunologic anaphylaxis (formerly known as anaphylactoid …
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Snakebite
www.rch.org.au/clinicalguide/guideline_index/Snakebite/
? Medications? Allergies? Headache Diaphoresis Nausea or vomiting Abdominal pain Diarrhoea Blurred or double …. The bite site may be painful, swollen or bruised, but usually is not for snakes in Victoria … no significant bleeding - Uncommon Common Often significant bite site pain and limb swelling - - TMA: thrombotic …
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Petechiae and purpura
www.rch.org.au/clinicalguide/guideline_index/Fever_and_Petechiae_Purpura/
, previous invasive bacterial infections History of trauma/injury Association with bleeding, abdominal pain …, joint pain, difficulty mobilising Travel Sick contacts Examination Children are considered unwell when …