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Family Violence
www.rch.org.au/clinicalguide/guideline_index/Family_Violence/
aged child Recurrent abdominal pain and headache Regressed behaviours (eg bedwetting, using ”baby talk … could suggest recent attempt at strangulation Unexplained pain: abdominal pain and headache are common …
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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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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/
foreign body (eg fishing sinker) Abdominal pain Nausea Delayed encephalopathy Seizures. Naphthalene moth …
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Paracetamol poisoning
www.rch.org.au/clinicalguide/guideline_index/Paracetamol_poisoning/
for more than 48 hours in patients who also have abdominal pain, nausea or vomiting Risk assessment History … who also have abdominal pain, nausea or vomiting Acute management Commence acetylcysteine if ALT >50 U … nausea, vomiting, abdominal pain, diarrhoea Nonimmunologic anaphylaxis (formerly known as anaphylactoid …
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Snakebite
www.rch.org.au/clinicalguide/guideline_index/Snakebite/
Abdominal pain Diarrhoea Blurred or double vision Slurring of speech Muscle weakness Respiratory distress … by fang marks, one or multiple scratches. The bite site may be painful, swollen or bruised, but usually … with normal fibrinogen; usually no significant bleeding - Uncommon Common Often significant bite site pain …
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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 …
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Trauma: Tertiary Survey
www.rch.org.au/clinicalguide/guideline_index/Trauma__Tertiary_Survey/
who are unable to communicate pain are at increased risk of missed injuries Head and face Face, scalp … teeth (see Dental trauma ) Jaw Identify pain, trismus or malocclusion and palpate for bony step Neck … injury), abdominal distension Palpate for signs of peritonism such as guarding or rigidity Palpate …