-
Vulval and Vaginal Conditions
www.rch.org.au/clinicalguide/guideline_index/Vulval_and_Vaginal_Conditions/
Sexually transmitted infections Adolescent gynaecology - lower abdominal pain Adolescent gynaecology - … vaginal or perineal pain and/or itch Children with recurrent urinary tract infection symptoms but negative … discharge is usually minimal Menarche usually occurs 2-3 years after thelarche Vulval and vaginal pain …
-
Family Violence
www.rch.org.au/clinicalguide/guideline_index/Family_Violence/
developmental milestones School aged child Recurrent abdominal pain and headache Regressed behaviours (eg … and or petechiae around neck or head could suggest recent attempt at strangulation Unexplained pain: abdominal pain …
-
Adolescent gynaecology - Heavy menstrual bleeding
www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Menorrhagia/
bleeding PIC Endorsed See also Adolescent gynaecology - lower abdominal pain Dysmenorrhoea Engaging …, pain, flooding, large clots (>2 cm in diameter), and frequency of pad/tampon changes) Symptoms … symptoms ( Dysmenorrhoea , mid cycle pain, luteal phase symptoms such as nausea, breast tenderness …
-
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 …
-
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 …
-
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 …
-
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 …
-
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 …
-
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 …
-
Snakebite
www.rch.org.au/clinicalguide/guideline_index/Snakebite/
Diaphoresis Nausea or vomiting Abdominal pain Diarrhoea Blurred or double vision Slurring of speech Muscle …. The bite site may be evidenced by fang marks, one or multiple scratches. The bite site may be painful … significant bite site pain and limb swelling - - TMA: thrombotic microangiography. Haemolysis with fragmented …