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Post-streptococcal glomerulonephritis (PSGN)
www.rch.org.au/clinicalguide/guideline_index/Post-streptococcal_glomerulonephritis_(PSGN)/
vision, vomiting Oedema: shortness of breath, swelling Cardiac: chest pain, palpitations Previous … for MCS if signs of acute Streptococcal infection Chest X-ray (if any concerns for pleural effusion … flank or abdominal pain, atypical history or poor response to diuretics eg congenital malformations …
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Supraventricular Tachycardia SVT
www.rch.org.au/clinicalguide/guideline_index/Supraventricular_Tachycardia_SVT/
, breathless, chest pain, nausea, dizziness or sweating Examination Typically present late, with signs … there is clear evidence it is not VT Factors that may contribute to tachycardia (eg sepsis, pain, dehydration … flushing and chest tightness/discomfort are relatively common side effects. These typically correlate …
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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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Nephrotic syndrome
www.rch.org.au/clinicalguide/guideline_index/Nephrotic_syndrome/
in mental state, seizures, chest pain, palpitations, shortness of breath, cardiac failure Atypical features … bacterial peritonitis Abdominal pain with rebound tenderness, fevers, nausea/vomiting (signs can be masked … +/- anti-DNAse B (depending on laboratory availability) Consider: Chest X-ray (if any concerns …
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Procedural sedation
www.rch.org.au/clinicalguide/guideline_index/Procedural_sedation/
– oxygen mix Emergency Airway Management Acute Pain Management Communicating procedures to children Key … used to facilitate painful and distressing procedures and investigations Medications used in procedural … therapy, distraction and other non-pharmacological strategies Provide analgesia for potentially painful …
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Oncological emergencies: Mediastinal mass
www.rch.org.au/clinicalguide/guideline_index/Oncological_emergencies__Mediastinal_mass/
with stridor or wheeze Orthopnoea (difficulty lying flat on back to sleep at night) Bone pain Collapse … location of mass If the child can lie flat comfortably, consider CT chest If available, urgent …
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Vomiting
www.rch.org.au/clinicalguide/guideline_index/Vomiting/
vomiting Raised ICP Associated signs and symptoms Respiratory Wheeze, stridor, rash, cough, chest pain … Appendicitis UTI Lower abdominal/pelvic pain or testicular pain Testicular torsion Ovarian torsion Gastro … Infection History of head injury/concern for NAI Intracranial bleed Metabolic Abdominal pain, polyuria …
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Clavicle fractures - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Clavicle_fractures_Emergency_Department/
. What do they look like - clinically? Most present with pain, swelling and deformity along the line … to the anterior chest (such as in a motor vehicle accident), and can be associated with neurovascular, pulmonary … of the sling commences at two weeks depending on pain control. 11. What advice should I give to parents …
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Ketamine use for procedural sedation
www.rch.org.au/clinicalguide/guideline_index/Ketamine_use_for_procedural_sedation/
Endorsed See also Nitrous oxide – oxygen mix Procedural sedation Emergency Airway Management Acute Pain … are typical Indications Ketamine is useful for short, painful procedures, particularly if requiring … recovery is well established Close observation of the airway and chest movements is necessary Potential …
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Acute asthma
www.rch.org.au/clinicalguide/guideline_index/Acute_asthma/
paraesthesia chest pain clubbing Management Investigations Investigations are generally not needed. Chest x-ray … are not reliable. A child that looks unwell with a silent chest (no wheeze) may herald imminent respiratory …