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Metatarsal Foot Fractures - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Metatarsal_Foot_Fractures_-_Emergency_Department/
Unrecognised Lisfranc injuries may lead to chronic foot pain. 10. What advice should I give to parents …? Children with pain, swelling and/or deformity to forefoot require foot radiographs. Plain film …. This is usually 2-3 weeks. No follow up required. (If there in ongoing pain at the site at 2 weeks, see GP …
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Primary spontaneous pneumothorax
www.rch.org.au/clinicalguide/guideline_index/Primary_spontaneous_pneumothorax/
chest pain: severe and/or stabbing pain, radiating to ipsilateral shoulder and increasing …, pain or hypoxia) Age <12 years: may have less reliable reporting of symptoms and size calculations may … not be applicable Secondary pneumothorax from underlying lung disease eg cystic fibrosis, chronic neonatal lung …
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Hyponatraemia
www.rch.org.au/clinicalguide/guideline_index/Hyponatraemia/
Chronic hyponatraemia (developing >48 hours) may have more subtle features such as restlessness, weakness … ventilation CNS: infections, injury, tumour Post-operative, trauma, pain Endocrine: Hypothyroid, low cortisol … administration Nephrotic syndrome Cirrhosis Heart Failure Acute/Chronic Renal Failure Obstructive uropathy …
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Functional somatic symptoms
www.rch.org.au/clinicalguide/guideline_index/Functional_somatic_symptoms/
feedback Functional somatic symptoms Functional somatic symptoms PIC Endorsed See also Abdominal pain - … chronic Anxiety: identification and management Child abuse Key points Functional somatic symptoms (FSS …, sensation, or autonomic responses becomes dysregulated. This can result in symptoms such as pain, fatigue …
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COVID-19
www.rch.org.au/clinicalguide/guideline_index/COVID-19/
Diarrhoea Abdominal pain Risk factors for more severe disease Immunosuppression Children with severe … or complex chronic disease Obesity Pregnancy Age Less than 3 months corrected age Adolescents Examination … , Sepsis , Chest pain ) Children should be investigated and treated based on clinical appearance, presence …
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Parapneumonic effusion
www.rch.org.au/clinicalguide/guideline_index/Parapneumonic_effusion/
Increased work of breathing/respiratory distress Pleuritic chest pain or abdominal pain Examination Appears … where surgical intervention is anticipated Comorbidities such as cardiac disease, chronic respiratory …
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Shoulder Dislocations - Emergency Department
www.rch.org.au/clinicalguide/guideline_index/fractures/Shoulder_Dislocations_-_Emergency_Department/
dislocate shoulder and seek medical attention and / or chronic pain syndromes. Require specialist management … and internally rotated against the body, with pain on abduction or rotation. Shoulder may have self-reduced prior … wilful dislocators, prior to attempted reduction (management of these patients should involve pain team …
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Influenza
www.rch.org.au/clinicalguide/guideline_index/Influenza/
chronic illness In hospitalised children with risk factors or features of severe disease, antiviral …: conjunctivitis, abdominal pain, nausea and vomiting Younger children may be less likely to have respiratory …) Risk factors for severe disease, consider treatment (see flowchart) Severe chronic disease …
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Nappy rash
www.rch.org.au/clinicalguide/guideline_index/Nappy_rash/
/vegetarian diet in the mother during third trimester (zinc deficiency) Severe nappy rash may result in pain …, painful defecation and/or constipation Threadworm Viral infection eg hand foot and mouth, herpes simplex … causes Langerhans cell histiocytosis: a chronic inguinal or anogenital rash with brownish/red scale …
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Hypocalcaemia
www.rch.org.au/clinicalguide/guideline_index/Hypocalcaemia/
hypoparathyroidism (22q11.2 deletion syndrome, CHARGE syndrome) Vitamin D deficiency/rickets Malnutrition Chronic … Hypocalcaemia can be chronic and/or asymptomatic, or it can present with acute/severe symptoms and signs … changes, poor concentration Abdominal pain, diarrhoea Stridor, apnoea Palpitations, arrhythmia, syncope …