• Acquired Torticollis
    www.rch.org.au/clinicalguide/guideline_index/Acquired_Torticollis/
    the child has signs of fever, infection or abnormal neurology, appropriate imaging should be performed … Atlantoaxial rotary subluxation/fixation Infection: head and neck, spine, CNS or upper lobe chest Inflammation … of trauma Infective symptoms: fever  (see Febrile child), increased drooling , sore throat, dysphagia …
  • COVID-19
    www.rch.org.au/clinicalguide/guideline_index/COVID-19/
    severely affected by COVID-19 than adults, including those infected with newer variants such as the Delta … COVID-19) are a large family of viruses that cause respiratory infections Like other viruses, SARS-CoV-2 … of a localised infective focus and clinical syndrome (eg bronchiolitis) Maintain a low threshold for assessment …
  • HSV Gingivostomatitis
    www.rch.org.au/clinicalguide/guideline_index/HSV_Gingivostomatitis/
    Primary Herpes simplex virus (HSV) infection in children is usually asymptomatic or non-specific. Herpetic … whitlow (often in children who suck their thumb), lip adhesions and secondary infections Assessment … History Illness occurs approximately one week after contact with an infected person (the contact case …
  • Persistent nasal discharge rhinosinusitis
    www.rch.org.au/clinicalguide/guideline_index/Persistent_nasal_discharge_rhinosinusitis/
    ; Infection Viral Bacterial Streptococcal Pneumoniae Haemophilus Influenzae (non typeable) Moraxella …) Acute bacterial sinusitis This usually follows a viral infection. Mucosal inflammation and thick … secretions block the normal sinus drainage resulting in secondary bacterial infection. Symptoms Signs Nasal …
  • Empiric treatment of infectious diseases in Ebola suspect
    www.rch.org.au/clinicalguide/guideline_index/Empiric_treatment_of_infectious_diseases_in_Ebola_suspect/
    infection can be excluded (by a negative Ebola PCR at 72 hours after symptom onset), the routine blood tests … the possibility of co-existing Ebola infection Other routine tests (eg white cell count, blood culture, LFTs, CSF … Diseases team is also recommended . See also: Infection control Ebola resources Ebola virus management …
  • 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 … Pinworms Bacterial overgrowth Foreign body Sexually transmitted infections Vaginal foreign body Trauma …
  • The limping or non-weight bearing child
    www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
    Endorsed See also Fractures Bone and joint infections Acutely swollen joint Child abuse Key points Most … cause) • Recent viral infection (acute myositis, transient synovitis) Examination Generalised wasting … tuberosity, Severs – calcaneus) SUFE All ages: Infections: osteomyelitis/septic arthritis , bursitis …
  • Burns - Post Acute Care and Dressings
    www.rch.org.au/clinicalguide/guideline_index/Burns_-_Post_Acute_Care_and_Dressings/
    infection Promote healing Optimise nutrition Prevent complications Analgesia Manage pain using multimodal … be worn for dressing changes Burns TBSA >10% may require additional infection control measures including … isolation – follow local Burns Unit infection precautions Fever is a common reaction to the hypermetabolic …
  • Petechiae and purpura
    www.rch.org.au/clinicalguide/guideline_index/Fever_and_Petechiae_Purpura/
    infection or meningococcal disease, and often will not have a specific cause identified Seriously unwell … children with petechiae/purpura require urgent management  Background Serious bacterial infections … There are many other infective and non-infective causes of petechiae and purpura (see table below) Definitions …
  • The penis and foreskin
    www.rch.org.au/clinicalguide/guideline_index/The_penis_and_foreskin/
    unless pathologic phimosis  Inflammation and infection Balanitis and inflammation Minor redness and/or … to paraphimosis Infection and cellulitis Secondary bacterial infection can occur, with erythema or lymphangitis … should be performed to exclude concomitant UTI Streptococcus pyogenes (group A streptococcus) infection

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.