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Recognition of the seriously unwell neonate and young infant
www.rch.org.au/clinicalguide/guideline_index/Recognition_of_the_seriously_unwell_neonate_and_young_infant/
or hypothermia Bulging fontanelle Neck stiffness Vesicular rash, encephalopathy (HSV) Causes that need …, tachypnoea, increased work of breathing Irritable, neck stiffness or bulging fontanelle Bone or joint Reduced … of abdominal wall Intussusception Intermittent severe abdominal pain, vomiting, pallor, lethargy and rectal …
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Family violence
www.rch.org.au/clinicalguide/guideline_index/Family_violence/
startle response Delayed developmental milestones School aged child Recurrent abdominal pain and headache … abuse ) Bruising and or petechiae around neck or head could suggest recent attempt at strangulation … Unexplained pain: abdominal pain and headache are common complaints that could be a symptom of a child’s …
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Fascia iliaca block of the femoral nerve
www.rch.org.au/clinicalguide/guideline_index/Fascia_iliaca_block_of_the_femoral_nerve/
Endorsed See also Acute pain management Communicating procedures to families Local anaesthetic … pain which is exacerbated during necessary transfers and the application of skin traction The femoral … opioids) may cause significant respiratory depression after removal of the painful stimulus …
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Rabies and Australian bat lyssavirus post exposure prophylaxis
www.rch.org.au/clinicalguide/guideline_index/Rabies_and_Australian_bat_lyssavirus_post_exposure_prophylaxis/
of exposure: bite, scratch, mucous membrane exposure Location of bite: head and neck, highly innervated areas … (HRIG) dose 20 IU/kg Infiltration of HRIG is painful, ensure adequate analgesia +/- sedation Topical …
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Eczema
www.rch.org.au/clinicalguide/guideline_index/eczema/
as flexural dermatitis eg antecubital fossae, popliteal fossae, neck, front of ankles, periorbital area … Painful clustered blisters, punched-out erosions Eczema coxsackium Vesiculobullous rash with brownish … using the " Fingertip Unit " method Patient’s age Fingertip Units per body area Face and neck Arm …
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Epistaxis
www.rch.org.au/clinicalguide/guideline_index/Epistaxis/
Epistaxis PIC Endorsed See also Resuscitation: Hospital Management of Cardiopulmonary Arrest Acute pain … on the back of their neck Instruct child to breathe through the mouth and spit out any blood into a kidney …
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Hypertension in children and adolescents
www.rch.org.au/clinicalguide/guideline_index/Hypertension_in_children_and_adolescents/
Hypertension Stress, pain, anxiety Secondary Hypertension Renal parenchymal disease GN, polycystic kidneys, CKI … Seizures Chest pain/palpitations Shortness of breath Cardiac failure Past history of Acute Kidney Injury … of underlying cause General appearance: Cushingoid, proptosis, goitre, webbed neck (Turner syndrome), elfin …
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Lumbar puncture
www.rch.org.au/clinicalguide/guideline_index/Lumbar_puncture/
Complications Failure to obtain CSF, or traumatic bloody tap (common) Pain/discomfort during procedure (consider … (kg) + 7, children (mm) = 0.4 x weight (kg) + 20 Analgesia Ensure acute pain management including … over-flexing neck, especially in infants, as this may cause airway obstruction and respiratory compromise …
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Intraosseous access
www.rch.org.au/clinicalguide/guideline_index/Intraosseous_access/
) Physeal plate injury Local infection, skin necrosis, pain, compartment syndrome, fat and bone micro-emboli … the surgical neck, on the most prominent aspect of the greater tubercle�Use in children when landmarks can …
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Febrile seizure
www.rch.org.au/clinicalguide/guideline_index/Febrile_seizure/
fontanelle, neck stiffness, photophobia) prolonged postictal altered consciousness (>1 Hour) Neurocutaneous … yield and risk exposing the child to unnecessary painful procedure and/or radiation Targeted …