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Clinical Practice Guidelines

  • Constipation
    www.rch.org.au/clinicalguide/guideline_index/Constipation/
    Coeliac disease  Hypothyroidism Hypercalcaemia  Slow-transit constipation Neurological disorders … of the abdomen Lower back/spine — consider occult spinal dysraphism/tethered cord Neurology — assessment of lower … limbs, observation of gait Perianal area — fissures, placement of anus, anal wink / tone, or other …
  • Adrenal crisis and acute adrenal insufficiency
    www.rch.org.au/clinicalguide/guideline_index/Adrenal_crisis_and_acute_adrenal_insufficiency/
    GI: anorexia, nausea/vomiting, abdominal pain, weight loss Neurological: dizziness/syncope, headache …) Neurological changes (adrenoleukodystrophy) Management Investigations All children Blood glucose (both bedside …, give an initial 'stress' dose of IV/IM hydrocortisone sodium succinate as above and observe for 4-6 …
  • Fractures of the Pelvic Ring and Acetabulum - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Fractures_of_the_Pelvic_Ring_and_Acetabulum_-_Emergency_Department/
    or abdominal pain lower limb deformity or neurological abnormality, or the patient is obtunded. Specific  signs … X-ray, but will be suggested by pain with attempts to walk) !  Observing the patient walking …
  • Trauma – secondary survey
    www.rch.org.au/clinicalguide/guideline_index/Major_paediatric_trauma_the_secondary_survey/
    /swelling Assess c-spine (See C-spine assessment) Chest Observe work of breathing and effectiveness … to children with neurological deficits concerning for spinal injury, and should only be performed once …
  • 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/
    findings and may not have a fever; a period of observation, serial examinations and investigations … Reduced tone Abnormal movements Focal neurological signs Focal, complex or prolonged  seizures Exposure …
  • Child abuse
    www.rch.org.au/clinicalguide/guideline_index/Child_abuse/
    , genitourinary, respiratory and neurological symptoms) Growth, development Menstrual history Mental health … the mouth, and areas underneath the nappy Behaviours observed between the child and carer during …
  • COVID-19
    www.rch.org.au/clinicalguide/guideline_index/COVID-19/
    of complications (eg myocarditis/chest pain, respiratory, neurological) and disease progression A positive … be observed for  ALL  HCWs Decision to admit should be supported by clinical assessment (including risk …