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Clinical Practice Guidelines

  • Meningitis and encephalitis
    www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
    Hyper or hypotonia Neck stiffness  (may be absent in infants) Focal neurological signs  Purpuric rash … chorea    Vesicular rash, corneal ulcer/keratitis (HSV) Risk factors for meningitis Maternal group B …
  • Antibiotic prescribing in children with reported penicillin or cephalosporin allergy
    www.rch.org.au/clinicalguide/guideline_index/Antibiotic_prescribing_in_children_with_reported_penicillin_or_cephalosporin_allergy/
    Rash (eg non-specific, maculopapular, urticarial) Respiratory symptoms (eg wheeze, stridor or increased …
  • Ataxia
    www.rch.org.au/clinicalguide/guideline_index/Ataxia/
    hours) Antecedents include recent viral illness rash head trauma earache Symptoms of ataxia clumsiness …
  • Acute upper airway obstruction
    www.rch.org.au/clinicalguide/guideline_index/Acute_upper_airway_obstruction/
    Anaphylaxis Swelling of the face and tongue Wheeze Urticarial rash Allergen exposure Haemodynamic compromise …
  • HSV Gingivostomatitis
    www.rch.org.au/clinicalguide/guideline_index/HSV_Gingivostomatitis/
    palate, pharynx, lips and perioral skin Rash is vesicular and can easily bleed. The vesicles appear …
  • Facial weakness and Bell's palsy
    www.rch.org.au/clinicalguide/guideline_index/Facial_weakness_and_Bells_palsy/
    is unknown Antivirals Acyclovir may be considered if vesicular rash present Consider consultation with local …
  • Cervical lymphadenopathy
    www.rch.org.au/clinicalguide/guideline_index/Cervical_lymphadenopathy/
    prominent posterior cervical LNs Rheumatologic conditions (JIA, SLE) May be associated with rash, joint pain …
  • Resuscitation: Care of the seriously unwell child
    www.rch.org.au/clinicalguide/guideline_index/Resuscitation__Care_of_the_seriously_unwell_child/
    and encephalitis Exposure Assess child fully   Temperature Hypo/hyperthermia Rash, petechiae, purpura Correct …
  • Altered conscious state
    www.rch.org.au/clinicalguide/guideline_index/Altered_conscious_state/
    Skin Rash, petechiae, bruising, birth marks, sweating, needle marks Smell Alcohol, glue, ketones …
  • 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/
    signs  Focal, complex or prolonged seizures Other Non-blanching rash  Fever for ≥5 days  Swelling …

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.