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Whooping cough (pertussis)
www.rch.org.au/clinicalguide/guideline_index/Whooping_Cough_Pertussis/
of complications (apnoea, bradycardia, severe pneumonia, seizures, encephalopathy) and are most commonly infected … fractures, pneumothorax, scleral haemorrhage, hernias Seizures, hypoxic ischaemic encephalopathy, pulmonary … cyanosis or apnoea, with or without coughing seizures Droplet precautions are required Isolation and school …
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CSF interpretation
www.rch.org.au/clinicalguide/guideline_index/csf/
than untreated bacterial meningitis Seizures Seizures do not cause an increased CSF cell count … state, seizures or focal neurological signs Child requiring care above the level of comfort of the local …
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Hypernatraemia
www.rch.org.au/clinicalguide/guideline_index/Hypernatraemia/
mmol/L per day, to avoid cerebral oedema, seizures and permanent neurological injury All children … (develop with acute rise of sodium >160 mmol/L) Altered mental status Lethargy Seizures Hyperreflexia Coma … insipidus with endocrinology input If seizures occur: consider venous sinus thrombosis or cerebral …
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Brief Resolved Unexplained Event BRUE
www.rch.org.au/clinicalguide/guideline_index/Brief_Resolved_Unexplained_Event_BRUE/
Gastrooesophageal reflux in infants Afebrile seizures Child Abuse Key points Most infants presenting with a brief … (less common) Seizure/infantile spasms Airway abnormalities or obstruction Apnoea (central/obstructive … diagnosis, most commonly seizure or apnoea Management Investigations A low-risk BRUE does not require any …
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Von Willebrand Disease vWD
www.rch.org.au/clinicalguide/guideline_index/Von_Willebrand_Disease_vWD/
reports of hyponatraemia and seizures. Relatively contraindicated in children with previous seizure …
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Cerebral palsy - pain and irritability
www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Pain_and_Irritability/
also Cerebral palsy Cerebral palsy: increased seizures Cerebral palsy: chest infections Acute pain … cause pain or is often secondary to pain) Back pain/scoliosis Neurological Increased seizure activity …
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Antihistamine poisoning
www.rch.org.au/clinicalguide/guideline_index/Antihistamine_poisoning/
, and within 1 hour / or after airway protection. Discuss with toxicologist. Seizures or severe agitation … should be treated with benzodiazepines see Seizure Cardiac monitoring should be instituted …
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Use of Activated Charcoal in Poisonings
www.rch.org.au/clinicalguide/guideline_index/Use_of_Activated_Charcoal_in_Poisonings/
or at imminent risk of seizures and with unprotected airway Table 2: List of toxins where Charcoal … reduced CNS depression or may cause seizures Faecal discolouration GI obstruction: by bezoar formation …
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Hypomagnesaemia
www.rch.org.au/clinicalguide/guideline_index/Hypomagnesaemia/
: nystagmus, seizures, depression, agitation, confusion, irritability Management Investigations Serum … tablet) Intravenous dosing Children with severe symptoms (eg tetany, arrythmia, seizures) should …
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Phenytoin poisoning
www.rch.org.au/clinicalguide/guideline_index/Phenytoin_poisoning/
, tremor, drowsiness, involuntary movements, seizures, coma GIT Nausea & Vomiting Other Massive ingestion … umol/L (50 mg/L) - Extreme lethargy, coma, paradoxical seizures BSL Paracetamol concentration in all …