• Trauma: Tertiary Survey
    www.rch.org.au/clinicalguide/guideline_index/Trauma__Tertiary_Survey/
    who are unable to communicate pain are at increased risk of missed injuries Head and face Face, scalp … teeth (see Dental trauma ) Jaw Identify pain, trismus or malocclusion and palpate for bony step Neck … injury), abdominal distension Palpate for signs of peritonism such as  guarding  or  rigidity Palpate …
  • Parapneumonic effusion
    www.rch.org.au/clinicalguide/guideline_index/Parapneumonic_effusion/
    Increased work of breathing/respiratory distress Pleuritic chest pain or abdominal pain Examination Appears …
  • Urinary tract infection
    www.rch.org.au/clinicalguide/guideline_index/Urinary_tract_infection/
    symptoms such as dysuria, urinary frequency, lower abdominal and loin pain Ask about previous UTI … Examination Examination may be normal in UTI other than the presence of fever Lower abdominal or loin … is suggested by features such as dysuria, frequency, urgency and lower abdominal discomfort Pyelonephritis …
  • Urticaria
    www.rch.org.au/clinicalguide/guideline_index/Urticaria/
    1-2 hours of a meal When other symptoms occur around the same time such as abdominal pain, vomiting … are larger, may be painful or uncomfortable rather than pruritic, and may last longer taking up to 72 hours … Rare differential diagnoses Urticarial vasculitis (including HSP): lesions are usually painful rather …
  • Cervical spine assessment
    www.rch.org.au/clinicalguide/guideline_index/Cervical_spine_assessment/
    or significant neck pain Restricted neck movement Significant head, chest, abdominal or pelvic injuries (ie those …, genetic or metabolic conditions Persistent symptoms: pain, paraesthesia, weakness    Examination Red flag … pain or paraesthesia and minimise movement of the cervical spine Children who are unable to communicate …
  • Hypophosphataemia
    www.rch.org.au/clinicalguide/guideline_index/Hypophosphataemia/
    : abdominal pain, diarrhoea, nausea and vomiting hyperphosphatemia (over-correction), hypocalcaemia … dysfunction, decreased oxygen delivery Cardiac: arrhythmias, chest pain Neuromuscular: muscle weakness, bone … pain, altered mental status, seizure, arthralgia, coma Haematological: haemolytic anaemia, impaired …
  • Cannabis withdrawal syndrome
    www.rch.org.au/clinicalguide/guideline_index/Cannabis_withdrawal_syndrome/
    : chills, sweating, tremor, abdominal pain Pattern of use: Frequency, quantity, method of consumption … Pain/headaches Paracetamol 15 mg/kg (max 1 g) qid prn Ibuprofen 10 mg/kg (max 400 mg) tds prn Hyoscine … butylbromide for abdominal cramps Nausea and vomiting Ondansetron 0.15 mg/kg (max 8 mg) orally tds prn …
  • Micronutrient deficiency
    www.rch.org.au/clinicalguide/guideline_index/Micronutrient_deficiency/
       Vitamin B3 (Niacin) Anorexia, vomiting, abdominal pain Glossitis, cheilitis Pellagra: triad of dermatitis …, irritability, apathy, nausea, abdominal discomfort Dry beriberi (symmetric peripheral neuropathy)  Wet beriberi … and joint pain, poor wound healing, fatigue, weight loss, gingival inflammation with gum bleeding, petechiae …
  • Nicotine Poisoning
    www.rch.org.au/clinicalguide/guideline_index/Nicotine_Poisoning/
    ) Gastrointestinal – nausea and vomiting, abdominal pain, salivation CVS – tachycardia, hypertension Respiratory …
  • 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 …

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.