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Snakebite
www.rch.org.au/clinicalguide/guideline_index/Snakebite/
? Medications? Allergies? Headache Diaphoresis Nausea or vomiting Abdominal pain Diarrhoea Blurred or double … or multiple scratches. The bite site may be painful, swollen or bruised, but usually is not for snakes … no significant bleeding - Uncommon Common Often significant bite site pain and limb swelling - - TMA: thrombotic …
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Urinary tract infection
www.rch.org.au/clinicalguide/guideline_index/Urinary_tract_infection/
abdominal and loin pain Enquire about previous UTI, and previous imaging if applicable Risk factors include … hours infection with organisms other than E coli raised creatinine poor urine flow abdominal or bladder … Examination Examination may be normal other than the presence of fever Lower abdominal or loin tenderness may …
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Petechiae and purpura
www.rch.org.au/clinicalguide/guideline_index/Fever_and_Petechiae_Purpura/
, previous invasive bacterial infections History of trauma/injury Association with bleeding, abdominal pain …, joint pain, difficulty mobilising Travel Sick contacts Examination Children are considered unwell when …
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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 …
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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 …
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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 …
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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 …
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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 …
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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 …
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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 …