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Dental trauma
www.rch.org.au/clinicalguide/guideline_index/Dental_trauma/
for all lost teeth and fragments, examine chest and soft tissues of the mouth if any missing as they may … for fully intruded tooth Chest x-ray if suspicion of aspiration of missing tooth or fragments Occlusal … and painful) Refer to emergency dental service Primary: for likely extraction Permanent: keep tooth fragments …
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Hypophosphataemia
www.rch.org.au/clinicalguide/guideline_index/Hypophosphataemia/
dysfunction, decreased oxygen delivery Cardiac: arrhythmias, chest pain Neuromuscular: muscle weakness, bone … pain, altered mental status, seizure, arthralgia, coma Haematological: haemolytic anaemia, impaired …: abdominal pain, diarrhoea, nausea and vomiting hyperphosphatemia (over-correction), hypocalcaemia …
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Cervical lymphadenopathy
www.rch.org.au/clinicalguide/guideline_index/Cervical_lymphadenopathy/
of neck lump Growth over time, colour, pain, and overlying skin changes Restriction of neck movement … posterior cervical LNs Rheumatologic conditions (JIA, SLE) May be associated with rash, joint pain … test, Quantiferon Gold (if TB suspected) Chest X-ray (if malignancy suspected) Neck USS CT or MRI may …
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Asthma in primary school-aged children (6-11 years)
www.rch.org.au/clinicalguide/guideline_index/Asthma_in_primary_school-aged_children_(6-11_years)/
diagnoses: productive cough isolated cough paraesthesia chest pain clubbing Risk of exacerbation History … Dysfunctional breathing (including vocal cord dysfunction) Depression/anxiety (may present as chest tightness …
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Prolonged fever
www.rch.org.au/clinicalguide/guideline_index/Prolonged_fever/
Systemic symptoms: weight loss, night sweats, bruising/bleeding, joint pain or swelling Environmental … or hepatosplenomegaly Musculoskeletal: inability to weight bear, focal bony tenderness, or joint pain or swelling Skin … polymerase chain reaction (PCR) Urinalysis and MCS Chest radiograph (CXR) Faecal PCR +/- MCS and ova, cyst …
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Eucalyptus Oil Poisoning
www.rch.org.au/clinicalguide/guideline_index/Eucalyptus_Oil_Poisoning/
), epigastric pain Skin: Irritation, contact dermatitis Always check for Medicalert bracelet in any unconscious … Asymptomatic children with small ingestions do not usually require investigation Consider: Chest X-ray …
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Hypertension in children and adolescents
www.rch.org.au/clinicalguide/guideline_index/Hypertension_in_children_and_adolescents/
Seizures Chest pain/palpitations Shortness of breath Cardiac failure Past history of Acute Kidney Injury … Hypertension Stress, pain, anxiety Secondary Hypertension Renal parenchymal disease GN, polycystic kidneys, CKI …
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Food allergy - IgE mediated food allergy
www.rch.org.au/clinicalguide/guideline_index/Food_allergy_-_IgE_mediated_food_allergy/
Angioedema Localised to area of contact (eg perioral) or widespread Gastrointestinal tract: Abdominal pain …, stridor Wheeze, chest tightness, difficulty breathing, persistent coughing Cardiovascular: Pallor …
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Essential Oil Poisoning
www.rch.org.au/clinicalguide/guideline_index/Essential_Oil_Poisoning/
, vomiting, abdominal pain, lethargy, agitation, dizziness and weakness. Large ingestions can have … In all children, consider: Chest X-ray and blood gas if signs of aspiration pneumonitis UEC and LFT …
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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/
difficulty Breathing Grunting Tachypnoea Increased work of breathing Hypoxia Apnoea Any chest deformity … of abdominal wall Intussusception Intermittent severe abdominal pain, vomiting, pallor, lethargy and rectal …