• Dental conditions - non traumatic
    www.rch.org.au/clinicalguide/guideline_index/Dental_conditions_non_traumatic/
    Previous dental trauma Dental or facial pain Chronic conditions which may impact dental development, saliva … tooth ie extraction will still be required after treatment of pain and infection Dental socket bleeding …
  • Family violence
    www.rch.org.au/clinicalguide/guideline_index/Family_violence/
    startle response Delayed developmental milestones School aged child Recurrent abdominal pain and headache … Regressed behaviours (eg bedwetting, using ”baby talk”) Poorly controlled chronic conditions (eg asthma … Unexplained pain: abdominal pain and headache are common complaints that could be a symptom of a child’s …
  • Micronutrient deficiency
    www.rch.org.au/clinicalguide/guideline_index/Micronutrient_deficiency/
    to infection Poor growth Malabsorption eg exocrine pancreatic insufficiency, chronic liver disease, short bowel … populations    Vitamin B3 (Niacin) Anorexia, vomiting, abdominal pain Glossitis, cheilitis Pellagra: triad … and joint pain, poor wound healing, fatigue, weight loss, gingival inflammation with gum bleeding, petechiae …
  • Phalangeal Finger Fractures
    www.rch.org.au/clinicalguide/guideline_index/fractures/Phalangeal_Finger_Fractures/
    clinically so the clinician should have a low threshold for arranging Xray in the presence of pain and loss … or inadequately reduced condylar fractures will result in joint deformity, dysfunction and pain.  Volar Plate … injuries, even if subtle, can result in chronic subluxation and/or persistent Swan-neck deformity …
  • 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 …: eosinophilia, hepatomegaly Ocular: visual loss, eye pain, white pupil, strabismus Serology Ophthalmology review …
  • Cerebral palsy - chest infection
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_chest_infection/
    also Cerebral palsy Cerebral palsy: increased seizures Cerebral palsy: pain and irritability Community … poor cough gastro-oesophageal reflux decreased mobility severe scoliosis malnutrition chronic airway …
  • 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)/
    to SABA or chronic symptoms that respond to ICS) in the absence of red flags Red flags for alternative … diagnoses:  productive cough isolated cough paraesthesia chest pain clubbing Risk of exacerbation History … comorbidities eg obesity, sleep apnoea, chronic rhinosinusitis, confirmed food allergy Assessment of asthma …
  • Anxiety: identification and management
    www.rch.org.au/clinicalguide/guideline_index/Anxiety__identification_and_management/
    , developmental delay Disturbances in sleep, behaviour, appetite/weight or somatic symptoms Chronic illness …, particularly for those with concurrent chronic health conditions Further information on other therapies can … symptoms eg palpitations, sweating, shaking, shortness of breath, chest pain, dizziness, light-headedness …
  • Sexually transmitted infections (STIs)
    www.rch.org.au/clinicalguide/guideline_index/Sexually_transmitted_infections_STIs/
    sequelae including ectopic pregnancy, infertility and chronic pelvic pain Symptoms Range from asymptomatic …% of men and 75% of women have no symptoms Dysuria Urethral or vaginal discharge Testicular or pelvic pain … to severe peritonitis and tubo-ovarian abscess formation Abdominal and pelvic pain (usually dull), fever …
  • Adrenal crisis and acute adrenal insufficiency
    www.rch.org.au/clinicalguide/guideline_index/Adrenal_crisis_and_acute_adrenal_insufficiency/
    insufficiency or there may be a history suggestive of chronic hypoadrenalism. Consider first presentation … GI: anorexia, nausea/vomiting, abdominal pain, weight loss Neurological: dizziness/syncope, headache … Primary adrenal disease eg CAH, Addison’s Chronic steroid use or steroid dependency History of cranial …