RCH logo

Clinical Practice Guidelines

  • Febrile child
    www.rch.org.au/clinicalguide/guideline_index/Febrile_child/
    , abdominal pain, musculoskeletal pain, rash Travel Sick contacts Immunisation: children <6 months age … Bulging fontanelle Excessive irritability Neck stiffness Focal neurological signs Focal, complex …
  • Gastrooesophageal reflux disease in infants
    www.rch.org.au/clinicalguide/guideline_index/Gastrooesophageal_reflux_disease_in_infants/
    weight gain haematemesis anaemia dystonic neck posturing (Sandifer syndrome) GORD is more common … such as abdominal pain and altered bowel habits, both diarrhoea and constipation have been reported Ensure …
  • Rhinitis and rhinosinusitis
    www.rch.org.au/Persistent_nasal_discharge_rhinosinusitis/.aspx
    facial pain Headache Fever Inflamed nasal mucosa Signs of acute otitis media are commonly seen … <12 years Symptoms occur for 12 weeks or more Nasal obstruction/congestion Nasal discharge Facial pain … Rhinosinusitis. Otolaryngology--Head and Neck Surgery. 2014. 151 (4), 542-553. Introduction to Health Assessment …
  • Acute meningococcal disease
    www.rch.org.au/clinicalguide/guideline_index/Acute_meningococcal_disease/
    hours) of headache, loss of appetite, nausea, vomiting, sore throat and coryza Fever Leg pain or myalgia … skin colour (pallor or mottling) and/or cool peripheries Altered conscious state Neck stiffness …
  • Child abuse
    www.rch.org.au/clinicalguide/guideline_index/Child_abuse/
    situation and may include: All sites of possible injury Symptoms (pain, limitation of movement, bleeding … Complete skin check including neck and joint creases, palms of the hands, soles of the feet, inside …
  • Antimicrobial guidelines
    www.rch.org.au/clinicalguide/guideline_index/Antimicrobial_guidelines/
    immunocompetent (only if within 72 hours of onset with severe pain and dehydration) Herpes simplex virus Aciclovir … A streptococci As for cellulitis 5 days Failure of first-line treatment, high fever or severe persistent pain … tetanus vaccine Scabies Sarcoptes scabiei Permethrin 5% cream top One application from neck down; leave …