• Cervical lymphadenopathy
    www.rch.org.au/clinicalguide/guideline_index/Cervical_lymphadenopathy/
    prominent posterior cervical LNs Rheumatologic conditions (JIA, SLE) May be associated with rash, joint pain …
  • Post-streptococcal glomerulonephritis (PSGN)
    www.rch.org.au/clinicalguide/guideline_index/Post-streptococcal_glomerulonephritis_(PSGN)/
    (especially in the presence of family history of kidney disease at a young age) Previous history of rashes
  • Hypertension in children and adolescents
    www.rch.org.au/clinicalguide/guideline_index/Hypertension_in_children_and_adolescents/
    , striae, acne, rash (vasculitis) Cardiovascular: murmurs +/- radiation, apical heave, reduced femoral …
  • Nephrotic syndrome
    www.rch.org.au/clinicalguide/guideline_index/Nephrotic_syndrome/
    or >12 years  Systemic symptoms of fever, rash, joint pains (SLE, HSP) Persistent hypertension (can have …
  • Snakebite
    www.rch.org.au/clinicalguide/guideline_index/Snakebite/
    of flu-like symptoms, fever, myalgia, arthralgia and rash.  A letter should also be written to the child’s GP …
  • Ketamine use for procedural sedation
    www.rch.org.au/clinicalguide/guideline_index/Ketamine_use_for_procedural_sedation/
    movements or stiffness, muscle twitching, rash, and vocalisations: common and of no clinical significance …
  • Lacerations
    www.rch.org.au/clinicalguide/guideline_index/Lacerations/
    % sodium chloride under pressure (eg with a 19 gauge needle on a 10-20 mL syringe) Gravel rash (Bitumen …
  • Child abuse
    www.rch.org.au/clinicalguide/guideline_index/Child_abuse/
    only once with the cooperation of the child eg to assess the amount of bleeding, extent of a rash
  • COVID-19
    www.rch.org.au/clinicalguide/guideline_index/COVID-19/
    PIMS-TS should be considered in an unwell child  who presents with fever (≥3 days), signs of shock, rash
  • Vancomycin
    www.rch.org.au/clinicalguide/guideline_index/Vancomycin/
    or rash on upper body and neck muscle spasm of chest and back fever hypotension itch These features …

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.