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Acquired Torticollis
www.rch.org.au/clinicalguide/guideline_index/Acquired_Torticollis/
Atlantoaxial rotary subluxation/fixation Infection: head and neck, spine, CNS or upper lobe chest Inflammation … fixation: rest, use of a soft collar Injury or congenital bony cause: refer to orthopaedics Dystonic …
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Stroke
www.rch.org.au/clinicalguide/guideline_index/Stroke/
more likely History Congenital heart disease Sickle cell disease Recent head/neck injury, chiropractic …
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Substance use (abuse)
www.rch.org.au/clinicalguide/guideline_index/Substance_use_abuse/
for the presentation (eg head injury, acute infection, electrolyte imbalance, CVA, hypoglycemia, psychosis, severe …
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Haemophilia Treatments
www.rch.org.au/clinicalguide/guideline_index/Haemophilia_Treatments/
VIII (8) & factor IX (9) replacements for injuries Type of bleed Haemophilia A Haemophilia B Comment … is rarely found. Do not give anti-fibrinolytic treatment CNS/head 75 175-200 125 Always treat with factor …
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Diabetes insipidus
www.rch.org.au/clinicalguide/guideline_index/Diabetes_insipidus/
with known DI (eg URTI, gastroenteritis) Past or family history of DI Head injury Constipation (from … with compensatory polydipsia and potentially fluid and electrolyte imbalance Causes: central: head trauma, brain …
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Intranasal fentanyl
www.rch.org.au/clinicalguide/guideline_index/Intranasal_fentanyl/
injuries such as Fractures, dislocations, amputations Burns Significant lacerations Painful procedures … at approximately 45 degrees or with head to one side, insert the device loosely into the nostril and press …
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Meningitis and encephalitis
www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
and mycobacteria) History of neurosurgery or penetrating head injury VP shunt Cochlear implant Younger age … of the neurological state should be repeated every 6-12 hours for the first 48 hours Monitor weight head circumference …
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Cerebral palsy
www.rch.org.au/clinicalguide/guideline_index/Cerebral_palsy/
brain injury History Screen for risk factors, including: Family history: CP, stillbirths, miscarriages …, mechanical ventilation Postnatal: stroke, brain injury, CNS infection Features suggestive of motor impairment …, warranting referral (use corrected age): Persistent fisting of the hands beyond 4 months Persistent head lag …
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Intravenous fluids
www.rch.org.au/clinicalguide/guideline_index/Intravenous_fluids/
, seek senior advice: Acute CNS conditions (meningitis, tumours, head injuries) Pulmonary conditions … extravasation injuries Monitor BGL and electrolytes regularly. See Investigations section above Consider …
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Antimicrobial guidelines
www.rch.org.au/clinicalguide/guideline_index/Antimicrobial_guidelines/
pneumococci 5 With shunt infection, post-neurosurgery, head trauma or CSF leak As for over 2 months of age …, penetrating injuries, esp. involving joints or tendons As above Amoxicillin/Clavulanate 25 mg/kg (1 g … g) IV 6H 7 days Dental/surgical management required Head lice Pediculus humanus var. capitis …