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Upper limb non-use
www.rch.org.au/clinicalguide/guideline_index/Upper_Limb_NonUse/
and joint infection Child abuse Key Points The most common cause is trauma eg pulled elbow Give analgesia … limb non-use as trauma was unwitnessed Consider serious causes such as infections or child abuse … Soft tissue injury History of injury Infection Septic arthritis Systemic features: fever (acute onset …
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Acute otitis media
www.rch.org.au/clinicalguide/guideline_index/Acute_otitis_media/
upper respiratory tract infection (URTI) Otoscopic images of tympanic membranes (TM): Normal tympanic … complications Other suppurative complications including intracranial spread of infection are rare Facial nerve … or glue ear, is fluid in the middle ear without signs and symptoms of infection, other than transient …
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Vomiting
www.rch.org.au/clinicalguide/guideline_index/Vomiting/
a serious cause Background Vomiting is a common and non-specific symptom, not a diagnosis Infection … signs and symptoms Evidence of diarrhoea Gastroenteritis Fever or systemic Illness Infection or sepsis … Intracranial pathology ie raised ICP Infection Rectal bleeding Gastroenteritis Colitis Intussusception Meckel’s …
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Acute red eye
www.rch.org.au/clinicalguide/guideline_index/Acute_red_eye/
day for 5–7 days. Advise parents of infection control measures (eg washing hands before and after … and cool compresses. Infection control measures. Contagious until eye stops tearing Suspect herpes simplex … infection if lid vesicles and/or reduced vision and/or photophobia: Swab for HSV PCR Likely to require …
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Hyponatraemia
www.rch.org.au/clinicalguide/guideline_index/Hyponatraemia/
ventilation CNS: infections, injury, tumour Post-operative, trauma, pain Endocrine: Hypothyroid, low cortisol … and losses Underlying cause, for example: infections, malignancy, trauma Medications which may cause SIADH … Examination Fluid status Weight Signs of cerebral oedema Evidence of underlying infective or malignant cause …
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Radiology - Acute indications
www.rch.org.au/clinicalguide/guideline_index/Radiology_Guidelines_Acute_indications/
with a consultant Pre-operative CXR NOT to be done routinely at any age. Respiratory indications: Infection - … orthopaedic team input) See Bone and joint infection Septic Arthritis Normal XR or Bone scan does not exclude … (discuss with orthopaedic team or treating consultant) See Bone and joint infection Metabolic disorders …
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Nephrotic syndrome
www.rch.org.au/clinicalguide/guideline_index/Nephrotic_syndrome/
infections Presence of any significant complications (see below) Presence of any atypical features (see below …, scrotal/labial oedema, skin breakdown and generalised discomfort Infection/sepsis Encapsulated bacterial … infection due to loss of complement Spontaneous bacterial peritonitis Abdominal pain with rebound tenderness …
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Bronchiolitis
www.rch.org.au/clinicalguide/guideline_index/Bronchiolitis/
infection, generally affecting children <12 months of age It is a clinical diagnosis, based on typical …. CXRs cannot discriminate between viral and bacterial infections and are poorly reproducible in this age … L. Palivizumab for preventing severe respiratory syncytial virus (RSV) infection in children …
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Infantile Spasms
www.rch.org.au/clinicalguide/guideline_index/Infantile_Spasms/
is usually high dose prednisolone High dose prednisolone may mask responses to infection, including fever … opportunistic infections Any child with IS on prednisolone who presents febrile or unwell should be admitted … for infection prevention Monitor BP, blood glucose and weight twice weekly Vaccines should be delayed until one …
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Iron deficiency
www.rch.org.au/clinicalguide/guideline_index/Iron_deficiency/
diverticulum, coeliac disease, inflammatory bowel disease, gastric or intestinal surgery or infection Other … disease, inflammatory bowel disease, gastric or intestinal surgery or infection Other chronic blood loss … deficiency in the presence of coexisting infection, inflammation or liver disease Iron studies or serum iron …