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  • Cerebral Palsy - Increased Seizures
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Increased_Seizures/
    See also Afebrile seizures Cerebral palsy Cerebral palsy: chest infection Cerebral palsy: pain … sleep disturbance Precipitants of seizures Intercurrent illness eg febrile illness , chest infection … withdrawal CNS infection VP shunt malfunction History History of previous seizures, seizure phenotypes …
  • Chest pain
    www.rch.org.au/clinicalguide/guideline_index/Chest_pain/
    pain include: Musculoskeletal pain/costochondritis Precordial catch Respiratory infection or asthma … Recent dental procedure Recent skin infection or procedure Dukes Criteria for IE CXR changes possible … troponin Pericardial effusion Screen for risk factors: infective (recent viral, bacterial, TB, fungal …
  • Upper limb non-use
    www.rch.org.au/clinicalguide/guideline_index/Upper_Limb_NonUse/
    See also Fractures Pulled elbow The acutely swollen joint Bone and joint infection Child abuse Key … was unwitnessed Consider serious causes such as infections or child abuse Neonates and children with underlying …, swelling and deformity along the line of the clavicle Soft tissue injury History of injury Infection Septic …
  • 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 …
  • Brief Resolved Unexplained Event BRUE
    www.rch.org.au/clinicalguide/guideline_index/Brief_Resolved_Unexplained_Event_BRUE/
    or increased upper respiratory tract infections. Assessment History History should be taken from an adult who … Gastro-oesophageal reflux Normal infant movement, periodic breathing Lower respiratory tract infection More serious …) Head injury/other inflicted injuries Infections: pertussis, bacterial infection Cardiac: congenital …
  • 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 …
  • 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 …
  • 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 …
  • 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 …
  • Acute meningococcal disease
    www.rch.org.au/clinicalguide/guideline_index/Acute_meningococcal_disease/
    ( > week 4 of life) (max 2.4 g) Duration of antibiotics is 5 days If meningococcal infection is not yet … transfers, see Retrieval Services Parent information Kids Health Info: Meningococcal Infection Last revised … bacterial meningitis , Clinical Microbiology and Infection, 22:S37–62. Waterfield T et al 2018, A protocol …