• Haematuria
    www.rch.org.au/clinicalguide/guideline_index/Haematuria/
    asymptomatic microscopic haematuria, viral infections, UTI, trauma, HSP, hypercalciuria and inherited … of urinary infection: dysuria, frequency, pain, fever Systemic symptoms such as fatigue, oedema, rash …
  • Acute scrotal pain or swelling
    www.rch.org.au/clinicalguide/guideline_index/Acute_scrotal_pain_or_swelling/
    transmitted infections Key points Testicular torsion and irreducible hernia are emergencies and if suspected … intraabdominal: appendicitis/renal colic/UTI referred hip pain Skin infections of the scrotum cellulitis/shingles … collection) Bacterial infection more likely in child with structural urinary tract abnormalities, recent …
  • Adolescent gynaecology - lower abdominal pain
    www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Lower_Abdominal_Pain/
    tract infection Key points This guideline focuses on gynaecological causes of abdominal and pelvic pain … rate Molar pregnancy Vaginal bleeding Pelvic pain Enlarged uterus Severe vomiting Infection Pelvic … adolescents with consent) If features of infection Urine MCS to exclude UTI First pass urine (nucleic acid …
  • Dysmenorrhoea
    www.rch.org.au/clinicalguide/guideline_index/Dysmenorrhoea/
    tract anomalies Adenomyosis Infection including pelvic inflammatory disease Ovarian cysts Assessment … worsening towards the end of bleeding days Pain present from menarche Pain commencing after pelvic infection …, gynaecological cancers) Previous pelvic infection or abdominal surgery Renal anomaly or other congenital …
  • Kawasaki disease
    www.rch.org.au/clinicalguide/guideline_index/Kawasaki_disease/
    fever Group A streptococcal (GAS) infections Pharyngitis, scarlet fever, acute rheumatic fever … hours of appropriate antibiotics Viral infections including adenovirus, enterovirus, EBV, CMV, HHV-6 … infection KD typically presents with sterile pyuria and urine dipstick findings: nitrite negative, leukocyte …
  • Local Antimicrobial Guidelines
    www.rch.org.au/clinicalguide/guideline_index/Local_Antimicrobial_Guidelines/
    guidelines Queensland: Children’s Health Queensland Infection management clinical guidelines South Australia …
  • Penetrating eye injury
    www.rch.org.au/clinicalguide/guideline_index/Penetrating_eye_injury/
    if haemodynamic condition allows Check tetanus status Give antibiotics: If prophylaxis without signs of infection …: oral ciprofloxacin 20mg/kg (maximum 750mg) BD If endophthalmitis is suspected or signs of infection
  • Acute upper airway obstruction
    www.rch.org.au/clinicalguide/guideline_index/Acute_upper_airway_obstruction/
    be productive with thick secretions Ludwig angina (infection of the sublingual and submandibular spaces) Swollen … methods are preferred See croup for specific management Treat the specific cause. For bacterial infections
  • Epistaxis
    www.rch.org.au/clinicalguide/guideline_index/Epistaxis/
    , coughing or straining Friable nasal mucosa: upper respiratory tract infection, drying of mucosa (air … nosebleed may occur when the scab falls away If there is crusting and the mucosa appears infected, consider …
  • Ataxia
    www.rch.org.au/clinicalguide/guideline_index/Ataxia/
    evaluation for serious and treatable causes including CNS infection or inflammation, trauma, stroke, toxin …) Chronic Recurrent Post-infectious* Toxins* Tumours* Trauma* Metabolic Infections Vascular, may require …