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Adolescent gynaecology - heavy menstrual bleeding
www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Menorrhagia/
is anovulatory cycles Pregnancy-related bleeding and bleeding disorders are important differentials to consider …) Haematological : von Willebrand Disease, platelet function disorder, thrombocytopenia, other bleeding disorder … disorders epistaxis, bleeding gums, easy bruising Sexual history and adolescent assessment (HEADSS screen …
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Epistaxis
www.rch.org.au/clinicalguide/guideline_index/Epistaxis/
bruising, gum bleeding, prolonged bleeding after minor cuts family history of bleeding disorders history … Resorbable tampons (eg Surgicel™, Floseal™) are preferred for young children or those with bleeding disorders … simple measures to stop bleeding first Effective resuscitation is vital if circulation is compromised …
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Immune thrombocytopenic purpura
www.rch.org.au/clinicalguide/guideline_index/Immune_thrombocytopenic_purpura/
%) Background ITP is an autoimmune bleeding disorder characterised by all three of Isolated thrombocytopenia … infections or fever Family or personal history of bleeding disorders Recent medication use (NSAIDs … bruising in an otherwise often well looking child Excessive bleeding or bruising with injuries Epistaxis …
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von Willebrand disease
www.rch.org.au/clinicalguide/guideline_index/von_Willebrand_disease/
Von Willebrand disease is the most common inherited bleeding disorder Caused by a deficiency (either … Willebrand disease (VWD) and bleeding should be discussed with the paediatric haematology team A treatment … quantitative or functional) in von Willebrand Factor (VWF) Bleeding is primarily due to impaired platelet …
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Haemophilia
www.rch.org.au/clinicalguide/guideline_index/Haemophilia/
is an X-linked bleeding disorder affecting 1 in 6,000–10,000 males and less than 1 in 300,000 females … not delay factor replacement If there is ongoing bleeding after adequate factor replacement, consider … that the patient has developed a factor inhibitor and treat accordingly All children with haemophilia and bleeding …
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Adolescent gynaecology - lower abdominal pain
www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Lower_Abdominal_Pain/
Endorsed See also Adolescent gynaecology - heavy menstrual bleeding Abdominal pain - acute Dysmenorrhea … and vomiting Ectopic pregnancy Abdominal/pelvic pain Missed period with subsequent vaginal bleeding Can have … shoulder tip pain Acute placental abruption Vaginal bleeding Abdominal and/or back pain Uterine …
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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 … loss Calf and forearm bleeds may lead to compartment syndrome and be limb threatening. Consider … Gastrointestinal 50 125 75 Gastroenterology review is required; a site of bleeding is usually found Consider …
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Dental conditions - non traumatic
www.rch.org.au/clinicalguide/guideline_index/Dental_conditions_non_traumatic/
Can occur after treatment if child disturbs blood clot or due to a bleeding disorder Management Assess … disorder if applicable May need surgical dressing and suturing Severe bleeding: IV access, FBE, coags … tooth ie extraction will still be required after treatment of pain and infection Dental socket bleeding …
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Head injury
www.rch.org.au/clinicalguide/guideline_index/Head_injury/
of consciousness Persistent vomiting Known bleeding disorder/anticoagulation Ventriculoperitoneal shunt … of intracranial injury, require greater consideration of neuroimaging: Age <6 months Bleeding disorder, or taking … no special conditions (bleeding tendency, neurodevelopmental disorder, VP shunt) non-severe mechanism …
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COVID-19 swabbing
www.rch.org.au/clinicalguide/guideline_index/COVID-19_swabbing/
by the swab Bleeding disorders - a child with a low platelet count (eg <30 x 10 9 /L) will need a transfusion … Potential complications Bleeding - there may be slight bleeding from the nose in some children Inadequate …