RCH logo

Clinical Practice Guidelines

  • Adolescent gynaecology - heavy menstrual bleeding
    www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Menorrhagia/
    disorders  epistaxis, bleeding gums, easy bruising Sexual history and adolescent assessment (HEADSS screen … and/or haemodynamic instability Management Investigations Consider FBE Ferritin Coagulation screen TSH … Urine or blood ßhCG (with consent) Blood group and antibody screen if severe bleeding If a bleeding …
  • Oncological emergencies: Hyperleukocytosis
    www.rch.org.au/clinicalguide/guideline_index/Oncological_emergencies__Hyperleukocytosis/
    include FBE and film Group and hold UEC LFT CMP LDH Coagulation screen, including fibrinogen. An adjusted … with hyperleukocytosis. Pediatric Blood Cancer. 2005. 45(1), p10-15. Rollig C et al. How I treat hyperleukocytosis …
  • Dysmenorrhoea
    www.rch.org.au/clinicalguide/guideline_index/Dysmenorrhoea/
    , gynaecological cancers) Previous pelvic infection or abdominal surgery Renal anomaly or other congenital … anomalies (especially spine, cardiac, gastrointestinal) Adolescent assessment (HEADSS screen) Examination … and/or late/missed period Consider STI screen if features suggestive of STI or pelvic inflammatory …
  • Contraception
    www.rch.org.au/clinicalguide/guideline_index/Contraception/
    Investigations Baseline investigations are not usually required Consider STI screen if sexually active … of endometrial cancer Not reliable contraception if dose missed or taken >24 hrs late Vomiting, severe diarrhoea … years), acute myocardial infarction or stroke Slight increase in risk of breast and cervical cancer - …