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Clinical Practice Guidelines
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In this section
About Clinical Practice Guidelines
CPG index
Paediatric Improvement Collaborative
Nursing Guidelines
Paediatric palliative care guidelines
Parent resources
Retrieval services
CPG Committee Calendar
CPG information
Other resources
CPG feedback
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Abdominal pain - chronic
www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_chronic/
history and contraception (if relevant) Family history of IBD or
coeliac
disease
HEADSSS screen Functional …, waterbrash Pain relieved by eating IBD Diarrhoea, may contain blood or mucus Fever
Coeliac
disease
Altered … Family history of
coeliac
disease
Parasitic infection (giardia) Loose, pale, greasy stools …
Iron deficiency
www.rch.org.au/clinicalguide/guideline_index/Iron_deficiency/
Gastrointestinal disorders eg Meckel diverticulum,
coeliac
disease
, inflammatory bowel
disease
, gastric … Gastrointestinal disorders eg
coeliac
disease
, inflammatory bowel
disease
, gastric or intestinal surgery … not exclude iron deficiency in the presence of coexisting infection, inflammation or liver
disease
Iron …
Slow weight gain
www.rch.org.au/clinicalguide/guideline_index/Slow_weight_gain/
involvement Inadequate absorption Cow milk protein allergy
Coeliac
disease
(if having gluten containing diet …) Blood: FBE, ferritin, UEC, TSH, glucose, LFT If on solids or feeds containing gluten -
coeliac
serology …
disease
Early (<4 months) or delayed (>6 months) introduction of solids Psychosocial factors Parental …
Abdominal pain - acute
www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_acute/
/
coeliac
disease
Constipation Previous surgery Bowel obstruction Last updated April 2024 Reference List D … Pancreatitis Hepatitis Inflammatory bowel
disease
Pelvic inflammatory
disease
Renal calculi Epididymitis Hip …
disease
Imaging AXR if obstruction suspected. It is not helpful in diagnosing constipation CXR …
Constipation
www.rch.org.au/clinicalguide/guideline_index/Constipation/
and relationship to bowel actions Family history of
coeliac
disease
or hypothyroidism *Note that children …
Coeliac
disease
Hypothyroidism Hypercalcaemia Slow-transit constipation Neurological disorders … infants pass meconium in the first 24 hours of life (consider Hirschsprung
disease
or anorectal …
Non-IgE mediated food allergy
www.rch.org.au/clinicalguide/guideline_index/Non-IgE_mediated_food_allergy/
gastroenteritis Early onset inflammatory bowel
disease
Coeliac
disease
(if age > 6 months and child has started … food allergy Anaphylaxis Eczema Unsettled or crying babies Gastro-oesophageal reflux
disease
in infants … diagnoses Infectious gastroenteritis Early onset inflammatory bowel
disease
Bleeding disorder Infectious …
Diabetes Mellitus: new presentation
www.rch.org.au/clinicalguide/guideline_index/Diabetes_Mellitus__new_presentation/
(eg glucocorticoids, tacrolimus) and other
disease
processes that can affect the pancreas eg cystic … autoantibodies (anti-IA2), zinc transporter 8 (ZnT8)
Coeliac
serology (transglutaminase IgA and total IgA) TSH … conditions C-peptide Insulin level Thyroid autoantibodies: thyroid peroxidase, thyroglobulin
Coeliac
screen …
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