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Infantile spasms
www.rch.org.au/clinicalguide/guideline_index/Infantile_spasms/
hypoxic ischaemic encephalopathy (HIE) IS are associated with developmental delay in over 80% of infants …, HIE Family history of seizure disorder or developmental delay (genetic basis) Early handedness (focal … hypopigmented macules of TSC Pre-existing developmental delay Neonatal or early infantile seizures Rapid …
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Congenital Torticollis
www.rch.org.au/clinicalguide/guideline_index/Congenital_Torticollis/
, however, diagnosis can be delayed There are 2 types: Muscular: tightness of the sternocleidomastoid (SCM … spent in prone position (lack of tummy time may contribute to persistence) Developmental milestones …, especially gross motor, may be delayed Delays appear to be more strongly related to infrequent prone …
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Positional plagiocephaly
www.rch.org.au/clinicalguide/guideline_index/Positional_plagiocephaly/
developmental delay Imaging is not required, diagnosis is based on history and examination findings including … 6-7 months of age. Children with developmental delay or torticollis can be considered for a helmet … tone delayed gross motor development minimal tummy time tight sternocleidomastoid (SCM) muscle …
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Seizures - acute management
www.rch.org.au/clinicalguide/guideline_index/Seizures_-_acute_management/
seizure Developmental delay or regression Headache prior to the seizure Hypertension Bleeding disorder … epilepsy Developmental delay Existing comorbidities Concern for non-accidental injury Consider admission … seizures or myoclonic jerks, nocturnal events Developmental history Examination Full neurological …
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Febrile seizure
www.rch.org.au/clinicalguide/guideline_index/Febrile_seizure/
conditions History of developmental delay or regression Family history of febrile seizures, epilepsy … stigmata identified on examination Recurrent complex febrile seizures Developmental impairment Further … Associated developmental impairment Parent information Febrile seizures (Vic) Febrile convulsion (NSW …
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Functional somatic symptoms
www.rch.org.au/clinicalguide/guideline_index/Functional_somatic_symptoms/
or developmental factors Diagnosis should be made positively, based on clinical features and examination findings … serious or chronic physical or mental health conditions Developmental history Examination Thorough … conditions Investigations can reinforce illness beliefs increase anxiety delay recovery lead to iatrogenic …
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Metabolic disorders
www.rch.org.au/clinicalguide/guideline_index/Metabolic_disorders/
and seizures Presentation may also be more insidious: Developmental delay or regression Coarsening of features …, coma GIT- poor feeding, vomiting/ dehydration, prolonged jaundice Developmental- motor/cognitive delay …
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Corrosives - Caustic Poisoning
www.rch.org.au/clinicalguide/guideline_index/Corrosives_-_Caustic_Poisoning/
If inhalational exposure, respiratory symptoms can be delayed Background Alkalis Acids Common agents Drain … patient Any patient whose developmental age is inconsistent with accidental poisoning as non-accidental … Examination Symptoms May be minimal and / or delayed Pain, nausea & vomiting, drooling or refusing …
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Poisoning - Acute Guidelines For Initial Management
www.rch.org.au/clinicalguide/guideline_index/Poisoning_-_Acute_Guidelines_For_Initial_Management/
In any patient whose developmental age is inconsistent with accidental poisoning, a non-accidental … accidental poisoning is not consistent with the developmental age of the child, the history is inconsistent …, seizures, Ventricular Tachycardia, hypoglycaemia Calcium channel blockers - delayed onset bradycardia …
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Child abuse
www.rch.org.au/clinicalguide/guideline_index/Child_abuse/
tissue disease, developmental disorders Prior contact with child protection agencies and police … with the child’s age or developmental capabilities History does not easily account for the findings Inconsistent … or changing histories without reasonable explanation Unreasonable delay in seeking medical attention Any …