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Clinical Practice Guidelines

  • Animal and human bites
    www.rch.org.au/clinicalguide/guideline_index/Animal_and_human_bites/
    a “special location” (face, hand, foot or genitalia), or has extensive skin loss (>1cm defect present … surgical input is required: Animal bite injuries in special locations eg face, hand, foot, genitals Poor … arising from the mouth of the biting mammal, the child’s own skin flora and the environment There is risk …
  • Nappy rash
    www.rch.org.au/clinicalguide/guideline_index/Nappy_rash/
    , painful defecation and/or constipation Threadworm Viral infection eg hand foot and mouth, herpes simplex …. Look for perioral, perinasal and hand/foot dermatitis, alopecia, diarrhoea and failure to thrive Rarer …, unsettledness and poor sleep Examination Assess rash features Whole body including scalp Mouth for thrush Weight …
  • HSV Gingivostomatitis
    www.rch.org.au/clinicalguide/guideline_index/HSV_Gingivostomatitis/
    Differential diagnoses Hand foot and mouth disease Herpangina Aphthous ulcers Stevens-Johnson Syndrome Behcet … 72 hr of onset of disease and in cases of severe pain or dehydration, consider aciclovir 10 mg/kg … with painful infectious mouth ulcers: A blinded, randomized, placebo-controlled trial. Ann Emerg Med. 2014;63(3 …
  • Cerebral palsy
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_palsy/
    , warranting referral (use corrected age): Persistent fisting of the hands beyond 4 months Persistent head lag … between 6--12 months (eg unable to bring toes to mouth during nappy change) Handedness before 12 months … Dysmorphic features Neurological: gait, tone, posture, power, coordination, reflexes, motor milestones, hand …