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Clinical Practice Guidelines

  • Meningitis and encephalitis
    www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
    , but suggests that steroids may reduce the risk of hearing loss Steroids are not recommended in neonates due … Neurodevelopmental impairment Permanent focal neurological deficit Hearing loss S pneumoniae meningitis has … the highest risk of hearing loss (approximately 22% of cases) Onset can occur as early as 48 hours High risk …
  • Cerebral palsy
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_palsy/
    Immunisation, including yearly influenza vaccines Hearing loss In approx 10% Increased risk of both conductive … (due to recurrent OM) and sensorineural hearing loss Regular audiology assessments guided by clinical …. (2011, September 6). A Population-Based Study and Systematic Review of Hearing Loss in Children …
  • Acute otitis media
    www.rch.org.au/clinicalguide/guideline_index/Acute_otitis_media/
    ear pain (irritability in pre-verbal children) Fever Loss of appetite Vomiting Lethargy  Cochlear … tympanic membrane in AOM Loss of the TM landmarks, especially the handle of the malleus TM is opaque, may … hearing impairment The presence of a middle ear effusion is not a diagnostic sign of AOM (an effusion may …
  • Haematuria
    www.rch.org.au/clinicalguide/guideline_index/Haematuria/
    , renal disease/ stones or hearing loss History of underlying bleeding disorder or immunodeficiency …
  • Enuresis - Bed wetting and Monosymptomatic Enuresis
    www.rch.org.au/clinicalguide/guideline_index/Enuresis_-_Bed_wetting_and_Monosymptomatic_Enuresis/
    difficulties (vulnerable child/family) Examination Height, weight, BP —  poor growth / loss of weight … impairment does not preclude treatment and in hearing impaired children consider using a vibrating alarm …
  • Kawasaki disease
    www.rch.org.au/clinicalguide/guideline_index/Kawasaki_disease/
    hearing loss Cranial nerve palsy ( rare ) Gastrointestinal Diarrhoea, vomiting, abdominal pain Hepatitis … symptoms (lymphadenopathy, night sweats, weight loss) PIMS-TS (post-infectious systemic hyperinflammatory …
  • Death of a child
    www.rch.org.au/clinicalguide/guideline_index/Death_of_a_child/
    not direct that an inquest be held. An inquest is a more detailed investigation including a public hearing … and families after the loss of a child Australian Centre for Grief and Bereavement : includes grief …