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Supraventricular Tachycardia SVT
www.rch.org.au/clinicalguide/guideline_index/Supraventricular_Tachycardia_SVT/
presenting after many hours with signs of heart failure Vagal manoeuvres should only be attempted in a child … of congestive heart failure (respiratory distress, hepatomegaly, oedema) Examination may be normal Red Flags … showing typical SVT Other investigations CXR can be considered if clinical signs of heart failure present …
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Cough
www.rch.org.au/clinicalguide/guideline_index/Cough/
failure) Signs of cardiac failure (oedema, hepatomegaly, heart murmur) Signs of chronic suppurative lung …, weight loss, growth failure) Neurodevelopmental abnormality Feeding difficulties (including choking …, digital clubbing) Abnormal systemic examination (eg growth failure) Abnormal chest x-ray Abnormal lung …
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Death of a child
www.rch.org.au/clinicalguide/guideline_index/Death_of_a_child/
to avoid a long examination, eg heart and breath sounds can be auscultated at the same time supraorbital … as there can be occasional unexpected breaths, heart beats and movements in the initial minutes that follow … for heart and breath sounds (see local policies ) Usually ALL of the following are required: No palpable …
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Anaemia
www.rch.org.au/clinicalguide/guideline_index/Anaemia/
Pallor Pale conjunctivae Tachycardia Cardiac murmur Signs of cardiac failure Shortness of breath Weakness …, cardiac murmur or signs of cardiac failure Features of haemolysis eg dark urine, jaundice, scleral icterus … for observation. Frequent heart rate monitoring is required to identify tachycardia which may indicate a further …
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Hyponatraemia
www.rch.org.au/clinicalguide/guideline_index/Hyponatraemia/
administration Nephrotic syndrome Cirrhosis Heart Failure Acute/Chronic Renal Failure Obstructive uropathy …
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Bronchiolitis
www.rch.org.au/clinicalguide/guideline_index/Bronchiolitis/
for failure of nasal prong supplemental oxygen Background Bronchiolitis is a viral lower respiratory tract … disease Congenital heart disease Chronic neurological conditions Gestational age <37 weeks … cardiac failure) Chest X-ray (CXR) is not indicated and may lead to unnecessary treatment with antibiotics …
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Slow weight gain
www.rch.org.au/clinicalguide/guideline_index/Slow_weight_gain/
Coercive feeding (including feeding child whilst asleep) Food insecurity Social isolation Failure to attend … fibrosis Congenital heart disease Diabetes mellitus Hyperthyroidism Other Medical Causes Genetic syndromes … List Homan, G 2016, Failure to thrive: A practical guide, Am Fam Physician, vol. 94, no. 4, pp …
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Chest pain
www.rch.org.au/clinicalguide/guideline_index/Chest_pain/
veins, muffled heart sounds deceased chest expansion absent breath sounds altered conscious state … Feelings of palpitations Abnormal BP and or heart rate ECG changes possible (eg sinus tachycardia … of arrhythmias eg Brugada Family history of sudden cardiac death Abnormal BP +/- heart rate ECG abnormalities …
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Blood product prescription
www.rch.org.au/clinicalguide/guideline_index/Blood_product_prescription/
failure, cancer or bone marrow suppression A blood transfusion should only be given when the expected …, dizziness, shortness of breath, cardiac failure and where specific therapy (eg iron) is available 70-90 RBC …, clinical signs and symptoms of anaemia Uncorrected congenital heart disease >90 RBC transfusion is often …
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Hydrofluoric acid exposure
www.rch.org.au/clinicalguide/guideline_index/Hydrofluoric_acid_exposure/
(facial muscle spasm) Trosseau’s sign (carpal spasm) Arrhythmias (long QT) Heart failure Dermal Exposure …