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Clinical Practice Guidelines

  • Adolescent gynaecology - heavy menstrual bleeding
    www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Menorrhagia/
    Adolescent gynaecology - heavy menstrual bleeding … heavy menstrual bleeding The Royal Children's Hospital Melbourne Home About News Careers Shop Contact … Practice Guidelines   >   Adolescent gynaecology - heavy menstrual bleeding Print Share Facebook LinkedIn …
  • Menstrual management in adolescents with disabilities
    www.rch.org.au/clinicalguide/guideline_index/Menstrual_management_in_adolescents_with_disabilities/
    in adolescents with disabilities PIC Endorsed See also Adolescent gynaecology - heavy menstrual bleeding … are required Consider blood tests if heavy menstrual bleeding Education and resources Provide written … loss and may reduce menstrual pain: 1 g TDS on days of heavy bleeding Menstrual suppression …
  • Dysmenorrhoea
    www.rch.org.au/clinicalguide/guideline_index/Dysmenorrhoea/
    gynaecology - heavy menstrual bleeding Engaging and assessing the adolescent Contraception Key points Primary … on days of heavy bleeding Especially useful in those with concomitant heavy menstrual bleeding Reduces … Background Dysmenorrhoea is the most common menstrual symptom in adolescents and affects 50-90% of young …
  • Adolescent gynaecology - lower abdominal pain
    www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Lower_Abdominal_Pain/
    Endorsed See also Adolescent gynaecology - heavy menstrual bleeding Abdominal pain - acute Dysmenorrhea … heavy menstrual bleeding If features to suggest a critical cause Ovarian/adnexal torsion is a clinical … Assessment History Menstrual history: menarche, last menstrual period, frequency, duration, flow, pain …
  • Vulval and vaginal conditions
    www.rch.org.au/clinicalguide/guideline_index/Vulval_and_vaginal_conditions/
    heavy menstrual bleeding Key Points Vulvovaginitis is common and will usually resolve with simple … causes of non-vaginal bleeding eg Haematuria For menstrual bleeding see Adolescent gynaecology - heavy … menstrual bleeding Assessment and management Be aware of signs of sexual abuse based on history …
  • Contraception
    www.rch.org.au/clinicalguide/guideline_index/Contraception/
    and current risk of STIs Symptoms of STIs Menstrual history Assess for dysmenorrhoea, heavy or irregular … menstrual bleeding, which may be improved or worsened by certain contraception methods Medications …, tender breasts and mood changes possible Side effects may improve with time, irregular menstrual bleeding …
  • von Willebrand disease
    www.rch.org.au/clinicalguide/guideline_index/von_Willebrand_disease/
    or factor concentrate Reduces breakdown of blood clots Often helpful for management of heavy menstrual … Willebrand disease (VWD) and bleeding should be discussed with the paediatric haematology team A treatment … Von Willebrand disease is the most common inherited bleeding disorder Caused by a deficiency (either …
  • Iron deficiency
    www.rch.org.au/clinicalguide/guideline_index/Iron_deficiency/
    or intestinal surgery or infection  Other chronic blood loss Vegetarian or vegan diet Heavy menstrual bleeding … older than 12 months Consider referral to a dietitian See  Adolescent gynaecology – heavy menstrual … to malabsorption or gastrointestinal bleeding Blood transfusion is rarely required Risk factors for iron deficiency …
  • Immune thrombocytopenic purpura
    www.rch.org.au/clinicalguide/guideline_index/Immune_thrombocytopenic_purpura/
    intervention heavy menstrual bleeding Tranexamic acid must not be used if haematuria present Severe (4 …%) Background ITP is an autoimmune bleeding disorder characterised by all three of Isolated thrombocytopenia … bruising in an otherwise often well looking child Excessive bleeding or bruising with injuries Epistaxis …
  • Micronutrient deficiency
    www.rch.org.au/clinicalguide/guideline_index/Micronutrient_deficiency/
    Gastrointestinal disease Heavy menstrual loss Maternal iron deficiency Prematurity Low birth weight   Selenium … and joint pain, poor wound healing, fatigue, weight loss, gingival inflammation with gum bleeding, petechiae … muscle mass Weakness, unsteady gait Malabsorption Vitamin K (Phytomenadione) Excessive bleeding/bruising …