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Clinical Practice Guidelines

  • Hypertension in children and adolescents
    www.rch.org.au/clinicalguide/guideline_index/Hypertension_in_children_and_adolescents/
    Hypertension in children and adolescents …Clinical Practice Guidelines : Hypertension in children …   >   Health Professionals   >   Clinical Practice Guidelines   >   Hypertension in children and adolescents …
  • Post-streptococcal glomerulonephritis (PSGN)
    www.rch.org.au/clinicalguide/guideline_index/Post-streptococcal_glomerulonephritis_(PSGN)/
    Endorsed See also Nephrotic syndrome Hypertension Henoch-Schonlein purpura Key points Post-streptococcal …, the classical triad being: Hypertension Haematuria (may be macroscopic or microscopic) Oedema Initial assessment …/or intensive care: Severe hypertension (>95 th centile + 30 mmHg for gender/age/height …
  • Acceptable ranges for physiological variables
    www.rch.org.au/clinicalguide/guideline_index/Acceptable_ranges_for_physiological_variables/
    unwell neonate and young infant Hypertension Key points The table below provides acceptable ranges … for Hospitalized Children.  Pediatrics  2013;131(4): e1150–7. Dionne JM et al. Hypertension in infancy: diagnosis … in the neonate: Hypotension and hypertension.  Semin Fetal Neonatal Med.  2006;174–81. Flynn JT et al. Clinical …
  • Henoch-Schönlein purpura
    www.rch.org.au/clinicalguide/guideline_index/HenochSchonlein_Purpura/
    joint Hypertension Haematuria Key points Urinalysis and blood pressure measurement must be done when … Examination Assess for Features General observations Hypertension Blood pressure must be measured at initial … nephritic syndrome, hypertension, renal impairment, renal failure Typical rash distribution Management …
  • Nephrotic syndrome
    www.rch.org.au/clinicalguide/guideline_index/Nephrotic_syndrome/
    Endorsed See also Hypertension in children and adolescents Key points Nephrotic syndrome (NS) is a clinical … with manual measurement (see Hypertension ) Presence of extra-renal features (eg rash, joint involvement …, tachycardia, reduced urine output, transient hypertension, hypotension, shock Severe oedema Discomfort …
  • Haematuria
    www.rch.org.au/clinicalguide/guideline_index/Haematuria/
    associated with pain, oedema, hypertension or proteinuria needs investigation Background Microscopic …, and signs of oedema or organomegaly Blood pressure (see Hypertension ) Red flags Haematuria AND any of …: Proteinuria Hypertension Fluid overload: oedema, ascites Flank/abdominal pain Immunocompromise Management …
  • Headache patterns
    www.rch.org.au/clinicalguide/guideline_index/Headache_patterns/
    Depression Somatisation Chronic progressive Tumour Benign intracranial hypertension Brain abcess …
  • Spider Bite - Big Black Spider
    www.rch.org.au/clinicalguide/guideline_index/Spider_Bite_-_Big_Black_Spider/
    and lacrimation, due to autonomic hyperactivity Hypertension and tachycardia - may progress to bradycardia … In the absence of antivenom, management may require Pulmonary oedema - intubation, IPPV/ PEEP, Hypertension …
  • Headache
    www.rch.org.au/clinicalguide/guideline_index/Headache/
    ), malignancy, rheumatological disorder, immunosuppression, hypertension Medications: anticoagulants … hypertension Brain abscess Hydrocephalus Acute on chronic non-progressive Tension headache with co-existent … abnormalities Signs of raised ICP  (papilloedema, ataxia, bradycardia with hypertension) Signs of meningism …
  • Stroke
    www.rch.org.au/clinicalguide/guideline_index/Stroke/
    of raised ICP Hypertension Cardiac murmur Carotid or cranial bruit Management Investigations Brain imaging … with suspected or confirmed stroke: Oxygen if hypoxic If hypertensive, discuss with Neurology team before …