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Clinical Practice Guidelines
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In this section
About Clinical Practice Guidelines
CPG index
Paediatric Improvement Collaborative
Nursing Guidelines
Paediatric palliative care guidelines
Parent resources
Retrieval services
CPG Committee Calendar
CPG information
Other resources
CPG feedback
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Adolescent gynaecology - lower abdominal pain
www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Lower_Abdominal_Pain/
shoulder tip
pain
Acute placental abruption Vaginal bleeding Abdominal and/or
back
pain
Uterine … Dysmenorrhoea Crampy and intermittent lower abdominal
pain
Suprapubic or
back
pain
May have associated symptoms … intercourse Imperforate hymen Amenorrhoea Cyclical
pain
Marked distension of the vagina may cause
back
pain
…
The limping or non-weight bearing child
www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
pathology should always be considered
Pain
causing limp can be referred. Assess the joints above and below … (DDH) Transient hip synovitis Acute myositis Perthes disease
Inflammatory
arthritis Stress fractures … femoral epiphysis (SUFE)
Inflammatory
arthritis All ages Infections: osteomyelitis/septic arthritis …
Bone and joint infection
www.rch.org.au/clinicalguide/guideline_index/Bone_and_joint_infection/
Subacute onset of irritability and
back
pain
. May involve limp or refusal to crawl or walk Subacute … with fever,
pain
and limited use of the affected limb or joint Urgent surgical intervention reduces the risk … diagnoses such as trauma, non-accidental injury,
inflammatory
conditions and malignancy Background Septic …
Prolonged fever
www.rch.org.au/clinicalguide/guideline_index/Prolonged_fever/
of prolonged fever. However, malignancy, rheumatological disorders and other
inflammatory
conditions should … Systemic symptoms: weight loss, night sweats, bruising/bleeding, joint
pain
or swelling Environmental … or hepatosplenomegaly Musculoskeletal: inability to weight bear, focal bony tenderness, or joint
pain
or swelling Skin …
Eczema
www.rch.org.au/clinicalguide/guideline_index/eczema/
) is a chronic
inflammatory
skin disease characterised by dry, itchy skin Eczema affects 30% of children …
Painful
clustered blisters, punched-out erosions Eczema coxsackium Vesiculobullous rash with brownish … and hand Leg and foot Anterior chest and abdomen
Back
and buttocks 3-12 months 1 1 1 ½ 1 1 ½ >1-3 years 1 ½ …
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