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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
Search
Rhinitis and rhinosinusitis
www.rch.org.au/Persistent_nasal_discharge_rhinosinusitis/.aspx
Rhinitis and rhinosinusitis are characterised by inflammation of the nasal mucosa and paranasal
sinuses
… bacterial
sinusitis
History Examination Complications Preceding viral illness is common Persistent nasal … pollutants Granulomatous diseases External nasal swelling,
sinusitis
, nose bleeds Idiopathic/vasomotor …
Primary immunodeficiencies
www.rch.org.au/clinicalguide/guideline_index/Primary_immunodeficiencies/
/severe
sinusitis
or otitis media Meningitis Sepsis Combined immunodeficiency Severe combined … Absence of thymus Chronic diarrhoea Recurrent/severe
sinusitis
or otitis media Severe eczema or nappy rash … Persistent lymphadenopathy Oral candidiasis Gingivitis Severe or chronic otitis media or
sinusitis
Skin …
Cough
www.rch.org.au/clinicalguide/guideline_index/Cough/
, post-nasal drip/
sinusitis
(worse when lying flat), asthma (tends to exacerbate at night, with exercise … Pertussis
Sinusitis
See
Sinusitis
Consider consultation with local paediatric team when Chronic cough …
Fever and suspected or confirmed neutropenia
www.rch.org.au/clinicalguide/guideline_index/Fever_and_suspected_or_confirmed_neutropenia/
respiratory tract for otitis media and
sinusitis
Oropharynx for dental abscess and mucositis Lower respiratory … for IFI (please note that low-risk does not equal no-risk) Evaluation for IFI CT of lungs and CT
sinuses
…
Periorbital and orbital cellulitis
www.rch.org.au/clinicalguide/guideline_index/Periorbital_and_orbital_cellulitis/
and Ophthalmology advice urgently Consider urgent contrast enhanced CT scan of orbits,
sinuses
+/- brain …
Influenza
www.rch.org.au/clinicalguide/guideline_index/Influenza/
, croup, otitis media,
sinusitis
Headache Myalgia, arthralgia Myositis Lethargy, malaise Less common …
Headache
www.rch.org.au/clinicalguide/guideline_index/Headache/
conditions to consider Infectious Viral illness
Sinusitis
Pharyngitis Acute otitis media Meningitis …
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