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Clinical Practice Guidelines

  • Fever and suspected or confirmed neutropenia
    www.rch.org.au/clinicalguide/guideline_index/Fever_and_suspected_or_confirmed_neutropenia/
    of the treatment of cancer. The risk of serious bacterial infection is related to the degree and duration … with recurrent neutropenia. High risk cancer treatment protocols Acute myeloid leukaemia (AML) treatment; Acute … Febrile Neutropenia Treatment Card or Letter . This will have important information regarding cancer …
  • Antifungal prophylaxis for children with cancer or undergoing haematopoietic stem cell transplant
    www.rch.org.au/clinicalguide/guideline_index/Antifungal_prophylaxis_for_children_with_cancer_or_undergoing_haematopoietic_stem_cell_transplant/
    of sun exposure. Reports of skin cancer with prolonged (>1 yr) use Caution in renal impairment …Antifungal prophylaxis for children with cancer or undergoing haematopoietic stem cell … for children with cancer or undergoing haematopoietic stem cell transplant The Royal Children's Hospital …
  • Contraception
    www.rch.org.au/clinicalguide/guideline_index/Contraception/
    become lighter and shorter 20% amenorrhoeic at 1 year Hormonal side effects possible eg headaches, skin … of endometrial cancer Not reliable contraception if dose missed or taken >24 hrs late Vomiting, severe diarrhoea …, tender breasts, bloating, skin changes, mood changes Return of periods may be delayed up to 3 months …
  • Prolonged fever
    www.rch.org.au/clinicalguide/guideline_index/Prolonged_fever/
    , duration, pattern Resolved or transient symptoms: rash, conjunctivitis, sore throat, skin infections …: acute rheumatic fever (ARF), rheumatic heart disease (RHD), hereditary cancer syndromes, rheumatological … or hepatosplenomegaly Musculoskeletal: inability to weight bear, focal bony tenderness, or joint pain or swelling Skin …
  • Adolescent gynaecology - heavy menstrual bleeding
    www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Menorrhagia/
    , tachycardia Skin: pallor, petechiae, bruising Abdominal examination: tenderness or pelvic mass Vaginal … factor for breast cancer, indicates early onset of ovulatory cycles, J Clin Endocrinol Metab. 57(1):82–6 …
  • Antimicrobial guidelines
    www.rch.org.au/clinicalguide/guideline_index/Antimicrobial_guidelines/
    mg/kg (1 g) (Amoxicillin component) IV 8H (≥3 months and ≥4 kg) 10-14 days SKIN/SOFT TISSUE/BONE … component) IV 6H (8H if < 6 months) If systemic compromise or high-risk cancer treatment or inpatient onset …