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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 - heavy menstrual bleeding
www.rch.org.au/clinicalguide/guideline_index/Adolescent_Gynaecology_Menorrhagia/
disorders epistaxis, bleeding gums, easy bruising Sexual history and adolescent assessment (HEADSS
screen
…, tachycardia
Skin
: pallor, petechiae, bruising Abdominal examination: tenderness or pelvic mass Vaginal … and/or haemodynamic instability Management Investigations Consider FBE Ferritin Coagulation
screen
TSH …
Contraception
www.rch.org.au/clinicalguide/guideline_index/Contraception/
Investigations Baseline investigations are not usually required Consider STI
screen
if sexually active … 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 …
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