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Clinical Practice Guidelines

  • Acute scrotal pain or swelling
    www.rch.org.au/clinicalguide/guideline_index/Acute_scrotal_pain_or_swelling/
    Penis and foreskin Acute abdominal pain Sexually transmitted infections Key points Testicular torsion … are torsion of the testicular appendage (appendix testis), epididymitis and testicular torsion Delays … in surgical management of testicular torsion result in higher rates of testicular loss. Torsion within 4 to 6 …
  • Abdominal pain - acute
    www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_acute/
    ) Foreign body ingestion (eg button battery) Intussusception  Pyloric stenosis Volvulus Testicular torsion …  Ectopic pregnancy Ovarian cyst -  torsion /rupture  Testicular torsion DKA Sepsis Primary bacterial … for testicular torsion Rectal or vaginal examination is rarely indicated in a child, this should be discussed …
  • Vomiting
    www.rch.org.au/clinicalguide/guideline_index/Vomiting/
    Appendicitis UTI Lower abdominal/pelvic pain or testicular pain Testicular torsion Ovarian torsion Gastro … obstruction, testicular or ovarian torsion and appendicitis Definitive management of a vomiting child is based … for torsion, particularly in adolescent boys Neurological Altered conscious state and/or abnormal neurology …
  • Cerebral palsy - pain and irritability
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Pain_and_Irritability/
    eg dysmenorrhoea Appendicitis Ovarian or testicular torsion Psychological Emotional and behavioural …
  • Henoch-Schönlein purpura
    www.rch.org.au/clinicalguide/guideline_index/HenochSchonlein_Purpura/
    orchitis +/- necrosis Cord haematoma Exclude testicular torsion Respiratory (rare)  Respiratory distress … ischaemia, necrosis or perforation, protein-losing enteropathy, pancreatitis Genital Testicular pain +/- …
  • The limping or non-weight bearing child
    www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
    : appendicitis, ovarian or testicular torsion Haematological: vaso-occlusive crisis ( sickle cell ), haemophilia …