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Seizures acute management
www.rch.org.au/clinicalguide/guideline_index/Seizures_acute_management/
of absence seizures or myoclonic jerks, nocturnal events Developmental history Examination Full …Seizures acute management …Clinical Practice Guidelines : Seizures acute management …
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Stroke
www.rch.org.au/clinicalguide/guideline_index/Stroke/
mental state^ Signs of raised intracranial pressure^ New onset seizures associated with persistent … treatment Treat recurrent or prolonged symptomatic seizures. See Afebrile seizures Avoid hyperthermia – aim … confirmed arterial stroke with absence of haemorrhage Pediatric NIH Stroke Scale score ≥4 and <24 …
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Von Willebrand Disease vWD
www.rch.org.au/clinicalguide/guideline_index/Von_Willebrand_Disease_vWD/
structure and function of vWF, several variants Variable bleeding pattern Type 3 (rare) Near absence of vWF … reports of hyponatraemia and seizures. Relatively contraindicated in children with previous seizure …
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Head injury
www.rch.org.au/clinicalguide/guideline_index/Head_injury/
haematoma (occipital, parietal or temporal) in child <2 years Severe mechanism Post-traumatic seizure Loss … sustained Presence of amnesia Post injury seizure Examination Neurological examination, including signs … or absence of risk factors (as described below) Indications for neuroimaging may be present on initial …
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Lumbar puncture
www.rch.org.au/clinicalguide/guideline_index/Lumbar_puncture/
Note: a bulging fontanelle in the absence of other signs of raised ICP is not a contraindication … episodes New focal neurological signs or seizures Seizure within previous 30 min and/or ongoing decreased … conscious state following a seizure INR >1.5 or platelets <50 x 10 9 /L for child on anticoagulant …
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Salicylates poisoning
www.rch.org.au/clinicalguide/guideline_index/Salicylates_Posioning/
, hyperventilation >300 mg/kg Severe symptoms: Acidosis, seizures, hyperthermia Features on examination Resp … : Hyperventilation - not always present in children, absence does not exclude significant toxicity. CVS: Dehydration … - careful assessment should be performed. CNS: Agitation, lethargy, seizures, coma Other …
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Bier block
www.rch.org.au/clinicalguide/guideline_index/Bier_block/
cause seizures, methaemoglobinaemia, cardiovascular and respiratory compromise In case of suspected … the cuff to observe pressure oscillations Confirm absence of radial pulse Inject 0.5% lidocaine (lignocaine …
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Drowning
www.rch.org.au/clinicalguide/guideline_index/Drowning/
in children who are competent swimmers, for example: seizures hypoglycaemia arrhythmias and Long QT Syndrome … Chest X-ray findings do not correlate with clinical outcomes Altered mental state in the absence …
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Cerebral palsy
www.rch.org.au/clinicalguide/guideline_index/Cerebral_palsy/
of the child often provides more information than 'hands on' examination. Look for the presence or absence … Respiratory problems particularly pneumonia Uncontrolled seizures / status epilepticus Unexplained …
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Febrile child
www.rch.org.au/clinicalguide/guideline_index/Febrile_child/
absence) of a clinically obvious focus In infants <3 months of age, hypothermia or temperature instability … of febrile seizures; the appearance of the child is the most useful indicator Background Definition of fever … stiffness Focal neurological signs Focal, complex or prolonged seizures Other Non-blanching rash Fever …