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Upper limb non-use
www.rch.org.au/clinicalguide/guideline_index/Upper_Limb_NonUse/
early Fever or systemic features are red flags Consider child abuse in children with an unclear history … of symptoms Acute or sub-acute onset of symptoms Duration of symptoms ≥ 7 days Systemic features: fever, night … distress or pain Fever Fully expose the upper limb Joint and limb assessment using the “Look, Feel, Move …
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Chest pain
www.rch.org.au/clinicalguide/guideline_index/Chest_pain/
catheter Pleuritic pain Haemoptysis Fever Cough Lethargy Pleuritic chest pain Chronic respiratory disease … possible CRP/ESR raise possible (see COVID-19 ) Endocarditis Fever of unknown origin Congenital or acquired … Acute Chest Syndrome Known sickle cell disease Current or recent infection, dehydration, fever, hypoxia …
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Sickle cell disease
www.rch.org.au/clinicalguide/guideline_index/Sickle_cell_disease/
with the following problems Vaso-occlusive crisis Fever Acute chest syndrome Acute splenic sequestration Aplastic … and duration of pain, dyspnoea, fever, pallor and lethargy Provoking factors (fever, travel, procedures, recent … Fever & sickle cell disease Background Patients are functionally asplenic and thus at greater risk …
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Bone and joint infection
www.rch.org.au/clinicalguide/guideline_index/Bone_and_joint_infection/
with fever, pain and limited use of the affected limb or joint Urgent surgical intervention reduces the risk … be any bone Onset and duration of symptoms – eg acute (<2 weeks) or chronic Fever – may not be present … diagnosis Examination Fever and signs of sepsis Bone and joint examination – using “Look, Feel and Move …
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Parapneumonic effusion
www.rch.org.au/clinicalguide/guideline_index/Parapneumonic_effusion/
with pneumonia who has persistent fever despite 48 hrs of appropriate antibiotic treatment The stage … aureus and Group A Streptococcus are the most common causes of an empyema Assessment History Fever … Particularly fever that persists after 48 hours of appropriate treatment of pneumonia Tachypnoea Cough …
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The limping or non-weight bearing child
www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
joint pain and fever Background Transient synovitis, acute myositis and minor trauma are common causes … • Nocturnal pain and symptoms • Systemic symptoms: fever, night sweats, chills, rigors, rash • Constitutional …, pallor, interaction with carer Fever Assess gait if possible – walking +/- running Joint examination …
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Petechiae and purpura
www.rch.org.au/clinicalguide/guideline_index/Fever_and_Petechiae_Purpura/
including meningococcal disease can present with a non-blanching rash, with or without fever The incidence …: purpura on the torso and back/face of a child Assessment All children with fever and petechiae/purpura … Rashes Fever in children …
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Abdominal pain - acute
www.rch.org.au/clinicalguide/guideline_index/Abdominal_pain_-_acute/
(see Additional notes for causes associated with these pain characteristics) Systemic symptoms: fever … in the course of illness May not present with classical symptoms Presentation often includes fever, vomiting … Bilious vomiting Volvulus Obstruction Polyuria, polydipsia, weight loss DKA Dysuria, frequency and fever …
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Urinary tract infection
www.rch.org.au/clinicalguide/guideline_index/Urinary_tract_infection/
children Collecting urine to exclude UTI is not required if there is another clear focus of fever … UTI where clinically suspected Consider UTI if fever without focus persists after 48 hours in young … such as fever, vomiting, poor feeding, lethargy and irritability Older children may present with more typical …
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Sepsis – assessment and management
www.rch.org.au/clinicalguide/guideline_index/SEPSIS_assessment_and_management/
quickly but also to not over-diagnose. Most children with fever (with or without a focus) do not have … ± grunting (not adequately explained by a respiratory illness) Unexplained pain Fever or hypothermia … from toxin-producing strains of S. aureus or GAS Clinical features may include fever, vomiting …