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Clinical Practice Guidelines

  • Vulval and Vaginal Conditions
    www.rch.org.au/clinicalguide/guideline_index/Vulval_and_Vaginal_Conditions/
    Sexually transmitted infections Adolescent gynaecology - lower abdominal pain Adolescent gynaecology - … vaginal or perineal pain and/or itch Children with recurrent urinary tract infection symptoms but negative … discharge is usually minimal Menarche usually occurs 2-3 years after thelarche Vulval and vaginal pain …
  • Radiology - Acute indications
    www.rch.org.au/clinicalguide/guideline_index/Radiology_Guidelines_Acute_indications/
    Non-accidental injury Acutely painful hip Plain xrays (AP and frog-leg lateral) will demonstrate slipped upper … be helpful - ask consultant or registrar for advice  AXR not indicated for:  Vague central abdominal pain … stenosis See pyloric stenosis Abdominal pain or iliac or pelvic pain in the pubertal female with possible …
  • Meningitis and encephalitis
    www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
    (any of the above and/or): headache neck pain photophobia nausea altered conscious state   Preceding … (see Petechiae and purpura ) Pain and involuntary effort to reduce meningeal “stretch” eg Kernig … Child is supine One hip and knee are flexed to 90 degrees by the examiner The examiner then attempts …
  • Constipation
    www.rch.org.au/clinicalguide/guideline_index/Constipation/
    also  Abdominal pain Urinary incontinence Urinary tract infections Key points Constipation is a common … to painful defaecation it may cause apprehension, stool retention and passage of further hard stool — a cycle …) Mucus in the stool Painful or frightening precipitant prior to the onset of constipation …
  • Lumbar puncture
    www.rch.org.au/clinicalguide/guideline_index/Lumbar_puncture/
    Complications Failure to obtain CSF, or traumatic bloody tap (common) Pain/discomfort during procedure (consider … (kg) + 7, children (mm) = 0.4 x weight (kg) + 20 Analgesia Ensure acute pain management  including … and make sure hips and shoulders are in line with each other Draw an imaginary line between the top …

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.

The Royal Children’s Hospital (RCH) acknowledges the traditional owners of the land on which the RCH is situated, the Wurundjeri people of the Kulin Nation, and we pay our respects to their Elders past and present.