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Meningitis and encephalitis
www.rch.org.au/clinicalguide/guideline_index/Meningitis_encephalitis/
Afebrile seizures CSF interpretation Febrile child Lumbar puncture Key points Making a clinical distinction … URTI may be present Seizures Recent antibiotics Immunisation history Travel history Medical condition … of the brain: unusual behaviour confusion personality change emotional lability Seizures (common) Abnormal …
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Carbamazepine poisoning
www.rch.org.au/clinicalguide/guideline_index/Carbamazepine_poisoning/
anticholinergic effects seizures coma life-threatening arrhythmias Large carbamazepine ingestions can result …, nystagmus, drowsiness, coma, seizures Cardiovascular system: tachycardia, hypotension, life threatening … depression, seizures, cardiac arrhythmia *Children are at risk of severe features at lower concentrations …
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Menstrual management in adolescents with disabilities
www.rch.org.au/clinicalguide/guideline_index/Menstrual_management_in_adolescents_with_disabilities/
Difficulties managing hygiene Exacerbation of medical conditions, such as an increase in seizure activity … to hormonal suppression, including a reduction in seizures and other cyclical symptoms that flare with menses … reduction in menstrual pain and blood loss, may eliminate cyclic seizures and other symptoms Yes …
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Recognition of the seriously unwell neonate and young infant
www.rch.org.au/clinicalguide/guideline_index/Recognition_of_the_seriously_unwell_neonate_and_young_infant/
Past history of brief resolved unexplained event (BRUE) or seizures Antenatal complications : IUGR … signs Focal, complex or prolonged seizures Other Non-blanching rash Fever for ≥5 days Swelling … month of life Skin vesicles (not present in 1/3 of neonates and can be afebrile), seizures. Influenza …
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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 …
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Altered conscious state
www.rch.org.au/clinicalguide/guideline_index/Altered_conscious_state/
primary survey Meningitis and encephalitis Sepsis - assessment and management Afebrile seizures Child …, confusion, seizures Focal neurology Time course of symptoms: abrupt vs gradual deterioration, recurrent …, seizures, developmental delay Family history including consanguinity Drug and toxin exposure: exposure …
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Nicotine Poisoning
www.rch.org.au/clinicalguide/guideline_index/Nicotine_Poisoning/
be rapidly absorbed and can cause severe toxicity resulting in seizures, cardiovascular collapse and coma … include agitation, diaphoresis, nausea and vomiting, tachycardia, bronchoconstriction and seizures …, seizures Late clinical signs in larger exposures (1 to 4 hours) CVS – bradycardia, arrhythmia, hypotension …
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Cerebral Palsy - chest infection
www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_chest_infection/
palsy Cerebral palsy: increased seizures Cerebral palsy: pain and irritability Community acquired … for pneumonia Pre-existing respiratory failure Home respiratory non-invasive support Scoliosis Increased seizure … activity if known seizure disorder Examination Lethargic or unwell Signs of upper airway obstruction …
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Benzodiazepine poisoning
www.rch.org.au/clinicalguide/guideline_index/Benzodiazepine_poisoning/
management Coma Afebrile Seizures Resuscitation Key points Pure benzodiazepine overdoses usually induce …, hypotonia, seizure Respiratory – depression Cardiovascular – hypotension Metabolic – hypothermia Other … and is not recommended 3. Antidote Flumazenil is contraindicated in intentional overdose (it can precipitate seizures …
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Hypoglycaemia
www.rch.org.au/clinicalguide/guideline_index/Hypoglycaemia/
factors are at risk of acute and long-term neurological sequelae. Altered conscious state or seizures …, uncharacteristic behaviour, hypothermia, confusion, coma, seizures Neonate <48 hrs - apnoea, hypotonia, jitteriness … suggestive of hypoglycaemia eg undiagnosed seizure disorder Previous gastric surgery, fundoplication …