• COVID-19
    www.rch.org.au/clinicalguide/guideline_index/COVID-19/
    of disease remains broad. Typical symptoms include: General features Fever Headache Lethargy Respiratory … by a senior clinician Other investigations as per the clinical presentation, for example: Prolonged fever see … include: injection site pain headache fatigue fever These occur usually within 3 to 4 days after mRNA …
  • Hirschsprung associated enterocolitis HAEC
    www.rch.org.au/clinicalguide/guideline_index/Hirschsprung_associated_enterocolitis_HAEC/
    may present similarly to gastroenteritis Assessment History Fever Lethargy Anorexia Reduced oral … instability Fever Hydration status Abdominal distension Abdominal tenderness Signs of peritonitis (may …
  • Cellulitis and other bacterial skin infections
    www.rch.org.au/clinicalguide/guideline_index/Cellulitis_and_other_bacterial_skin_infections/
    fever, tachycardia) Severe cellulitis Features above with severe swelling or tenderness Large body … surface area involved (eg larger than the patient’s handprint) Marked systemic features (eg fever … with apparent severity of infection rapid progression marked systemic features (eg high fever with rigors …
  • Adrenal crisis and acute adrenal insufficiency
    www.rch.org.au/clinicalguide/guideline_index/Adrenal_crisis_and_acute_adrenal_insufficiency/
    ,  confusion, seizure  Fever, screen for infective symptoms or injury as a trigger for presentation Known … of dehydration Vital signs: Hypotension Tachycardia Fever Lethargy Hyperpigmentation in skin creases, nail bed … is for when there is no sick day plan available      Moderately unwell Moderate illness or injury and/or fever
  • Antifungal prophylaxis for children with cancer or undergoing haematopoietic stem cell transplant
    www.rch.org.au/clinicalguide/guideline_index/Antifungal_prophylaxis_for_children_with_cancer_or_undergoing_haematopoietic_stem_cell_transplant/
    Clinical Network See also Fever and suspected or confirmed neutropenia Key points Appropriate antifungal … prolonged or recurrent fever), evaluation and empiric treatment should follow the Fever and suspected … adverse effects (inc. fever, chills, rigors)    Caspofungin 1 to 3 months: 25 mg/m 2 (max 50mg) IV daily …
  • Acute upper airway obstruction
    www.rch.org.au/clinicalguide/guideline_index/Acute_upper_airway_obstruction/
    NAI) Pre-existing narrow or floppy upper airway Retropharyngeal abscess Sore throat Fever Neck pain … fever and systemically unwell Muffled voice Hyperextension of neck Dysphagia Pooling of secretions …
  • Acute scrotal pain or swelling
    www.rch.org.au/clinicalguide/guideline_index/Acute_scrotal_pain_or_swelling/
    May be delayed Swelling Yes    Yes  May extend to scrotum Yes Yes May be delayed  Fever Unusual …/  leukaemia Typical age group Infants Peri-pubertal 3-7 years 1-8 years Fever Unusual Unusual Unusual Possible …
  • Persistent nasal discharge rhinosinusitis
    www.rch.org.au/clinicalguide/guideline_index/Persistent_nasal_discharge_rhinosinusitis/
    Associated middle ear changes Headache Fever Diagnosis in younger children is more difficult as the signs …
  • Empiric treatment of infectious diseases in Ebola suspect
    www.rch.org.au/clinicalguide/guideline_index/Empiric_treatment_of_infectious_diseases_in_Ebola_suspect/
    , a positive malaria test does not necessarily mean that this is the cause of fever, nor does it exclude …
  • Acute meningococcal disease
    www.rch.org.au/clinicalguide/guideline_index/Acute_meningococcal_disease/
    and encephalitis Sepsis Fever and petechiae/purpura Local antimicrobial guidelines Key points IV ceftriaxone … hours) of headache, loss of appetite, nausea, vomiting, sore throat and coryza Fever Infants may have …

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.