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Infantile Spasms
www.rch.org.au/clinicalguide/guideline_index/Infantile_Spasms/
spasms (IS) are a type of seizure, and are the most common severe epilepsy in infants IS are typically … Pre-existing condition known to be associated with IS (eg TSC, trisomy 21) Family history of seizure disorder … developmental delay Neonatal or early infantile seizures Head circumference growth Management Neurological …
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Hypernatraemia
www.rch.org.au/clinicalguide/guideline_index/Hypernatraemia/
mmol/L per day, to avoid cerebral oedema, seizures and permanent neurological injury All children … (develop with acute rise of sodium >160 mmol/L) Altered mental status Lethargy Seizures Hyperreflexia Coma … insipidus with endocrinology input If seizures occur: consider venous sinus thrombosis or cerebral …
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CSF interpretation
www.rch.org.au/clinicalguide/guideline_index/csf/
than untreated bacterial meningitis Seizures Seizures do not cause an increased CSF cell count … state, seizures or focal neurological signs Child requiring care above the level of comfort of the local …
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Substance use (abuse)
www.rch.org.au/clinicalguide/guideline_index/Substance_use_abuse/
that alcohol withdrawal can occur before a zero blood alcohol reading Seizures may be an indication of alcohol … withdrawal, benzodiazepine withdrawal or stimulant intoxication. See seizure management Disposition …
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Von Willebrand Disease vWD
www.rch.org.au/clinicalguide/guideline_index/Von_Willebrand_Disease_vWD/
reports of hyponatraemia and seizures. Relatively contraindicated in children with previous seizure …
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Antihistamine poisoning
www.rch.org.au/clinicalguide/guideline_index/Antihistamine_poisoning/
protection. Discuss with toxicologist. Seizures or severe agitation should be treated with benzodiazepines … see Seizure Cardiac monitoring should be instituted and an initial 12 Lead ECG preformed and assessed …
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Cerebral palsy - pain and irritability
www.rch.org.au/clinicalguide/guideline_index/Cerebral_Palsy_Pain_and_Irritability/
also Cerebral palsy Cerebral palsy: increased seizures Cerebral palsy: chest infections Acute pain … cause pain or is often secondary to pain) Back pain/scoliosis Neurological Increased seizure activity …
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Use of Activated Charcoal in Poisonings
www.rch.org.au/clinicalguide/guideline_index/Use_of_Activated_Charcoal_in_Poisonings/
conscious state or at imminent risk of seizures and with unprotected airway Table 2: List of toxins where … cause rapidly reduced CNS depression or may cause seizures Faecal discolouration GI obstruction …
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Toxidromes poisoning
www.rch.org.au/clinicalguide/guideline_index/Toxidromes_poisoning/
) Sympatho-mimetic ↑ ↑ ↑ ↑ Agitation Hypervigilance Paranoia Dilated Diaphoretic Tremors Hyperreflexia Seizures … ↑ ↑ ↑ ↑ Agitated Confusion Dilated Diaphoretic Diarrhoea Tremor Seizure Alcohol Benzodiazepines Barbiturates (eg …
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Phenytoin poisoning
www.rch.org.au/clinicalguide/guideline_index/Phenytoin_poisoning/
movements, seizures, coma GIT Nausea & Vomiting Other Massive ingestion: Hypernatraemia and hyperglycaemia … Extreme lethargy, coma, paradoxical seizures BSL Paracetamol concentration in all intentional overdoses …