Paediatrics - Queensland Health - Queensland Government
Paediatrics - Queensland Health - Queensland Government
Paediatrics - Queensland Health - Queensland Government
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Paediatric presentation<br />
Child with vomiting<br />
556<br />
Vomiting is a common and important symptom, which may indicate serious illness especially in a very young child.<br />
Consider the following causes: infection (pneumonia, UTI, meningitis, otitis media), obstruction (pyloric stenosis, intussusception, appendicitis,<br />
hernia), reflux oesophagitis, raised intracranial pressure (trauma, abscess or tumour), metabolic (diabetic ketoacidosis, poisoning)<br />
Perform clinical assessment<br />
Consult MO<br />
Yes<br />
Significant features of assessment unclear or you are unsure of cause?<br />
No<br />
Child unwell<br />
Well baby<br />
3 mths - 3 yrs<br />
2-6 weeks old<br />
Basically well<br />
child<br />
Moderate or<br />
severe<br />
dehydration<br />
Unweaned<br />
Dysuria<br />
frequency<br />
smelly urine<br />
Child unwell<br />
Child unwell<br />
Abdominal<br />
pain<br />
intermittently<br />
Diarrhoea<br />
Vomiting and<br />
irritable after<br />
feeds<br />
Fever<br />
High<br />
capillary BGL<br />
Red currant<br />
jelly stool<br />
Projectile<br />
vomits,<br />
hungry<br />
following<br />
feed<br />
Cough<br />
Fever<br />
Positive<br />
urinalysis<br />
Rapid<br />
breathing<br />
May have<br />
history of URTI<br />
like illness<br />
Controlled copy V1.0<br />
No other<br />
significant<br />
features<br />
Ketones on<br />
urinalysis<br />
No other<br />
significant<br />
features<br />
No other<br />
significant<br />
features<br />
Weight loss or<br />
poor gain<br />
No other<br />
significant<br />
features<br />
Chest<br />
recession<br />
Tachycardia<br />
Headache,<br />
photophobia<br />
+/-<br />
Child with vomiting<br />
No other<br />
significant<br />
features<br />
No other<br />
significant<br />
features<br />
Neck stiffness<br />
+/-<br />
Rash<br />
See<br />
Diabetes<br />
See Gastroesophageal<br />
reflux<br />
See<br />
Intussusception<br />
See<br />
Pyloric<br />
stenosis<br />
See<br />
UTI<br />
See<br />
Acute<br />
gastroenteritis<br />
See<br />
Pneumonia<br />
See<br />
Meningitis<br />
Primary Clinical Care Manual 2011
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