Paediatrics - Queensland Health - Queensland Government

More documents

Recommendations

Info

Paediatric presentation Section 6. <strong>Paediatrics</strong> Contents • History and physical examination - child • Child with fever • Child with cough • Child with stridor • Child with vomiting • Child with abdominal pain • Child with chronic diarrhoea • Meningitis • Respiratory problems • Immune complications • Ear problems • Gastrointestinal problems • Urinary tract problems • Bone and joint problems • Abuse and neglect - child 544 Examples of positioning of children for examination of throat and ears Controlled copy V1.0 Primary Clinical Care Manual 2011
Paediatric presentation History and physical examination child Recommend Use of Children’s Early Warning Tools (CEWT) appropriate to age for rural and remote facilities ordered through: qheps.health.qld.gov.au/psq/rmdp/html/rmdp_homepage. htm or by email at: RMDP@health.qld.gov.au Consult MO immediately about any baby under 3 months of age who is at risk or febrile Always check the immunisation status of children at every opportunity Believe the child or parent / carer: no matter the time of day or night or the circumstance, make sure the patient and their parent / carer feels he or she has been listened to and done the right thing in bringing the child regardless of the concern Background Small children, especially young babies, get sick very quickly Risk signs in children are: -- temperature > 38°C or < 35.5°C -- irritability -- high pitched cry or weak cry -- drowsiness -- decreased activity -- reduced feeding -- breathing fast / noisy, respiratory distress, apnoea -- persistent vomiting -- dehydration (< 4 wet nappies in 24 hours) -- sunken eyes -- cold extremities -- capillary refill > 2 seconds -- uses eyes (rather than head) to follow you -- abdominal distension Other high risk children include those with: -- lots of diarrhoea (> 8 watery stools in 24 hours) -- congenital or chronic disease e.g. cardiac, gastrointestinal, neurological -- where social conditions are concerning and / or where parents may have difficulty managing at home -- a history of repeated or prolonged separations from their primary caregiver(s) -- psychosocial risk factors including family violence, poverty, homelessness, parents with intellectual disability or mental health problems Related topics Immunisation program Patient presentation and assessment DRS ABCD resuscitation / the collapsed patient Assessment and physical examination of skin, hair and nails Assessment of the eye Assessment of ear Abuse and neglect - child Mental health assessment Medication reconciliation Medication history checklist Glasgow Coma Scale / AVPU Primary Clinical Care Manual 2011 Controlled copy V 1.0 545
Page 1: Section 6 Paediatrics
Page 5 and 6: Paediatric presentation Presentatio
Page 7 and 8: Paediatric presentation Standard cl
Page 9 and 10: Paediatric presentation Physical ex
Page 11 and 12: Child with fever Fever is usually a
Page 13 and 14: Child with stridor Stridor is a har
Page 15 and 16: Any history of significant trauma?
Page 17 and 18: Meningitis Meningitis Recommend Co
Page 19 and 20: 6. Referral / consultation Consult
Page 21 and 22: Respiratory problems • For the ch
Page 23 and 24: Respiratory problems 1. May present
Page 25 and 26: Respiratory problems 4. Management
Page 27 and 28: Child < 3 months Contact MO immedia
Page 29 and 30: Immune complications Acute post st
Page 31 and 32: Immune complications Schedule 4 Ben
Page 33 and 34: Immune complications Acute rheumat
Page 35 and 36: Immune complications Australian gui
Page 37 and 38: presence of RHD Place person on Re
Page 39 and 40: Ear problems • Clean the ear usin
Page 41 and 42: Ear problems Acute otitis media (A
Page 43 and 44: Ear problems Schedule 4 Roxithromyc
Page 45 and 46: Ear problems 4. Management • Give
Page 47 and 48: See Simple analgesia back cover Ear
Page 49 and 50: Ear problems 6. Referral / consulta
Page 51 and 52: Ear problems 5. Follow up Children
Page 53 and 54:
Ear problems Ear discharge in the p
Page 55 and 56:
Ear problems 4. Management • Cons
Page 57 and 58:
Ear problems Schedule 4 Flumethason
Page 59 and 60:
Ear problems Foreign body / insect
Page 61 and 62:
Gastrointestinal problems Acute gas
Page 63 and 64:
Gastrointestinal problems 4. Manage
Page 65 and 66:
Gastrointestinal problems • Bottl
Page 67 and 68:
Gastrointestinal problems Nutrition
Page 69 and 70:
5. Follow up Review 1 - 2 days aft
Page 71 and 72:
Gastrointestinal problems Intestin
Page 73 and 74:
Gastrointestinal problems Schedule
Page 75 and 76:
Gastrointestinal problems 4. Manage
Page 77 and 78:
Gastrointestinal problems Intussusc
Page 79 and 80:
Gastrointestinal problems • Perfo
Page 81 and 82:
Gastrointestinal problems Backgroun
Page 83 and 84:
Schedule 2 Folic Acid Gastrointesti
Page 85 and 86:
Urinary tract problems References 1
Page 87 and 88:
Urinary tract problems ○ where no
Page 89 and 90:
Bone and joint problems 3. Clinical
Page 91 and 92:
Abuse and neglect 2. Immediate mana
show all

Paediatrics - Queensland Health - Queensland Government

Create successful ePaper yourself

Delete template?

Save as template?