Paediatrics - Queensland Health - Queensland Government

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Ear problems 5. Follow up If foreign body or insect easily removed, review in 2 days Review as per Otitis externa if secondary infection occurs after removal 6. Referral / consultation Consult MO as per Otitis externa if secondary infection occurs after removal References 1. Office for Aboriginal and Torres Strait <strong>Health</strong>. Recommendations for Clinical Care Guidelines on the Management of Otitis Media (middle ear infection) in Aboriginal and Torres Strait Islander Populations. 2001 [cited 2011 March]. 2. Therapeutic Guidelines. Otitis media. 2010 [cited 2011 March]. 3. Australian Medicine Handbook. Procaine penicillin. 2011 [cited 2011 May]. 4. Dr A White, Paediatrician. 2011. 5. Dr E. Binotto, Infectious Diseases & Clinical Microbiology. 2011. 6. CRANA plus, Clinical Procedure Manual for remote and rural practice. 2nd ed. 2009, Alice Springs. 7. Griffin, G., Flynn C A., and Bailey R E. Antihistamines and / or decongestants for otitis media with effusion (OME) in children. Cochrane Database of Systemic Reviews 2006 [cited 2011 March]. 8. Australian Medicine Handbook. Ciprofloxacin (ear). 2011 [cited 2011 March]. 9. Isaacson G., Diagnosis of pediatric cholesteatoma. Pediatrics 2007. (3): p. 603-608. 10. Therapeutic Guidelines. Otitis externa. 2010 [cited 2011 March]. 11. Murtagh J., Practice Tips. 4th ed. 2004: The McGraw-Hill Inc. 602 Controlled copy V1.0 Primary Clinical Care Manual 2011
Gastrointestinal problems Acute gastroenteritis and dehydration Vomiting and diarrhoea Recommend Always contact MO immediately if baby is < 3 months or the child has any of the following: - - is sick or febrile with temperature over 38°C or under 35.5°C - - irritable - - high pitched or weak cry - - sleepy - - not feeding well -- increased respiratory rate: ○ 40 rpm ○ 1 - 2 years >35 rpm ○ 2 - 5 years > 30 bpm ○ 5 - 12 years >25 rpm ○ 12 years and older >20 rpm -- respiratory distress - - apnoea - - dehydration - - abdominal distension -- persistent / bilious vomiting and no diarrhoea (consider other diagnoses) Other high risk children include: -- excessive diarrhoea (> 8 watery stools in 24 hours) - - those with congenital or chronic disease e.g. cardiac, gastrointestinal or neurological - - where social conditions are concerning and / or where the parents may have difficulty managing at home Always consider other infections. Any infection can cause diarrhoea or vomiting Related topics Intraosseous cannulation DRS ABCD resuscitation / the collapsed patient Shock 1. May present with • Vomiting • Diarrhoea • Cramping abdominal pain • Irritability in the young child • Fever • Dehydration • Lethargy, floppy, unresponsive 2. Immediate management • Perform standard clinical observations + -- O saturations 2 -- level of consciousness • Consult MO immediately if any risk factors present or moderate / severe dehydration • Commence rehydration according to MO advice Primary Clinical Care Manual 2011 Controlled copy V 1.0 603
Page 1 and 2:
Section 6 Paediatrics
Page 3 and 4:
Paediatric presentation History and
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: Ear problems Foreign body / insect
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
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