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Do recommeng seeking to identify symptoms and signs of serious illness and specific diseases when performing a remote assessment of a child with fever.
NICE
National Institute for Health and Clinical Excellence (NICE)
Children whose symptoms or combination of symptoms suggest an immediately life-threatening illness should be referred immediately for emergency medical care by the most appropriate means of transport (usually 999 ambulance). Children with any 'red' features but who are not considered to have an immediately life-threatening illness should be urgently assessed by a healthcare professional in a face-to-face setting within 2 hours. Children with 'amber' but no 'red' features should be assessed by ...
ver más ... 2019Do recommend enquiring about recent travel abroad and considering the possibility of imported infections according to the region visited, when assessing a child with feverish illness.
NICE
National Institute for Health and Clinical Excellence (NICE)
ver más ... 2019
Do not routinely offer endoscopy to diagnose Barrett's oesophagus, but consider it if the person has GORD.
NICE
National Institute for Health and Clinical Excellence (NICE)
Discuss the person's preferences and their individual risk factors (for example, long duration of symptoms, increased frequency of symptoms, previous oesophagitis, previous hiatus hernia, oesophageal stricture or oesophageal ulcers, or male gender)
ver más ... 2019Do not use positional management to treat GOR in sleeping infants.
NICE
National Institute for Health and Clinical Excellence (NICE)
In line with NHS advice, infants should be placed on their back when sleeping.
ver más ... 2019Do recommend being aware of the possibility of Kawasaki disease in children with fever that has lasted 5 days or longer. Additional features of Kawasaki disease may include:
NICE
National Institute for Health and Clinical Excellence (NICE)
- bilateral conjunctival injection without exudate - erythema and cracking of lips; strawberry tongue; or erythema of oral and pharyngeal mucosa - oedema and erythema in the hands and feet - polymorphous rash - cervical lymphadenopathy Ask parents or carers about the presence of these features since the onset of fever, because they may have resolved by the time of assessment. Be aware that children under 1 year may present with fewer clinical features of Kawasaki disease in addition to fever, ...
ver más ... 2019