Symptoms may be mild or severe and may vary in intensity even in the same individual over time. IC may also be referred to as painful bladder syndrome (PBS), bladder pain syndrome (BPS), and chronic pelvic pain. can have a long lasting adverse effect on your quality of life. They also experience urinary frequency (needing to go often) and urgency (feeling a strong need to go). Most IC patients have recurring pelvic pain, pressure, or discomfort in the bladder and pelvic region. et al, The child with a non-blanching rash: how likely is meningococcal disease?, Archives of Disease in Childhood, 2001 85(3):218-222.Interstitial cystitis also referred to as, IC, is a painful bladder condition caused by inflamed tissues of the bladder wall. et al, Validating clinical practice guidelines for the management of children with non-blanching rashes in the UK (PiC): a prospective, multicentre cohort study, The Lancet, 2020 et al, Fifteen-minute consultation: the child with a non-blanching rash, Archives of Disease in Childhood - Education and Practice, 2018 103:236-240. et al, Validation of two algorithms for managing children with a non-blanching rash, Archives of Disease in Childhood, 2016 101:709-713. Queensland Government Fact Sheet: Meningococcal disease, (viewed October 2020).Glass test image sourced from Kidspot: The simple home test that could save your child’s life, (accessed December 2020).Always advise parents to return for review if their child becomes more unwell or there is concern.Serious cause of petechiae/purpura considered unlikely based on clinical assessment and/or investigations.Uncertainty about diagnosis or to arrange follow-upĬhild requiring care beyond the comfort level of the hospitalįor emergency advice and paediatric or neonatal ICU transfers, see.Assessing any unwell child, including any with suspected meningococcal disease.Where possible, ceftriaxone should be avoided in neonates severe (including meningitis and brain abscess) 100 mg/kg (2 g) IV daily or 50 mg/kg (1 g) IV 12H.Image: purpura on the torso and back/face of a child AssessmentĪll children with fever and petechiae/purpura should be reviewed promptly by a senior clinician History Image: petechiae on the torso and legs of a child Purpura are larger non-blanching spots (>2 mm). Petechiae are pinpoint non-blanching spots.The 'glass test' can be used to assist with assessing whether a rash is blanching - a drinking glass can be applied firmly against a rash - if the rash does not disappear it is non-blanching. Both petechiae and purpura do not blanch when pressure is applied - this is in contrast to other common rashes in children such as viral exanthems and urticaria.There are many other infective and non-infectiveĬauses of petechiae and purpura (see table below).The incidence of pneumococcal and meningococcal bacteraemia has decreased since the introduction of routine vaccination.Serious bacterial infections including meningococcal disease can present with a non-blanching rash, with or without fever.Seriously unwell children with petechiae/purpura require urgent management.The majority of children with petechiae do not have a serious bacterial infection or meningococcal disease, and often will not have a specific cause identified.Sepsis – assessment and management Acute meningococcal disease Child abuse Key points
0 Comments
Leave a Reply. |