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Dysuria in Children

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41. Renal and ureteric stones: assessment and management

. If a woman is pregnant, offer ultrasound instead of CT. 1.1.2 Offer urgent (within 24 hours of presentation) ultrasound as first-line imaging for children and young people with suspected renal colic. 1.1.3 If there is still uncertainty about the diagnosis of renal colic after ultrasound for children and young people, consider low-dose non-contrast CT. T o find out why the committee made the recommendations on diagnostic imaging and how they might affect practice, see rationale and impact. 1.2 Pain (...) management 1.2.1 Offer a non-steroidal anti-inflammatory drug (NSAID) by any route as first-line treatment for adults, children and young people with suspected renal colic. 1.2.2 Offer intravenous paracetamol to adults, children and young people with suspected renal colic if NSAIDs are contraindicated or are not giving sufficient pain relief. 1.2.3 Consider opioids for adults, children and young people with suspected renal colic if both NSAIDs and intravenous paracetamol are contraindicated

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

42. Fever in under 5s: assessment and initial management

frequency or dysuria. [2013] [2013] Septic arthritis/osteom Septic arthritis/osteomy yelitis elitis 1.2.25 Consider septic arthritis/osteomyelitis in children with fever and any of the following signs: swelling of a limb or joint not using an extremity non-weight bearing. [2007] [2007] Ka Kawasaki disease wasaki disease 1.2.26 Be 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: bilateral (...) and the detection of fever 5 1.2 Clinical assessment of children with fever 6 1.3 Management by remote assessment 16 1.4 Management by the non-paediatric practitioner 17 1.5 Management by the paediatric specialist 19 1.6 Antipyretic interventions 25 1.7 Advice for home care 25 T erms used in this guideline 27 Recommendations for research 28 Key recommendations for research 28 Other recommendations for research 29 Rationale and impact 30 Kawasaki disease 30 Context 32 Finding more information and resources 34

2019 National Institute for Health and Clinical Excellence - Clinical Guidelines

43. The management of urinary incontinence in women

and the 25 NICE Guideline Development Group 4.1 Guideline Review and Contextualisation Group 25 4.2 NICE Guideline Development Group 25 4.3 NICE Guideline contextualisation quality assurance team 26 4.4 National Collaborating Centre for Women’s and Children’s Health 26 About this guideline 26 Update information 26 Recommendations from NICE CG171 that have been contextualised 27 Strength of recommendations 33 UK versions of this guideline 33 Implementation 34 Your responsibility 34 Copyright 34 An online (...) and Children’s Health to develop the NICE guideline. The Centre established a Guideline Development Group (see Section 4.2), which reviewed the evidence and developed the recommendations. The methods and processes for developing NICE clinical guidelines are described in ‘Developing NICE guidelines: the manual’. See www.nice.org.uk/article/pmg20 3.2 Related NICE information Further information on NICE Pathways for UI is available on the NICE website. See: pathways.nice.org.uk/pathways/urinary-incontinence

2019 Best Practice Advocacy Centre New Zealand

44. Urinary Tract Infection (UTI) in Children

, failure to thrive, vomiting, mild jaundice (which is usually direct bilirubin elevation), lethargy, fever, and hypothermia. may develop. Infants and children < 2=""> with UTI may also present with poorly localizing signs, such as fever, GI symptoms (eg, vomiting, diarrhea, abdominal pain), or foul-smelling urine. About 4 to 10% of febrile infants without localizing signs have UTI. In children > 2 yr, the more classic picture of cystitis or pyelonephritis can occur. Symptoms of cystitis include dysuria (...) Urinary Tract Infection (UTI) in Children Urinary Tract Infection (UTI) in Children - Pediatrics - MSD Manual Professional Edition Brought to you by The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases / / / / IN THIS TOPIC OTHER TOPICS IN THIS CHAPTER Test your

2013 Merck Manual (19th Edition)

45. Urinary Incontinence In Children

Structural abnormality (eg, ectopic ureter, posterior urethral valves) In children, full diurnal continence never achieved Nocturnal and diurnal incontinence in girls, history of normal voiding but with continually wet underwear, vaginal discharge Possible history of UTIs, history of other urinary tract abnormalities Ultrasonography of the kidneys Nuclear renal flow scan or IV urography CT of abdomen and pelvis or MRI urography Dysuria, hematuria, frequency, urgency Fever Abdominal pain Urinalysis Urine (...) . Important associated symptoms include polydipsia, dysuria, urgency, frequency, dribbling, and straining. Position during voiding and strength of urine steam should be noted. To prevent leakage, children with incontinence may use holding maneuvers, such as crossing their legs or squatting (sometimes with their hand or heel pushed against their perineum). In some children, holding maneuvers can increase their risk of UTIs. Similar to the voiding diary, a stooling diary can help identify constipation

2013 Merck Manual (19th Edition)

46. Nausea and Vomiting in Infants and Children

Nausea and Vomiting in Infants and Children Nausea and Vomiting in Infants and Children - Pediatrics - MSD Manual Professional Edition Brought to you by The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases The trusted provider of medical information since 1899 SEARCH SEARCH MEDICAL TOPICS Common Health Topics Resources QUIZZES & CASES Quizzes Cases / / / / IN THIS TOPIC OTHER TOPICS IN THIS CHAPTER Test (...) with an increased risk for autism, including in children with autism risk factors, according... 3D Model Cystic Fibrosis: Defective Chloride Transport Video Overview of Rheumatic Fever SOCIAL MEDIA Add to Any Platform Loading , MD, Sidney Kimmel Medical College of Thomas Jefferson University Click here for Patient Education NOTE: This is the Professional Version. CONSUMERS: Topic Resources Nausea is the sensation of impending emesis and is frequently accompanied by autonomic changes, such as increased heart

2013 Merck Manual (19th Edition)

47. Overview of sexually transmitted infections

adults of any age, as well as children. Most people with hepatitis B are asymptomatic, although some will present with complications such as cirrhosis, hepatocellular carcinoma, or liver failure. People from endemic areas, injection drug users, and those with high-risk sexual behaviours are at an increased risk. Serologic markers are essential in making the diagnosis and evaluating disease activity, including differentiating between people with acute and chronic infection and chronic asymptomatic (...) intercourse, is a common complaint among women. It may result from various causes, including inflammatory/infectious, mucosal, and musculoskeletal conditions. Dysuria is a common condition but can be challenging to diagnose, as it is often present in conjunction with other lower urinary tract symptoms. Although urinary tract infection is the most common cause, any infectious or inflammatory condition affecting the genitourinary system may cause dysuria. Contributors Authors BMJ Publishing Group

2018 BMJ Best Practice

48. Overview of sexually transmitted diseases

adults of any age, as well as children. Most people with hepatitis B are asymptomatic, although some will present with complications such as cirrhosis, hepatocellular carcinoma, or liver failure. People from endemic areas, injection drug users, and those with high-risk sexual behaviours are at an increased risk. Serologic markers are essential in making the diagnosis and evaluating disease activity, including differentiating between people with acute and chronic infection and chronic asymptomatic (...) intercourse, is a common complaint among women. It may result from various causes, including inflammatory/infectious, mucosal, and musculoskeletal conditions. Dysuria is a common condition but can be challenging to diagnose, as it is often present in conjunction with other lower urinary tract symptoms. Although urinary tract infection is the most common cause, any infectious or inflammatory condition affecting the genitourinary system may cause dysuria. Contributors Authors BMJ Publishing Group

2018 BMJ Best Practice

49. Diagnosis and management of gonorrhoea and syphilis

and epidemiological trends 1.1.1.1 Gonorrhoea Gonorrhoea is caused by the Gram-negative bacterium Neisseria gonorrhoeae (N. gonorrhoea) with infection of the columnar epithelium of the urethra, endocervix, rectum, pharynx and conjunctivae. 2 Symptoms and physical signs of gonorrhoea constitute of a localised in?ammation of the infected mucosal surfaces. In men, the presentation is mostly of acute urethritis with symptoms of mucopurulent urethral discharge (80%) and dysuria (50%), usually starting within 2–8 days (...) of exposure. Asymptomatic urethral infection is uncommon in men (less than 10% of urethral infections). 2 In women, genital tract symptoms include increased or altered vaginal discharge (50%), lower abdominal pain (25%), dysuria (10–15%) and rarely intermenstrual bleeding or menorrhagia. Endocervical infection is asymptomatic in half of the cases. Rectal and pharyngeal infections are usually asymptomatic. 2 Complications can occur when the infection causes severe local symptoms of cervicitis, urethritis

2019 Belgian Health Care Knowledge Centre

50. Canadian Urological Association guideline for the diagnosis, management, and surveillance of neurogenic lower urinary tract dysfunction

dysfunction when evalu- ated with UDS. 27 Many patients with MS do not need spe- cialized investigation of their bladder during the initial years after diagnosis. With progression of MS, the risk of blad- der dysfunction increases as mobility and functional status decreases, and urological assessment may become more relevant. 28,29 When children with SB transition to adulthood, they should be followed by an adult urologist as soon as it is practical to transition them. 30 Ideally, transition to an adult (...) with potentially higher risk of urological complications (such as renal dysfunction, urinary infections, and incontinence). 36-39 Other potential urodynamic charac- teristics, such as the duration of the NDO contraction, may also predict renal deterioration. 40 A DLPP of >40 cmH 2 O has traditionally been cited as the cutoff above which a patient has a high risk of renal deterioration; however, this is based on a historical study of children with SB, and may not be applicable to adult NLUTD. As DLPP increases

2019 Canadian Urological Association

51. Menopause

and shorter. As secretions lessen, the pH levels change and the vagina becomes more susceptible to infection (atrophic vaginitis). Many women will suffer from one of the following symptoms: • - vaginal dryness - dyspareunia - vaginitis • - urinary problems - frequency - urgency - dysuria. Generalised connective tissue atrophy Oestrogens help maintain the epidermis, so changes in the skin, nails and hair are common when oestrogen levels fall. Women may find their skin becomes dry, inelastic and is easily (...) information about managing menopausal symptoms can be found here.ROYAL COLLEGE OF NURSING 11 Confidence and sexuality Some women view the menopause with confidence as an end to periods, pre-menstrual syndrome and contraceptive worries, and the start of the next enjoyable phase of their lives. Others can be less positive as they struggle to deal with the impact of the loss of fertility and other physical symptoms, alongside the coincidental problems which arise in later middle age such as: • children

2018 Royal College of Nursing

52. United Kingdom National Guideline for the Management of Pelvic Inflammatory Disease (2019 Interim Update)

PID guideline V4 page 7 • urinary tract infection – often associated with dysuria and/or urinary frequency • irritable bowel syndrome – disturbance in bowel habit and persistence of symptoms over a prolonged time period are common. Acute bowel infection or diverticular disease can also cause lower abdominal pain usually in association with other gastrointestinal symptoms. • functional pain (pain of unknown aetiology) – may be associated with longstanding symptoms Management It is likely (...) - Cognitive - Mobility - Other impairment There are no data to suggest any link between this condition and disability status, although people with mental health problems are at disproportionate risk of STIs in general None identified although use of clinical tests in guideline may improve diagnostic accuracy in non verbalising patients Dept of Health Low PID guideline V4 page 20 Age - Older people - Children and young people - Young adults Young woman are disproportionately at greater risk

2019 British Association for Sexual Health and HIV

53. British Association for Sexual Health and HIV national guideline for the management of infection with Neisseria gonorrhoeae

of gonorrhoea in people aged 16 years and older. For individuals under the age of 16 years please see the BASHH guideline on STI and Related Conditions in Children and Young People. The guidelines are primarily aimed at level 3 sexual health services within the United Kingdom (UK) although the principles of the recommendations could be adopted at all levels. EDITORIAL INDEPENDENCE This guideline was commissioned and edited by the Clinical Effectiveness Group (CEG) of the British Association for Sexual (...) , on the site of infection. Co-existing infections and conditions such as Chlamydia trachomatis, Trichomonas vaginalis, Mycoplasma genitalium, Candida albicans and bacterial vaginosis, are not uncommon and these should be considered as a possible cause for an individual’s symptoms. 2.1 Penile urethral infection Symptoms occur in over 90% of individuals, with discharge and/or dysuria appearing two to five days following exposure. A mucopurulent urethral discharge is often present on examination. Rarely

2019 British Association for Sexual Health and HIV

54. Urinary tract infection

pathology or risk factors for a neurogenic bladder. UTI should be ruled out in preverbal children with unexplained fever and in older children with symptoms suggestive of UTI (dysuria, urinary frequency, hematuria, abdominal pain, back pain or new daytime incontinence). A midstream urine 2014 6. Recurrent urinary tract infection (UTI) in women 2017 7. Urinary tract infection (UTI) in pregnancy 2017 8. Urinary tract infection - children Urinary tract infection - children - NICE CKS Clinical Knowledge (...) indwelling catheter). Previous urinary tract surgery. Immunocompromised state. Complications may include: Ascending infection , leading to pyelonephritis, perinephric and intrarenal abscess, hydronephrosis, renal failure, or urosepsis. Prostate involvement, leading 2014 5. Urinary tract infection in infants and children: Diagnosis and management Urinary tract infection in infants and children: Diagnosis and management | Position statements and practice points | Urinary tract infection in infants

2018 Trip Latest and Greatest

55. Public health guidance on active case finding of communicable diseases in prison settings

problems Practice-based guideline A guideline that reflects expert opinion or information derived from good clinical practice; some literature references (not systematic) may be included Prison All institutions where a state holds adults deprived of their liberty (e.g. prison or jail), either sentenced or on pre-trail detention (remand), excluding migrant centres, and police detention rooms, and other facilities such as juvenile prisons or secure training centres for children and young people. Provider (...) by the Chlamydia trachomatis bacterium and is often asymptomatic. It can result in complications in women, most frequently pelvic inflammatory disease (PID) and salpingitis, conditions that can lead to infertility and extra-uterine pregnancies. [10,35]. Gonorrhoea is caused by infection with the Gram-negative bacterium Neisseria gonorrhoeae. Symptoms reflect localised inflammation of infected mucosal surfaces in the genital tract, resulting in urethral discharge and dysuria in men and altered vaginal discharge

2018 European Centre for Disease Prevention and Control - Public Health Guidance

56. Sepsis

potentially eligible studies. The studies included a large polyclonal IVIG trial 2013 4. Management of term infants at increased risk for early onset bacterial sepsis Management of term infants at increased risk for early onset bacterial sepsis | Position statements and practice points | Management of term infants at increased risk for early onset bacterial sepsis | Canadian Paediatric Society Protecting and promoting the health and well-being of children and youth CPS Member Login | Who We Are What We Do (...) Therapy in Severe Sepsis and Septic Shock Emergency Medicine > Journal Club > Archive > July 2015 Toggle navigation July 2015 The Role of Early Goal-Directed Therapy in Severe Sepsis and Septic Shock Vignette You are working a shift in TCC one busy afternoon when a patient is brought in by EMS for flank pain and a fever. You enter the room the find a 60­‐year female with a history of hypertension who is in no distress. She complains of dysuria, right flank pain (...) as a point of care and comes back

2018 Trip Latest and Greatest

57. 34m with fever, headache and myalgias

with a UTI and prescribed doxycycline. But he discontinues this after four days as his symptoms remained unchanged. Of note, the patient denied any dysuria, urgency, abdominal pain, or flank pain at the time of this diagnosis. Two days later, he has an episode of epistaxis while blowing his nose and presents to the same outside ER for evaluation. At that point, he is found to have multiple lab abnormalities, prompting his transfer to for further care. The patient is a sanitation worker in NYC. He stays (...) in an apartment in Brooklyn during the week and travels to Long Island on the weekends to be with his wife and children. He denies any travel outside of NY. He smokes one pack per day and drinks a 6-pack of beer on weekends. Shira Based on the history so far, take a few minutes to organize your thoughts and we’ll meet back up after the break! ♫ Musical Interlude ♫ Shira Welcome back! I sat down with my friend and mentor Dr. Stephanie Sherman, an academic hospitalist at Baylor College of Medicine in Houston

2019 Clinical Correlations

58. Paediatric Urology

of undescended testes: European Association of Urology/European Society for Paediatric Urology Guidelines. J Pediatr Urol, 2016. 2. Stein, R., et al. Urinary tract infections in children: EAU/ESPU guidelines. Eur Urol, 2015. 67: 546. 3. Tekgul, S., et al. EAU guidelines on vesicoureteral reflux in children. Eur Urol, 2012. 62: 534. 4. Riedmiller, H., et al. EAU Guidelines on Paediatric Urology. Eur Urol, 2001. Nov; 40 (5): 589. 5. Guyatt, G.H., et al. GRADE: an emerging consensus on rating quality (...) . Incidence of balanitis xerotica obliterans in boys younger than 10 years presenting with phimosis. Urol Int, 2013. 90: 439. 11. Celis, S., et al. Balanitis xerotica obliterans in children and adolescents: a literature review and clinical series. J Pediatr Urol, 2014. 10: 34. 12. Oster, J. Further fate of the foreskin. Incidence of preputial adhesions, phimosis, and smegma among Danish schoolboys. Arch Dis Child, 1968. 43: 200. 13. Palmer, L.S., et al., Management of abnormalities of the external

2019 European Association of Urology

59. Neuro-urology

, 2008. Dev Med Child Neurol, 2014. 56: 59. 27. Samijn, B., et al. Lower urinary tract symptoms and urodynamic findings in children and adults with cerebral palsy: A systematic review. Neurourol Urodyn, 2017. 36: 541. 28. Tagliaferri, F., et al. A systematic review of brain injury epidemiology in Europe. Acta Neurochir (Wien), 2006. 148: 255. 29. Kulakli, F., et al. Relationship between urinary dysfunction and clinical factors in patients with traumatic brain injury. Brain Inj, 2014. 28: 323. 30 (...) in children with neurogenic bladder-sphincter dysfunction? BJU Int, 2006. 98: 1295. 112. Musco, S., et al. Value of urodynamic findings in predicting upper urinary tract damage in neuro-urological patients: A systematic review. Neurourol Urodyn, 2018. 113. Linsenmeyer, T.A., et al. The impact of urodynamic parameters on the upper tracts of spinal cord injured men who void reflexly. J Spinal Cord Med, 1998. 21: 15. 114. McGuire, E.J., et al. Prognostic value of urodynamic testing in myelodysplastic

2019 European Association of Urology

60. The Irish Maternity Early Warning System (IMEWS) National Clinical Guideline

in their respective fields of midwifery, obstetrics and anaesthesia: 1. Ms Rachel Scanlan RM MSc, Practice and Standards Professional Advisor, The Royal College of Midwives UK 2. Dr Clare Willocks, Consultant Obstetrician and Gynaecologist, and National Obstetric Lead, Maternity & Children Quality Improvement Collaborative, Healthcare Improvement Scotland 3. Dr Audrey Quinn, Consultant Neuro- and Obstetric Anaesthetist, James Cook University Hospital, Middlesbrough, Honorary Associate Clinical Professor Leeds

2019 HIQA Guidelines

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