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81. Head trauma

appropriate words, social smile, ?xes and follows with eyes 4 cries but consolable 3 persistently irritable 2 restless and agitated 1 none ? deaf patients or those who cannot give a verbal response, such as those with a tracheostomy are recorded as found, but a caveat is included in the assessment. ? during motor assessment, if there is a difference between the two sides of the body, then the better response is recorded. Pupil response These should be round and equal in size. They should respond promptly

2006 Joint Royal Colleges Ambulance Liaison Committee

82. Safeguarding children

needs because of a psychological or medical dif?culty. For example, deaf or autistic children may demonstrate challenging behaviour, which may or may not be as a result of abuse. Children with special needs are more likely to be abused than children in the general population. Children in need Children who are de?ned as being ‘in need’ are those whose vulnerability is such that they are unlikely to reach or maintain a satisfactory level of health or development, or their health and development

2006 Joint Royal Colleges Ambulance Liaison Committee

83. Guidance for mentors of student nurses and midwives. An RCN toolkit

Royal National Institute for the Blind (RNIB) at www.rnib.org.uk Royal National Institute for the Deaf (RNID) at www.rnid.org.uk The following fact sheet may also be of use: www.lifelonglearning.co.uk/placements 22 GU IDA NCE FO R M E NTO RS 1. Why do students need to be assessed in practice? Students are required to become proficient by the time they complete the course, so assessment at certain stages is necessary to ensure that they are progressing satisfactorily. Ultimately this is about patient

2005 Royal College of Nursing

85. Care of adolescents with chronic conditions

permission to print single copies of this document from our website. For permission to reprint or reproduce multiple copies, please see our . Principal author(s) J Pinzon, J Harvey; Canadian Paediatric Society, Paediatr Child Health 2006;11(1):43-8 It is estimated that between 14.8% and 18% of all youths in North America have a chronic health condition or a special health care condition (eg, impairments, such as musculoskeletal impairments, speech defects, deafness and hearing loss, blindness and visual

2012 Canadian Paediatric Society

86. Congenital syphilis: No longer just of historical interest

keratitis Age: 2-20 years Hutchinson’s teeth When permanent dentition erupts Upper central and lateral incisors widely spaced and shaped like screwdrivers Mulberry molars Age: 13-19 months First molars have dwarfing of the cusps and hypertrophy of the enamel surrounding the cusp, giving it the appearance of a berry Eighth nerve deafness (sensory neural deafness) Age: 10-40 years *Rarer features are meningitis, chorioretinitis, nephritic syndrome and paroxysmal cold hemoglobinuria Management of infants

2009 Canadian Paediatric Society

87. Universal newborn hearing screening

; and in well-run programs, there is negligible harm from screening. Key Words: Deafness; Early intervention; Hearing screening; Newborns

2011 Canadian Paediatric Society

92. Enhancing Literacy in Cardiovascular Genetics: A Scientific Statement From the American Heart Association

Jervell and Lange-Nielsen syndrome (with associated congenital deafness), Andersen-Tawil syndrome (with periodic paralysis, dysmorphic facies, and malformations), and Timothy syndrome (with cardiac and other birth defects and autism). Brugada syndrome is a cause of familial idiopathic polymorphic ventricular tachycardia or fibrillation and SCD for which numerous genes, most leading to reduced cardiac sodium current, have been identified. It is characterized by the electrocardiographic findings of ST

2016 American Heart Association

95. Pre-conception - advice and management

by Public Health England, which advises offering MMR vaccine to all seronegative women of childbearing age who require protection against rubella [ ]. Maternal immunity to rubella protects against infection which can cause fetal death or congenital rubella syndrome. This syndrome is most likely when infection occurs in the first 8–10 weeks of pregnancy and includes [ ]: Cataracts and other eye defects. Deafness. Cardiac abnormalities. Microcephaly. Intrauterine growth retardation. Inflammatory lesions

2017 NICE Clinical Knowledge Summaries

96. Poisoning or overdose

of consciousness, such as opioids (for example a combined paracetamol/opioid preparation) or alcohol. Aspirin Hyperventilation, tinnitus, deafness, vasodilatation, and sweating. Coma if very severe poisoning. Tricyclic and related antidepressants Dry mouth, seizures, coma, cardiac conduction defects and arrhythmias, hypothermia, hypotension, hyperreflexia and respiratory failure. There may be dilated pupils and urinary retention. Selective serotonin re-uptake inhibitors (SSRIs) Nausea, vomiting, agitation

2017 NICE Clinical Knowledge Summaries

97. Meniere's disease

be considered. If symptoms are severe enough, people may require hospital admission for intravenous (IV) labyrinthine sedatives and fluids to maintain hydration and nutrition. A trial of betahistine can be considered to reduce the frequency and severity of attacks. Have I got the right topic? Have I got the right topic? From age 18 years onwards. This CKS topic covers the management of Meniere's disease. This CKS topic does not cover the management of other causes of vertigo, dizziness, nausea, deafness

2017 NICE Clinical Knowledge Summaries

98. Vertigo

to tolerate oral fluids or symptomatic drug treatment. Very sudden onset of vertigo (within seconds) that is not provoked by positional change and is persistent. neurological symptoms or signs (for example new type of headache [especially occipital], gait disturbance, truncal ataxia, vertical nystagmus). Acute deafness without other typical features of Meniere's disease . For all other people with vertigo of undetermined cause — refer to a balance specialist (ear, nose, and throat specialist (...) to the diagnosis of the cause of vertigo in primary care as outlined by expert opinion in review articles [ ; ]. Admission and urgent referral The recommendation on arranging admission for a person unable to tolerate oral fluids or symptomatic drug treatment is pragmatic, based on what CKS considers to be good clinical practice. The recommendations on sudden onset of vertigo, central symptoms or signs, and acute deafness are based on expert opinion from review articles on the diagnosis of vertigo in general

2017 NICE Clinical Knowledge Summaries

99. Diabetes - type 1

atrophy, retinitis pigmentosa, deafness, or features of another systemic illness or syndrome. Basis for recommendation Basis for recommendation These recommendations are based on the National Institute for Health and Care Excellence (NICE) guideline Diabetes (type 1 and type 2) in children and young people: diagnosis and management [ ]. The basis for the NICE recommendations has been briefly summarized in this section. For detailed information on the evidence NICE used to make these recommendations

2016 NICE Clinical Knowledge Summaries

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