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Referral Pathways

The presence of red flags (to suggest serious or life threatening disease) warrants urgent referral.

The referral is likely to general paediatrics.

  • Bone or joint pain or back pain 
  • Fever, systemic upset, night pain, weight loss, pallor, bruising
  • Non-weight bearing / acute limp 
  • Painful scoliosis 
  • Concerns about non-accidental injury

The child who is immunosuppressed (whether as a result of their disease or their treatment) may not present with typical red flag features even with infection. Any concern warrants seeking specialist advice. 

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