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.