This website used cookies to give you the best experience. By continuing to use this website you are consenting to cookies being used. You can delete and block cookies from within your browsers settings. For more information please refer to our privacy and cookie policy page.

Continue

Red Flag Conditions

These conditions are potentially life-threatening and include:

Infection

Malignancy

Non-accidental injury

NICE Guidance is available to aid clinical assessment and management of red flag conditions which can present with musculoskeletal features. These include; 

Features that suggest severe life threatening conditions:

Sepsis

  • Complete non-weight bearing
  • Pseudo-paralysis of limb
  • Any attempt to passively move the limb is resisted and causes extreme distress
  • Pain severe and non-remitting
  • Limb held in a position which accommodates increased joint volume due to effusion, e.g.hip held in external rotation
  • Night pain and waking
  • Fever
  • Immunocompromised child - due to primary disease or medications
  • Back pain in the unwell child


Malignancy

  • Night pain
  • Pain severe and non-remitting
  • Bone pain
  • Pallor
  • Bruising
  • Lymphadenopathy
  • Hepatosplenomegaly
  • Anaemia, thrombocytopenia
  • Systemic symptoms (lethargy, weight loss, night sweats, fever)
  • Complete non-weight bearing
  • Back pain in the unwell child
  • Weight loss

Non-accidental injury

  • Delay in seeking medical attention
  • History inconsistent with pattern of injury
  • Explanation of injury incongruent with developmental stage of child
  • Repeated presentations
  • Un-witnessed injury
  • Patterns of injury suggestive of non-accidental injury (e.g. bruising over soft tissue areas, multiple bruises, bruises that carry the imprint of an instrument or implement)
  • Distinctive burns e.g. round cigarette burn, forced immersion burn
  • Complete non-weight bearing with occult fracture
  • Type of fracture e.g. metaphyseal
  • Multiple injuries
  • Unkempt appearance and poor hygiene

Why register?

Some parts of pmm India which involve pictures or videos of children, can only be viewed by registered users. Registering also allows you to bookmark favourite pages and track your viewing.

find out more

pmm for you

Please help us ensure pmm is as useful to you as possible by completing this short survey

complete survey