THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY RED FLAGS - In all cases there are specific markers which raise the suspicion of severe disease and these should be specifically looked for in the history and examination. Non-accidental Injury - Follow local guidelines General - Systemic upset, non weight bearing, limping for more than 4 weeks Malignancy - Night pain, night sweats, pallor, bruising, lymphadenopathy, hepatomegaly, splenomegaly, abnormal neurology, back pain Haematology - Sickle cell disease Rheumatology - Leg length discrepancy, multiple joint involvement Sepsis - Immuno-compromise #Limping #NWB #Algorithm #Pathway #Child #Peds #Pediatrics #Diagnosis
