Abnormal blood count
- If reported as requiring urgent further investigation.
- Always an indication for urgent investigation.
Fatigue in a previously healthy child and associated:
- Generalised lymphadenopathy.
Bone Pain especially if:
- Diffuse or involves the back.
- Persistently localised at any site.
- Requiring analgesia.
- Limiting activity.
Lymphadenopathy if any of the following:
- Non tender, firm/hard and >3 cms in maximum diameter.
- Progressively enlarging.
- Associated with other signs of general ill health, fever, weight loss.
- Involves axillary nodes (no local infection or dermatitis) or supraclavicular nodes.
- Mediastinal or hilar mass on CXR.
Headache if any following:
- Increasing in severity or frequency.
- Worse in the morning or causing early wakening.
- Associated with vomiting.
- Associated with neurological signs (e.g. squint, ataxia).
- Associated with behavioural change or deterioration in school performance.
Soft Tissue Mass if any of the following:
- Shows rapid or progressive growth.
- Size >3 cms in maximum diameter.
- Fixed or deep to fascia.
- Associated with regional lymph node enlargement.
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