Central nervous system

Question 1

Red flags for teething in children

Answer 1

Meningitis symptoms: Excessive sleepiness or irritability/ vomiting or feeding poorly/crying a lot (moaning or high-pitched crying)/ high temperature, but look pale or blotchy/ cold extremities/bulging soft spot (fontanelle) on their head/being stiff, jerky, or have seizures (fits)*/purpuric rash (one which does not blanch white on pressure)

Question 2

Referral timescale for teething in children

Answer 2

Refer if new/worsening symptoms

Question 3

Red flags for Musculoskeletal pain (strains and bruises)

Answer 3

Unusual unintended bruising
Weakness/numbness/tingling
Bladder/bowel issues since MSK injury presented
Suspected fracture
Infections signs
Nocturnal sweats/pain

Question 4

Referral timescale for Musculoskeletal pain (strains and bruises)

Answer 4

4 weeks

Question 5

Red flags for Headache and migraine

Answer 5

Different to previous headaches
Head injury
Meningitis symptoms: neck stiffness/vomiting/fever/rash/fainting/blackouts/ seizures

Question 6

Referral timescale for headache and migraine

Answer 6

> 10 days

Question 7

Red flags for sleep problems

Answer 7

Associated anxiety

Associated low mood

Question 8

Referral timescale for sleep problems

Answer 8

Refer if new/worsening symptoms/repeated request for medication