Paediatric Surgery

Guidelines for specialist referrals:

• GENERAL INFORMATION FOR PRIMARY REFERRALS
• SPECIFIC REFERRAL LETTER GUIDELINES

Head and Neck

• Enlarged Lymph Node/s
   
• Abcesses
   
• Other Lumps / Sinuses / Skin Tags
   
• Tongue Tie
   
• Intraoral Conditions not related to teeth
   
• Sternomastoid Tumour (congenital muscular torticollis)
   

Chest 

• Chest Wall Deformities
   
• Inhaled Foreign Body
   

Abdomen

• Umbilical Hernia
   
• Epigastric Hernia
   
• Abdominal Pain - Acute
   
• Abdominal Pain - Chronic
   
• Suspected Gastro-Oesophageal Reflux
   
• Swallowed Foreign Bodies
   
• Ingested Caustic and Acid Substances
   
• Abdominal Mass
   
• Delayed Passage of Meconium
   
• Constipation < 2 months of age
   
• Constipation > 2 months of age

Anal

• Bleeding
   
• Perianal Abscess
   
• Fistula-in-ano
   
• Rectal Prolapse 

Inguinal & Scrotal  

• Inguinal and/or Scrotal Swellings
   
• Undescended Testis
   
• Retractile Testis
   
• Acute Scrotal Pathology
   

Genitalia

• Phimosis
   
• Paraphimosis
   
• Social/Religious Circumcision
   
• Hypospadias
   
• Urethral Meatal Stenosis
   
• Balanitis
   
• Fused Labia
   
• Vaginal Discharge
   
• Ambiguous Genitalia
   

Urinary Tract  

• Antenatally Diagnosed Hydronephrosis
   
• Urinary Tract Infection
   
• Neuropathic Bladder
   

Skin and Subcutaneous  

• Skin Lesions / Cysts / Sinuses
   
• Subcutaneous Mass
   
• Molluscum Contagiosum
   
• Perianal Warts
   
• Lymphadenitis
   
• Abscess
   
• Pigmented Skin Lesions
   
• Male Gynaecomastia
   
• Sacral Sinus
   
• Spina Bifida Occulta
   
• Cellulitis
   

Limbs 

• Polydactyly / Syndactyly
   
• Ingrown Toenail