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Paediatricians working in child protection are regularly faced with diagnostic difficulties when children present with signs and symptoms that could have an accidental, non-accidental or medical cause. As part of a review of the evidence behind two such signs, oronasal haemorrhage and hypernatraemia, a market-research survey was commissioned to explore parents’ awareness of the potential seriousness of blood loss from the mouth or nose and of a salt overdose.
Oronasal haemorrhage is rare in children under 2 years who present to accident and emergency units,1 …
Competing interests: None.
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