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The allowance for multiple diagnosis codes increases the amount of diagnostic information in order to identify specific causes of presentation.
Despite these limitations, ALRI, in particular bronchiolitis and croup are important causes of presentation to paediatric EDs.
Other causes of presentation in decreasing order were giving away in 31 (27.70 %), swelling and locking each in 16 (14.30 %) and snapping symptoms in 6 (5.40 %) cases.
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The most common cause of presentation of our patients was pain, in 41 (36.60 %) patients.
Blunt eye injuries mostly result in traumatic hyphaema and are not an infrequent cause of presentation to the emergency units of many eye clinics [ 2- 8].
A particular challenge to conventional practice is posed by medically unexplained physical symptoms (MUPS), estimated to constitute one in five primary care consultations [ 3], and a persistent cause of presentation in 2.5% [ 4].
Self-harm is a major cause of presentation to hospitals and is linked to an elevated risk of early death. 1 Hospital services for self-harm in the UK over the past four decades have been characterised by variability of service provision 2 and contrasting patient experiences of care.
Records in EDIS contain one International Classification of Diseases (ICD) version 10 diagnosis code [ 18] and one symptom code, whereas records from the rural and remote EDs only contain broad level diagnostic categories (e.g. 'Respiratory') which cannot be used to identify the specific cause of presentation.
The aims of one of these were to identify symptoms experienced by Tanzanian females with cervix cancer and causes of late presentation [ 4].
In a study among newly diagnosed breast cancer patients, the causes of delayed presentation were: previous medical consultations 26(29.4%), ignorance 19(28.8%), fear of mastectomy 16(24.2%), herbal treatment 13(19.7%), prayer/prayer camps 13(19.7%) and financial incapability 12(18.2%).
Fear of mastectomy 20 57.1%), herbal treatment 13 37.1%), financial incapability 11 31.4%) and prayers/prayer camps 10(28.6%) which were prominent causes of late presentation, were the main reasons for absconding [ 9].
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