Symptoms	Runny/blocked nose Sore throat Earache or holding ear Cough Grunting or difficulty breathing Hot/feverish Rash Irritable/grouchy Clinginess/needing extra care Low energy/tired/lost interest in playing Poor sleep Muscle aches or pains Poor feeding/poor appetite Diarrhoea Constipation Vomiting Nausea Abdominal pain/tummy ache Colic/grimacing/pulling up legs Bed wetting/day wetting when previously dry Smelly urine Dark or cloudy urine Pain or crying on passing urine Increased urinary frequency or number of wet nappies Poor weight gain/weight loss Highest recorded temperature by parents How ill (0–4) do parents feel their child is
Signs	Pulse rate Respiratory rate Temperature measured in surgery Ear examination Throat examination Chest examination Abdomen examination General examination: dehydration General examination: rash Fontanelles Overall impression of how ill child is (0–4) Presence of alternative source of infection (from stated working diagnosis)
Other potential risk factors	Age Sex Month of presentation Townsend score Past history of urinary tract infection Past history of kidney /bladder disease Past history of asthma Past history of diabetes Past history of eczema Has child been circumcised Abnormalities of child’s urinary tract on antenatal ultrasound scan Family history of urinary tract infection Family history of kidney or bladder disease