NICE summaries: Difference between revisions
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[[Cancer]] is a huge topic, affecting every organ system, so I've dropped the guidance into each sub section... | [[Cancer]] is a huge topic, affecting every organ system, so I've dropped the guidance into each sub section... | ||
==Cardiovascular== | |||
==Dermatology== | |||
==Endocrine== | |||
===Diabetes=== | |||
==Eyes and ENT== | |||
==Geriatrics== | |||
==GI== | ==GI== | ||
===Upper GI cancer=== | ===Upper GI cancer=== | ||
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*Positive [[FOB]] test. | *Positive [[FOB]] test. | ||
==Immunisations== | |||
==Lifestyle== | |||
===Obesity=== | |||
===Smoking=== | |||
==Mental Health== | |||
==Musculoskeletal== | |||
==Neurology== | |||
==Paeds== | |||
==Renal== | |||
==Respiratory== | |||
===Lung cancers=== | |||
In [[image:2ww.png|link=Two Week Wait|left]]anyone with a suggestive [[CXR]], or '''anyone over 40 with unexplained [[haemoptysis]]''' you need to refer them through [[2WW]]. | In [[image:2ww.png|link=Two Week Wait|left]]anyone with a suggestive [[CXR]], or '''anyone over 40 with unexplained [[haemoptysis]]''' you need to refer them through [[2WW]]. | ||
Otherwise, consider: | Otherwise, consider: | ||
====Urgent CXR if over 40 and 2 of these:==== | |||
* Significant [[smoking]]/[[asbestos]] history | * Significant [[smoking]]/[[asbestos]] history | ||
* [[Cough]] | * [[Cough]] | ||
| Line 61: | Line 61: | ||
* [[Chest pain]] | * [[Chest pain]] | ||
* [[Weight loss]] or [[loss of appetite]] | * [[Weight loss]] or [[loss of appetite]] | ||
====Consider urgent CXR if over 40 and==== | |||
''Anything weird'', such as [[chest infection|recurrent chest infections]], [[clubbing]], neck or supraclavicular lymphadenopathy or weird chest findings on examination. | ''Anything weird'', such as [[chest infection|recurrent chest infections]], [[clubbing]], neck or supraclavicular lymphadenopathy or weird chest findings on examination. | ||
==Sexual Health== | |||
===Male Stuff=== | |||
===Girl Stuff=== | |||
===Pregnancy=== | |||
[[image:2ww.png|link=Two Week Wait|left]] | [[image:2ww.png|link=Two Week Wait|left]] | ||
Revision as of 17:00, 27 January 2016
The purpose of this page is to allow you to quickly brush up on the relevant NICE guidance in common areas, split up by common topics body system/pathologies. Try to memorise them all in one sitting (really - don't do this)...
Cancer is a huge topic, affecting every organ system, so I've dropped the guidance into each sub section...
Cardiovascular
Dermatology
Endocrine
Diabetes
Eyes and ENT
Geriatrics
GI
Upper GI cancer
You will want to refer via 2WW anyone with an upper abdominal mass that suggests stomach cancer, or anyone over 40 with jaundice.
Send for urgent OGD
- Dysphagia
- 55+ with weight loss and pain/reflux symptoms.
Send for non-urgent OGD
- Haematemesis
- 55+ with:
- Non resolving dyspepsia.
- Upper abdo pain and anaemia
- Raised platelets with any upper GI symptoms
- Nausea and vomiting with weight loss/reflux/pain
Send for urgent CT
Anyone who is 60+ with weight loss and any of these:
- Diarrhoea or constipation
- Back pain
- Abdominal pain
- Nausea/Vomiting
- New diabetes
Some of these are a bit odd, because you would probably already be sending on a Lower GI cancer referral...
Consider urgent USS
Anyone who has a mass that feels like an enlarged liver or gallbladder mass deserves a cheeky USS.
Lower GI cancer
It's 2WW time for any of the following:
- 40+ with weight loss and abdo pain
- 50+ with unexplained rectal bleeding
- 60+ with iron deficiency anaemia or changes in bowel habit.
- Positive FOB test.
Immunisations
Lifestyle
Obesity
Smoking
Mental Health
Musculoskeletal
Neurology
Paeds
Renal
Respiratory
Lung cancers
In
anyone with a suggestive CXR, or anyone over 40 with unexplained haemoptysis you need to refer them through 2WW.
Otherwise, consider:
Urgent CXR if over 40 and 2 of these:
- Significant smoking/asbestos history
- Cough
- Fatigue
- SOB
- Chest pain
- Weight loss or loss of appetite
Consider urgent CXR if over 40 and
Anything weird, such as recurrent chest infections, clubbing, neck or supraclavicular lymphadenopathy or weird chest findings on examination.
Sexual Health
Male Stuff
Girl Stuff
Pregnancy