NICE summaries

The fact that the National Institute of Clinical Excellence has its own official biscuits does not bode well for the quality of its recommendations on obesity...

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...

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.

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.

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

Pregnancy