Danger Elimination Questions Flashcards
1
Q
Mouth ulcers
A
- Duration of longer than 3 weeks
- ADRs
- Failed Treatment
• Ulcers bigger than 1cm
• More than 5-10 ulcers present
• Painless ulcers
• Unexplained Weight Loss
2
Q
Oral thrush
A
- Failed medication
- Diabetics
• Painless lesions
• Recurrent infection
3
Q
Dyspepsia (heartburn)
A
- Persistent symptoms (>5 days)
- ADRs
- Treatment has failed
• >45 years with symptoms for the first time
• Blood in the vomit or stools
• Pain worsens on effort
• Pain is severe
• Pain radiating to arms
• Difficulty swallowing
• Regurgitation
• Children
• Unintentional Weight Loss
4
Q
Nausea and Vomiting
A
- Duration of more than 48 hours in adults
- Refer if child is under 2 years old
• Blood in the vomit or stools
5
Q
Motion sickness
A
- Glaucoma
* Failed treatment
6
Q
Constipation
A
- Change in bowel habit of 2 weeks or longer
- Failure of OTC medication
- ADRs
• Blood in the stools
• Presence of abdominal pain, vomiting
7
Q
Diarrhoea
A
- Lasting ≥1 day in children <1yr
- Lasting ≥2 days in children <3yrs and the elderly
- Lasting ≥3 days in older children and adults
- History of change in bowel habit
- Suspected drug induced reaction
• Recent travel abroad
• Presence of blood or mucus in stools
• Pregnancy
8
Q
Irritable Bowel Syndrome
A
- Unexplained weight loss
- Child under 16 presenting symptoms
- Blood in stools
- Patient with no previous history of IBS and no precipitating factors
- Failed treatment
- Nausea and/or vomiting
9
Q
Threadworms
A
- Medication failure
• Signs of bacterial Infection
• Recent travel abroad
10
Q
Haemorrhoids
A
- Duration longer than 3 weeks
- ADRs
• Presence of blood in the stools
• Persistent change in bowel habit
11
Q
Colds and flu
A
- Persistent high temperature
* Difficulty Breathing/Wheezing
12
Q
Sore throat
A
- Long duration (2-3 weeks)
- ADRs (agranulocytosis)
• Unable to swallow
• White exudate on tonsils
• Recurrent infection
13
Q
Coughs
A
- Long duration (2-3 weeks)
• Difficulty breathing/shortness of breath
• Coloured sputum (yellow/green/rusty or blood stained)
• Persistent nocturnal cough in children
• Croup/whooping cough
14
Q
Seasonal rhinitis (hayfever)
A
- Failed medication
• Wheezing/ shortness of breath
• Tightness of chest
15
Q
Perennial Rhinitis
A
- Failed medication
• Wheezing/ shortness of breath
• Tightness of chest
16
Q
Tension Headache
A
- Severe and >4 hrs duration
- ADRs
- Children <12 yrs
• Associated with head injury/trauma
• Location and type of pain (severe occipital and raised intracranial pressure)
• Nausea and vomiting
• Neck stiffness
• Frequently recurring
17
Q
Migraine
A
- Severe and >4 hrs duration
- ADRs
- Children <12 yrs
• Associated with head injury/trauma
• Location and type of pain (severe occipital and raised intracranial pressure
• Neck stiffness
• Frequently recurring
18
Q
Sprains & strains
A
- ADRs causing falls/bruising
- Medication failure
• Suspected fracture
19
Q
Backache
A
- Medication failure
• Severe back pain
• Pins and needles radiating to leg
• Middle/upper back pain
20
Q
Repetitive strain injuries
A
- Medication failure
• Suspected fracture
21
Q
Vaginal thrush
A
- OTC medication failure
- Diabetics
- Under 16ys
- Over 60 yrs
• First occurrence
• More than two attacks in the last 6 months
• Pregnancy or suspected pregnancy
• Blood stained or strong smelling discharge
22
Q
Cystitis
A
- Failed medication
- Diabetics
• All men and children
• Fever, nausea/vomiting
• Loin pain/tenderness
• Haematuria
• Pregnancy
• Recurrent cycling
23
Q
Dysmenorrhoea
A
- Abnormal discharge or bleeding
• Severe intermenstrual pain
• Medication failure
• Presence of fever
24
Q
Insomnia
A
- Suspected depression
- Insomnia lasting more than 3 weeks
- Children under 16
- Medication failure
