Minor ailments Flashcards
What are the danger eliminations for mouth ulcers?
More than 5, bigger than 1cm Diabetic Weight loss Failed meds ADRs Painless ulcer Duration >3 weeks Recurrent ulcer
What is the timescale for referral for a mouth ulcer?
1 week
What are the danger eliminations for oral thrush?
ADRs Recurrent Diabetes Painless lesions Failed meds
What is the timescale for referral for oral thrush?
1 week
What are the treatment options for mouth ulcers?
Chlorhexidine gluconate
Lidocaine
Choline salicylate
What is the treatment option for oral thrush?
Miconazole
What are the danger eliminations for dyspepsia?
Regurgitation Weight loss >5 days Pain radiating to arm Blood in stools/vomit >45yrs, first time Long duration Difficulty swallowing
What is the timescale for referral for dyspepsia?
1 week
What are the treatment options for indigestion?
H2 antagonists
Antacids
What are the treatment options for heartburn?
Antacids
Alginates
H2 antagonists
PPI
What are the danger eliminations for N+V?
> 48h
<2yrs
Blood in vomit
What is the timescale for referral for N+V?
1 day children
2 days adults
What is the treatment option for N+V?
Diaoralyte
What are the danger eliminations for motion sickness?
Glaucoma
Failed meds
What are the treatment options for motion sickness?
Cinnarizine
Promethazine
Hyoscine
What are the danger eliminations for constipation?
Change in bowel habit >2 weeks
Blood in stools
Failed meds
ADR
What is the timescale for referral for constipation?
1 week
What are the treatment options for constipation?
Stimulant laxative: sennosides
Bulking laxative: isphagula
Osmotic laxatives: lactulose
What are the danger eliminations for diarrhoea?
>1 day in <1yr >2 days in <3yrs >3 days in adults Blood in stools Recent travel abroad Pregnancy ADRs
What is the timescale for referral for diarrhoea?
1 day child
2 days adults
What are the treatment options for diarrhoea?
Diaoralyte
Loperamide
What are the danger eliminations for threadworms?
Signs of infection
Recent travel abroad
Failed meds
In which conditions are the whole family treated?
Threadworms
Scabies
Head lice
What is the timescale for referral for threadworms?
2-3 weeks
What is the treatment option for threadworms?
Mebendazole
What are the danger eliminations for IBS?
<16yrs Weight loss Blood in stools Failed meds No previous history N+V
What is the timescale for referral for IBS?
1 week
What are the treatment options for IBS?
Hyoscine
Peppermint oil
Laxatives - if constipated
Loperamide - if diarrhoea
What are the danger eliminations for haemorrhoids?
Blood in stools
Persistent changes in bowel habits
>3 weeks
ADRs
What is the timescale for referral for haemorrhoids?
1 week
What are the treatment options for heamorrhoids?
Zinc oxide
Lidocaine
What are the danger eliminations for cold and flu?
Persisting fever
Difficulty breathing/wheezing
What is the timescale for referral for cold and flu?
10-14 days
What are the treatment options for cold and flu?
Phenylephrine
Pseudoephidrine
Vaporub
What are the danger eliminations for sore throat?
Difficulty swallowing White spots on tongue Hoarseness Long duration Recurrent
What is the timescale for referral for sore throat?
1 week
What are the danger eliminations for coughs?
Blood in phlegm Long duration ADRs Whooping cough Nocturnal cough in children Difficulty breathing
What is the timescale for referral for coughs?
2 weeks
What are the danger eliminations for seasonal rhinitis?
Difficulty breathing
Tightness of chest
Failed meds
What is the timescale for referral for seasonal rhinitis?
5 days
What are the treatment options for coughs?
pholcodeine
guaifenesin
simple linctus
What are the treatment options for seasonal rhinitis?
Citirizine
Loratidine
Chlorphenamine
What are the danger eliminations for backache?
Severe pain
Failed meds
Pins and needles in leg
Middle/upper back pain
What is the timescale for referral for backache?
5 days
What are the treatment options for backache?
ibuprofen gel
deep heat
What are the danger eliminations for tension headaches/migraine?
Severe >4h <12yrs Neck stiffness Head injury/trauma Frequently recurring
What is the timescale for referral for headaches?
1 day