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MRCP/MSRA > MSRA - 2ww referral criteria > Flashcards

MSRA - 2ww referral criteria Flashcards

1
Q

Laryngeal cancer

A

Aged 45 and over with:

  • Persistent unexplained hoarseness, or,
  • Unexplained neck lump
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2
Q

Oral - cancer pathway referral

A
  • Unexplained oral ulceration >3weeks

- Persistent unexplained neck lump

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3
Q

Oral - 2ww dentist assessment

A
  • Lump on lip or in mouth
  • ?erythroplakia (red or red+white patch)
  • Erythroleukoplakia
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4
Q

Thyroid cancer

A

Unexplained thyroid lump

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5
Q

Oesophageal - direct upper GI endoscopy within 2 weeks

A

Dysphagia

Aged >=55 with weight los AND

  • Upper abdo pain
  • Reflux
  • Dyspepsia
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6
Q

Oesophageal- non-urgent direct upper GI endoscopy

A

Haematemesis

Aged >=55 with:

  • Treatment-resistant dyspepsia
  • Upper abdo pain + low Hb
  • Raised PLTs with nausea/vomiting/weight loss/reflux/dyspepsia/upper abdo pain
  • Nausea or vomiting with weight loss/reflux/dyspepsia/upper abdo pain
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7
Q

Pancreatic - 2ww suspected cancer referral

A

Aged >=40 + jaundice

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8
Q

Pancreatic - urgent CT scan

A

Aged >=60 with weight loss and:

  • diarrhoea
  • back pain
  • abdo pain
  • nausea
  • vomiting
  • constipation
  • new diabetes
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9
Q

Stomach - 2ww suspected cancer referral

A

Upper abdo mass consistent with stomach cancer

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10
Q

Stomach - urgent direct upper GI endoscopy

A

Dysphagia

Aged >=55 with weight loss and:

  • upper abdo pain
  • reflux
  • dyspepsia
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11
Q

Stomach - non-urgent direct upper GI endoscopy

A

Haematemesis

Aged >=55 with:

  • Treatment-resistant dyspepsia
  • Upper abdo pain + low Hb
  • Raised PLTs with nausea/vomiting/weight loss/reflux/dyspepsia/upper abdo pain
  • Nausea or vomiting with weight loss/reflux/dyspepsia/upper abdo pain
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12
Q

Gall bladder - urgent direct USS

A

Upper abdo mass consistent with enlarged gallbladder

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13
Q

Liver - urgent direct USS

A

Upper abdo mass consistent with enlarged liver

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14
Q

Colorectal - 2ww suspected cancer referral: Aged >=40

A

Unexplained weight loss + abdo pain

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15
Q

Colorectal - 2ww suspected cancer referral: Aged >=50

A

Unexplained rectal bleeding

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16
Q

Colorectal - 2ww suspected cancer referral: Aged >=60

A

Iron deficiency anaemia

OR

Changed in bowel habit

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17
Q

Colorectal - 2ww suspected cancer referral: adults any age

A

FOBT +ve

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18
Q

Colorectal - consider 2ww: any age

A

Rectal/abdominal mass

19
Q

Colorectal - consider 2ww: <50

A

Rectal bleeding and:

  • abdo pain
  • change in bowel habit
  • weight loss
  • IDA
20
Q

Anal - consider 2ww suspected cancer referral

A

Unexplained anal mass

Unexplained anal ulceration

21
Q

Breast - 2ww suspected cancer referral: aged >=30

A

Unexplained breast lump +/- pain

22
Q

Breast - 2ww suspected cancer referral: aged >=50

A

Unilateral:

  • discharge
  • retraction
  • other concerning changes
23
Q

Breast - consider 2ww

A

Skin changes that suggest breast cancer

Aged >=30 with unexplained lump in axilla

24
Q

Breast - non-urgent referral

A

Aged =<30 with unexplained breast lump +/- pain

25
Q

Ovarian - urgent referral

A

Ascites

Pelvic or abdo mass

USS suggestive ovarian cancer

26
Q

Ovarian - investigate in primary care

A

> =50 with persistant

  • bloating
  • early satierty/loss of appetite
  • pelvic/abdo pain
  • urinary urgency/frequency
27
Q

Ovarian - consider investigating in primary care

A

Unexplained weight loss/fatigue/changes in bowel habit

28
Q

Ovarian - arrange uss abdo pelvis

A

CA125 >=35 IU/ml

29
Q

Endometrial - 2ww suspected cancer referral

A

Aged >=55 with PMB

30
Q

Endometrial - consider 2ww ereferral

A

Aged <55 with PMB

31
Q

Endometrial - consider direct access USS

A

Aged >=55 with:

Unexplained vaginal discharge and:

  • first presentation
  • thromboocytosis
  • haematuria

Visible haematuria and

  • low Hb
  • thrombocystosis
  • high blood glucose
32
Q

Cervical - consider 2ww referral

A

On examination, appearance of cervix consistent with cervical cancer

33
Q

Vulval - consider 2ww referral

A

Unexplained vulval lump, ulceration or bleeding

34
Q

Vaginal - consider 2ww referral

A

Unexplained palpable mass in entrance to vagina

35
Q

Prostate - 2ww suspected cancer referral

A

Feels malignant on DRE

PSA over age-specific range

36
Q

Prostate - consider PSA + DRE

A
  • LUTS
  • erectile dysfunction
  • visible haematuria
37
Q

Bladder - 2ww suspected cancer referral: aged >=45

A

Unexplained visible haematuria:

  • Without UTI
  • After successful treatment of UTI
38
Q

Bladder - 2ww suspected cancer referral: aged >=60

A

Unexplained non-visible haematuria AND

  • dysuria
  • raised serum WCC
39
Q

Bladder - non-urgent referral

A

Aged >=60 with recurrent/persistent UTI

40
Q

Renal - 2ww suspected cancer referral

A

Aged >=45 + unexplained visible haematuria

  • without UTI
  • after successful treatment of UTI
41
Q

Testicular - consider 2ww referral

A

Non-painful enlargement/change in shape or texture of testis

42
Q

Testicular - consider urgent direct USS

A

Unexplained or persistent testicular symptoms

43
Q

Penile - consider 2ww

A

Penile mass/ulcer:

  • STI excluded
  • STI treated

MRCP/MSRA (15 decks)

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