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AKT > NICE 2ww referral criteria - 3 > Flashcards

NICE 2ww referral criteria - 3 Flashcards

1
Q

Consider 2ww for laryngeal cancer if >45y +

A

Unexplained persistent hoarseness

Unexplained neck lump

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2
Q

Consider 2ww for oral cancer if:

A

Unexplained oral ulcer >3wks

Unexplained persistent neck lump

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3
Q

Consider 2-week dental referral if:

A

Lip/oral lump
Red/red+white oral patch
(erythroplakia/erythroleukoplakia)

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4
Q

Dentist to consider 2ww for oral cancer if:

A

Lip/oral lump consistent oral cancer

Patch consistent with erythroplakia/erythroleukoplakia

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5
Q

Consider 2ww for thyroid cancer if:

A

Unexplained thyroid lump

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6
Q

Consider urgent direct-access MRI for CNS cancer in adult with:

A

Progressive subacute loss of central neurological function

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7
Q

Consider 48hr referral for CNS cancer in CYP with:

A

New abnormal cerebellar/CNS function

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8
Q

Consider very urgent (48hr) FBC to assess for leukaemia in adult with

A
  • pallor
  • persistent fatigue
  • unexplained fever
  • unexplained persistent/recurrent infection
  • generalised lymphadenopathy
  • unexplained bruising
  • unexplained bleeding
  • unexplained petechiae
  • hepatosplenomegaly
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9
Q

Child with unexplained petechiae

A

Refer for immediate specialist assessment (suspected leukaemia)

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10
Q

Child with hepatosplenomegaly

A

Refer for immediate specialist assessment (suspected leukaemia)

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11
Q

Offer very urgent (48hr) FBC to assess for leukaemia in child with

A
  • pallor
  • persistent fatigue
  • unexplained fever
  • unexplained persistent infection
  • generalised lymphadenopathy
  • unexplained bone pain
  • unexplained bruising
  • unexplained bleeding
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12
Q

> 60y with persistent bone pain

A

Offer:
FBC, calcium profile, ESR/viscosity
(myeloma)

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13
Q

> 60y with unexplained fracture

A

Offer:
FBC, calcium profile, ESR/viscosity
(myeloma)

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14
Q

> 60y with symptoms of myeloma + hypercalcaemia/le

A

Offer very urgent (48hr): protein electrophoresis
+
Bence-Jones urine test

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15
Q

Symptoms of myeloma + raised ESR/viscosity

A

Consider very urgent (48hr): protein electrophoresis
+
Bence-Jones urine test

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16
Q

Protein electrophoresis/Bence-Jones urine suggest myeloma

A

2ww referral for suspected cancer (myeloma)

17
Q

Unexplained lymphadenopathy in adult

A

Consider 2ww referral for suspected cancer (HL/NHL)

18
Q

Unexplained splenomegaly in adult

A

Consider 2ww referral for suspected cancer (NHL)

19
Q

Unexplained lymphadenopathy in child

A

Consider very urgent referral (48hr) for specialist assessment (HL/NHL)

20
Q

Unexplained splenomegaly in child

A

Consider very urgent referral (48hr) for specialist assessment (NHL)

21
Q

Xray suggests possible bone sarcoma in adult

A

Consider 2ww referral for suspected cancer

22
Q

Xray suggests possible bone sarcoma in child

A

Consider very urgent referral (48hr) for specialist assessment

23
Q

Child with unexplained bone swelling/pain

A

Consider very urgent (48hr) direct-access Xray

bone sarcoma

24
Q

Adult with unexplained lump increasing in size

A 
Consider urgent (2 week) direct access US
(soft tissue sarcoma)
25
Q

Adult with US findings suggestive of soft tissue sarcoma

A

Consider 2ww referral for suspected cancer

26
Q

Child with unexplained lump increasing in size

A

Consider very urgent (48hr) direct access US

soft tissue sarcoma

27
Q

Child with US findings suggestive of soft tissue sarcoma

A

Consider very urgent referral (48hr) for specialist assessment

28
Q

Child with palpable abdominal mass

A

Consider very urgent referral (48hr) for specialist assessment
(neuroblastoma/Wilm’s tumour)

29
Q

Child with absent red reflex

A 
Consider urgent (2 week) ophthalmology referral 
(retinoblastoma)
30
Q

Child with unexplained enlarged abdominal organ

A

Consider very urgent referral (48hr) for specialist assessment
(neuroblastoma/Wilm’s tumour)

31
Q

Child with unexplained visible haematuria

A

Consider very urgent referral (48hr) for specialist assessment
(Wilm’s tumour)

32
Q

For which symptoms in adults must you assess for additional findings + offer urgent investigation or 2ww referral

A

Unexplained weight loss

Unexplained appetite loss

DVT

AKT (28 decks)

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