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
Adult with US findings suggestive of soft tissue sarcoma
Consider 2ww referral for suspected cancer
26
Child with unexplained lump increasing in size
Consider very urgent (48hr) direct access US (soft tissue sarcoma)
27
Child with US findings suggestive of soft tissue sarcoma
Consider very urgent referral (48hr) for specialist assessment
28
Child with palpable abdominal mass
Consider very urgent referral (48hr) for specialist assessment (neuroblastoma/Wilm's tumour)
29
Child with absent red reflex
Consider urgent (2 week) ophthalmology referral (retinoblastoma)
30
Child with unexplained enlarged abdominal organ
Consider very urgent referral (48hr) for specialist assessment (neuroblastoma/Wilm's tumour)
31
Child with unexplained visible haematuria
Consider very urgent referral (48hr) for specialist assessment (Wilm's tumour)
32
For which symptoms in adults must you assess for additional findings + offer urgent investigation or 2ww referral
Unexplained weight loss Unexplained appetite loss DVT