OSCE - Danger Elim. Flashcards
1
Q
Mouth Ulcers danger elimination
A
Lasting longer than 3 weeks More than 5-10 at one time More than 1cm in size Failed treatment No pain Unexplained weight loss Under tongue Rash Diarrhoea
2
Q
Oral Thrush danger elimination
A
Failed medication Recurrence Painless lesions Pain/difficulty swallowing Diabetic
3
Q
Heartburn danger elimination
A
Recurrence Difficulty swallowing Regurgitation Pain radiating to arms Failed medication Long duration Increasing severity Caused by medication
4
Q
Nausea and Vomiting danger elimination
A
Lasting more than 48 hours
Children less than 2 years
Blood in vomit/stools
Chronic
5
Q
Motion Sickness danger elimination
A
Continues after journey Persistent vomiting Chest pain Headache Difficulty hearing
6
Q
Constipation danger elimination
A
Change in bowel habits for 2 weeks or longer
Weight loss
Blood in stools
Abdominal pain
OTC medication used for more than 1 week with no effect
Caused by prescribed medication
Vomiting
7
Q
Diarrhoea danger elimination
A
>24 hours in children <1yr >48 hours in children <3yrs or elderly >72 hours in older children and adults After antibiotics And vomiting Fever, high temp. Food poisoning outbreak Recent travel abroad Pregnancy Reaction to medication Blood or mucus in stools Accompanied by fever/ringing in ear
8
Q
IBS danger elimination
A
Children or pregnant women Unexplained weight loss Failed treatment Blood in stools Signs of bowel obstruction First time in elderly Patients over 55 with changed bowel habits
9
Q
Threadworms danger elimination
A
Suspected other infection Recent travel abroad Medication failure Children under 2 years Pregnancy and breastfeeding
10
Q
Haemorrhoids danger elimination
A
Lasts longer than 3 weeks Change in bowel habits Severe pain with bleeding Bleeding from back passage Abdominal pain/vomiting Weight loss, malaise Fever
11
Q
Cold and Flu danger elimination
A
Earache doesn't settle with medication Very young children Elderly Heart or lung disease, compromised immune system Persisting fever and productive cough Delirium Pleuritic-type chest pain Asthma
12
Q
Coughs danger elimination
A
Longer than 2-3 weeks Yellow, green, blood-stained sputum Croup, whooping cough Difficulty breathing/shortness of breath Persistent nocturnal cough in children Significant fever, malaise Elderly (distressing cough) Comorbidities Chest pain ADR Failed medication
13
Q
Sore Throat danger elimination
A
Longer than 1 week Recurrent infection Hoarseness for 3 weeks or more Difficulty swallowing Coloured sputum Failed medication Temperature
14
Q
Allergic Rhinitis danger elimination
A
Unclear diagnosis Wheezing and shortness of breath Tight chest Painful ear or sinuses Purulent conjunctivitis Severe symptoms not fully resolved by OTC treatment Failed medication
15
Q
Headache danger elimination
A
Severe, lasting more than 4 hours In children <12 years Previous head injury/trauma N&V Frequently recurring Location and type of pain - Across back of head Neck stiffness High temperature ADR Worse in morning then improves Drowsiness, unsteadiness, visual disturbances
16
Q
Migraines danger elimination
A
Frequent episodes >5 times a month Pain uncontrolled by OTC analgesics Sudden blinding pain Stroke symptoms Headache with stiff neck and rash Contraceptives
