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PM4B - Antonio > OSCE – RTS Referral Criteria > Flashcards

OSCE – RTS Referral Criteria Flashcards

1
Q

What is the referral criteria for routine GP referral in constipation?

A
  • Medication ADR
  • Treatment failure
  • 3rd trimester pregnancy
  • Laxative dependence/ abuse
  • N+V
  • Passing mucous
  • Signs of impaction
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2
Q

What is considered high blood pressure and referral criteria?

A

> 140/90mmHg

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3
Q

What is considered high random blood glucose and referral criteria?

A

> 11mmol/L

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4
Q

What is considered to be low random blood glucose and referral criteria?

A

<3.5mmol/L

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5
Q

What is considered to be high random blood cholesterol and referral criteria?

A

> 5mmol/L

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6
Q

When is GP referral appropriate for acute otitis media?

A

Recurrent infection, not resolving

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7
Q

What are symptoms for direct referral in chest pain?

A

Localised knifelike pain, worsened by breathing or coughing

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8
Q

What is the referral criteria for skin?

A

(1) Bleeding
(2) Weeping
(3) Infection
(4) Non-blanching rash
(5) Child
(6) On the face

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9
Q

What are the referral criteria for contact dermatitis?

A

(1) Non-blanching rash
(2) Failure of treatment
(3) Lesions on face
(4) Child
(5) Pregnant/ breast-feeding
(6) Broken skin/ weeping/ bleeding
(7) Widespread
(8) Infection

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10
Q

What are the referral criteria for psoriasis?

A

(1) Non-blanching rash
(2) Bleeding
(3) Lesions with malaise/ fever/ swollen glands
(4) Hairloss
(5) Abnormal lumps
(6) Pregnant/ breastfeeding

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11
Q

What are the referral criteria for chicken pox?

A

(1) Non-blanching rash
(2) Infected blisters
(3) Pregnant/ breastfeeding
(4) Immunosuppressed

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12
Q

What is the referral criteria for shingles?

A

(1) Antiviral treatment
(2) Non-blanching rash
(3) Severity of symptoms
(4) High risk of complications

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13
Q

What are the referral criteria for ringworm (tinea)?

A

(1) Large areas of the body
(2) Treatment failure
(3) Face
(4) Scalp
(5) Anogenital
(6) Pregnant/ breastfeeding
(7) Non-blanching rash

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14
Q

What is the referral criteria for bites and stings?

A

(1) Intense swelling
(2) Restriction to blood flow
(3) Bleeding
(4) Sting/ insect still present
(5) Anaphylaxis/ flu-like symptoms

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15
Q

What is the referral criteria for acne?

A

(1) Weeping
(2) Bleeding
(3) Infection
(4) Cracked/ broken skin
(5) Pain
(6) Treatment failure
(7) Nodules/ cysts present

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16
Q

What is the referral criteria for cold sores?

A

(1) Spread of infection
(2) Failure of treatment
(3) Dehydration
(4) Large numbers
(5) Babies/ infants
(6) Lasting >10 days

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17
Q

What is the referral criteria for athlete’s foot?

A

(1) Treatment failure
(2) Diabetic failure
(3) Signs of bacterial infection
(4) Nails affected
(5) Pregnant/ breastfeeding
(6) Severe + affecting other parts of the foot

18
Q

What is the referral criteria for onchomycosis?

A

(1) Affecting more than 2 nails
(2) Failure of treatment
(3) Immunocompromised
(4) Pregnant/ breastfeeding
(5) Diabetic

19
Q

What is the referral criteria for warts/ verrucas?

A

(1) Treatment failure - 12 weeks
(2) Multiple clusters
(3) Face
(4) Genitals
(5) Immunocompromised patients
(6) Diabetic patients
(7) Pregnant/ breastfeeding
(8) Affecting patient mobility

20
Q

What is the referral criteria for corns and callouses?

A

(1) Treatment failure
(2) Diabetic patient
(3) Affecting walking
(4) Intense pain
(5) Affecting posture

21
Q

What is the referral criteria for a sport-related injury?

A

(1) Severe/ prolonged
(2) Unable to bear weight
(3) Head injury
(4) Signs of infection
(5) Fevers/ chills/ malaise
(6) Joint instability
(7) Pins and needles
(8) Treatment failed

22
Q

What is referral criteria for bruising?

A

(1) Unexplained
(2) Frequent
(3) Excessive
(4) Known clotting problems
(5) Hepatic impairment
(6) Taking warfarin/ NSAIDs/ steroids/ carbimazole

23
Q

What is the referral criteria for back pain?

A

(1) Pain following major trauma
(2) Weight loss
(3) New pain in <20 or >50years
(4) Worst at rest + better after exercise
(5) Bladder/ bowel problems
(6) Widespread/ worsening weakness in legs
(7) Pain radiating down 1/2 legs
(8) Numbness/ tingling
(9) Fever
(10) Suspected OA/ OP
(11) No response to treatment

24
Q

What is the referral criteria for headaches?

A

(1) Ongoing severe pain >4hrs
(2) Very sudden onset
(3) Suspected depression
(4) Signs of meningitis
(5) Recent trauma
(6) Cluster headaches
(7) Migraines occurring for 1st time >50yrs
(8) Eye strain/ severe eye pain
(9) Severe pain w/ N+V or confusion or malaise
(10) Failed treatment

25
Q

What is the referral criteria for an issue regarding the eye?

A

(1) Pain in the eye
(2) Visual disturbances
(3) Unusual pupil appearance
(4) Upper eyelid drooping
(5) Treatment failure
(6) Eye/ head injury
(7) Photophobia
(8) Contact lens wearers, if eye drops unsuitable

26
Q

What are the referral criteria for ear issues?

A

(1) Severe pain
(2) Discharge
(3) Deafness
(4) Bleeding
(5) Foreign body in ear
(6) Treatment failure
(7) Abnormal lesions
(8) Suspected vertigo/ otitis media/ perforated ear drum

27
Q

When should a patient with a perforated ear drum be referred?

A

If symptoms persist with no improvement

28
Q

What is the referral criteria for nausea and vomiting in children?

A

(1) Vomiting >24hrs
(2) Unable to keep fluids down for 8hrs
(3) Signs of dehydration
(4) Limp/ irritable/ change in character
(5) Refuse food
(6) Stick neck/ headache
(7) Severe tummy pain

29
Q

What is the referral criteria for nausea and vomiting in adults?

A

(1) Vomiting >48hrs
(2) Unable to keep fluids down
(3) Vomit is green
(4) Signs of severe dehydration
(5) Loss of weight
(6) Regular occurrence
(7) Vomit with a faecal smell

30
Q

What is the referral criteria in heartburn and indigestion?

A

(1) Treatment failure
(2) Child
(3) Pregnant/ breastfeeding
(4) >55yrs 1st presentation
(5) Medication adverse drug reaction

31
Q

What is the referral criteria for routine GP referral in constipation?

A
  • Medication ADR
  • Treatment failure
  • 3rd trimester pregnancy
  • Laxative dependence/ abuse
  • N+V
  • Passing mucous
  • Signs of impaction
32
Q

What are the referral criteria for diarrhoea?

A
  • Blood/ mucous in the stool
  • Black stools
  • Persistent vomiting
  • Loss of weight
  • Fever
  • Recent discharge from hospital
  • Recent course of ABx
  • Pregnancy
  • Severe abdominal pain
33
Q

What type of dysmenorrhoea must be referred?

A

Secondary dysmenorrhoea

Most common in 30-45 years old

34
Q

What is the referral criteria for dysmenorrhoea?

A
  • Pain/ bleeding between periods/ after sex or urination
  • Sudden severe pain
  • Fever
  • Unpleasant discharge from vagina
  • Post-menopausal women
  • IUD insertion
  • Painkillers used for 3-4 cycles unsuccessfully
35
Q

What is the red flag referral criteria for menorrhagia?

A
  • Irregular bleeding
  • Increase in blood loss
  • Postcoital bleeding
  • Pelvic pain/ discharge during intercourse
36
Q

What are the red flag referral criteria for vulvovaginal candidiasis?

A
  • First occurrence of symptoms
  • <16 or >60yrs
  • Pregnancy
  • History of STD
  • Vaginal discharge, yellow/ greenish
  • Vulval/ vaginal sores/ ulcers/ blisters
  • Abnormal/ irregular bleeding
  • Pain during sex
  • Failure of treatment
37
Q

What is the referral criteria for cold/ flu?

A
  • Chest pain
  • Shortness of breathe
  • Wheezing
  • Sputum nature
  • Severe pain on coughing
  • Stiff neck/ non-blanching rash
  • Treatment failure
38
Q

What are the referral criteria for a sore throat?

A
  • Babies/ infants
  • Hoarseness
  • Dysphagia
  • White spots/ pus
  • Coloured sputum
  • Thrush in mouth area
  • Treatment failure
  • Recurrent infection
39
Q

What is the referral criteria for a cough?

A
  • > 3 weeks
  • Presence of blood
  • Yellow/ green mucous
  • Chest pain
  • Persistent night time coughing, in children
  • Wheezing
  • SOB
  • Whooping cough/ croup
  • Weight loss
  • Failure of treatment
  • Suspected ADRs
40
Q

What are the red flag referral criteria for hayfever?

A
  • Wheezing
  • Shortness of breath
  • Painful ear/ sinuses
  • Purulent conjunctivitis
  • Failed medication

PM4B - Antonio (28 decks)

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