OTC referral points Flashcards
1
Q
Hay fever
A
- long term nasal congestion
- severely affects quality of life
- undiagnosed asthma
- opaque nasal discharge
- loss of smell
2
Q
common cold
A
- high fever
- wheezing
- chest pain
- vomiting
- neck stiffness
- rash and spots that don’t blanch
3
Q
common cold (children)
A
- fever above 38 (infants 0-3)
- worsening symptoms
- persisting symptoms by day 2
- ear pain
- drowsiness
- very irritable
4
Q
constipation
A
- alternating with diarrhoea
- fever
- blood/mucus in stools
- severe abdominal pain
- sudden weight loss
- severe vomiting
- continues for 2 weeks
- continues for 1 week after laxative use
5
Q
diarrhoea
A
- alternating with constipation
- severe vomiting
- unintentional weight loss
- blood/mucus in stools
- severe dehydration
- last more than 2 weeks
6
Q
diarrhoea (children)
A
- more than a day for children less than a year old
- more than 2 days in <12 and elderly
7
Q
diarrhoea (lifestyle/medical)
A
- pregnant patient
- heart failure/diabetes/immunocompromised
- laxative-misuse
- antibiotic associated
- drug adverse effects
- oily stools (malabsorption)
- symptoms continue after 2 days of loperamide treatment
8
Q
GORD
A
- green vomit
- trouble swallowing
- severe abdominal pain
- fever
- minimal oral intake
- vomiting for more than 2 days
- vomiting without diarrhoea
9
Q
headache
A
- new type of headache
- visual disturbances
- severe vomiting
- recent onset after head injury
- speech difficulties, memory issues, drowsiness
- neck stiffness
- suspected drug reaction
- only experiencing aura symptoms
- worsened with postural changes
10
Q
threadworm
A
- white thread are longer than 1cm
- severe abdominal pain
- fatigue
- unclear diagnosis
- unresponsive to treatment
- nausea/vomiting
- CHILD YOUNGER THAN A YEAR OLD
11
Q
tinea
A
- infection of the scalp, beard or nail matrix
- extensive/severe/persistent infection
- bacterial infection (fever, swelling, pus)
- weeping, bleeding of the lesion
- diabetic/immunocompromised
- unresponsive to topical treatment
