Red Flag List

Question 1

Gastric Cancer RF

Appropriate Response

Answer 1

GI bleed
Dysphagia
Anorexia
WL
Epigastric mass
Over 55 with persistent, unexplained dyspepsia that has not responded to PPI treatment

2WW for urgent endoscopy

Question 2

What are the RFs of critical limb ischemia?
What is the most common cause of CLI?
Mgmt?

Answer 2

Arterial thrombus

6 x Ps in a limb with rapid onset

Pale
Pulseless
Paresthesia
Pain
Paralysis
Perishing cold

Management - emergency treatment within 4h for revascularization/ surgery

Question 3

Leg swelling and DVT can be the first presentation of this disease

Answer 3

Ovarian cancer

Question 4

What temperature of a neonate under 3 months indicates serious illness?

What should you do if a baby has this temperature?

Answer 4

Temperature of 38 in babies under 3 months

Give anti-pyretic and call the paediatric on-call team

Question 5

If a patient is under 40 and they are diagnosed with COPD, which condition needs to be ruled out and why?

Answer 5

Alpha 1 anti-trypsin deficiency - smoking exacerbates this condition

(normally alpha 1 antitrypsin breaks down elastase which breaks down connective tissue in alveoli and misfolded alpha 1 antitrypsin builds up in liver)

Question 6

A patient presents with blurred vision, a constricted pupil and photophobia.

What is the diagnosis and how will you manage them?

Answer 6

Diagnosis - uveitis
Mgmt - immediate referral to on-call opthalmologist as this is a threat to the vision

Question 7

A patient presents with unilateral nostril blood stained discharge. Mgmt?

Answer 7

Investigate for malignancy via 2ww (rule out foreign body first in children)

Question 8

A 61 year old male presents with WL and newly diagnosed diabetes. Mgmt?

Answer 8

2WW