Red flags pharm

Question 1

Teething

Answer 1

Meningitis symptoms
Tx = Anbesol

Question 2

Musculoskeletal pain (bruising, sprain, strain)

Answer 2

Unintended
Weakness
Bowel/bladder issues
Fracture
Infection
Nocturnal sweats
Tx: Painkillers

Question 3

Headache/Migraine

Answer 3

Different to before
Head injury
Meningitis symptoms
Tx: Paracetamol or Migraleve

Question 4

Sleep Issues

Answer 4

Anxiety
Low mood
Tx: Sominex or Nytol

Question 5

Travel sickness

Answer 5

No Red Flags
Tx: Kwells or Scopaderm

Question 6

Threadworm

Answer 6

Travel abroad
Insomnia
Weight loss
Repeated occurrence
Tx: Ovex

Question 7

Headlice

Answer 7

Infection
Tx: Hedrin

Question 8

Scabies

Answer 8

Infection
Tx: Lyclear

Question 9

Herpes Simplex

Answer 9

Infection
Lesions elsewhere
Eyes affected
Painless
Tx: Zovirax

Question 10

Shingles

Answer 10

Immunocompromised
Eyes affected
Tx: Painkillers

Question 11

Athlete’s foot

Answer 11

Infection at site/systemic
Diabetes
Nail involvement
Tx: Lamisil

Question 12

Fungal Nail

Answer 12

Infection at site/systemic
Diabetes
>2 nails
Nail trauma
Tx: Curinail

Question 13

Ringworm

Answer 13

Infection at site/systemic
Tx: Canesten/Daktarin

Question 14

Sweat rash

Answer 14

Infection at site/systemic
Tx: Canesten/Daktarin cream

Question 15

Impetigo

Answer 15

Infection
Eczema
Other medical conditions
Tx: Refer for Abx cream

Question 16

Boils

Answer 16

Infection at site/systemic
Recurring boils
Tx: Refer for Abx

Question 17

Childhood Infections (Chickenpox, Slapped cheek, Hand foot and mouth, Whooping Cough)

Answer 17

Meningitis symptoms
Septicaemia symptoms
Tx: Antipyretics or Calamine for itch

Question 18

UTI

Answer 18

Systemic infection
Blood in urine
Back tenderness
Vaginal discharge
Diabetes
Tx: Pot cit sachets

Question 19

Vaginal thrush

Answer 19

Systemic infection
Lower abdominal pain
Dysuria
Abnormal vaginal bleeding
Bloody discharge
Diabetes
Tx: Canesten cap/cream/internal cream

Question 20

Dysmenorrhoea

Answer 20

Systemic Infection
Abnormal/severe bleeding
Late period
Dull and continuous pain that doesn’t decrease as period ends
Tx: Pain killers

Question 21

Conjunctivits

Answer 21

Loss of vision
Visual disturbances
Photophobia
Red eye around coloured part of eye
Eye injury
Eye surgery
Vomiting
Tx: Chloramphenicol drops

Question 22

Dry eye

Answer 22

Systemic Infection
Loss of vision
Visual disturbances
Photophobia
Eyelid involvement
Tx: Hypromellose

Question 23

Ear wax/infections

Answer 23

Foreign body in ear
Dizziness
Tinnitus
Discharge
Severe pain
Itchiness
Hearing loss
Tx: Otex drops

Question 24

Mouth ulcers

Answer 24

Painless ulcer
Large (>1cm) or multiple ulcers
Sore tongue and corners of mouth
Coincides with menstruation
Diarrhoea
Tx: Bonjela

Question 25

Dry Mouth

Answer 25

Chemo/radio therapy Increased urination Dehydration Dry eye Joint pain Dysphagia Tx: usually refer but Biotene

Question 26

Oral thrush

Answer 26

Diabetes Immunosuppression Painless lesions Tx: Daktarin oral gel

Question 27

Angular stomatitis

Answer 27

Fatigue Short of breath Headache Infection Ulcers in mouth Tx: Clotrimazole

Question 28

Sore throat

Answer 28

Infection Dysphagia Difficulty breathing Tonsillar exudate Swollen glands Tx: Difflam and Painkillers or lozenges

Question 29

Eczema

Answer 29

Infection Face Widespread Tx: Diprobase or hydrocortisone

Question 30

Contact dermatitis

Answer 30

Infection Face Widespread Tx: Diprobase or hydrocortisone

Question 31

Psoriasis

Answer 31

Infection Widespread Itchy Tx: Diprobase

Question 32

Seborrhoeic scalp conditions

Answer 32

Infection Redness of scalp Scaly scalp Lesions around body Hair loss Tx: Nizoral

Question 33

Urticaria

Answer 33

Anaphylaxis Difficulty breathing Tightness in chest Infection Widespread Tx: Loratidine or Calamine lotion

Question 34

Warts/Verrucae

Answer 34

Diabetes Change colour Itchy Bleeding Face/Anogenital area Multiple/widespread area Tx: Bazuka

Question 35

Nappy Rash

Answer 35

Rash other than nappy Infection Diarrhoea Tx: Sudocrem or clotrimazole

Question 36

Acne

Answer 36

Moderate-Severe Tx: Acnecide

Question 37

Burns/Scald

Answer 37

Bigger than palm Face, hands, feet, genitalia, flexures and axiallea Blistering Pale/charred burn Tx: Painkillers and dressings

Question 38

Bites/sting

Answer 38

Infection Tx: Chlorphenamine or hydrocortisone