Treat or refer Flashcards
Abdominal aortic aneurism
Refer to GP as an emergency. Do not treat.
Acoustic neuroma
Refer to GP. Ok to treat.
Acute calcific tendonitis
Send to GP for imaging to confirm and possibly pain meds. Chiropractic may help. Condition goes away with time. Ice. Exercise muscles so they don’t weaken.
Acute cholecystitis/Cholelithiasis
Refer to GP. Don’t treat if symptomatic.
Acute liver failure
Emergency, call ambulance.
Acute pancreatitis
Emergency, call ambulance.
Acute pyelonephritis
Refer to GP.
Acute renal failure (ARF)
Emergency send to hospital.
Adrenal disorders - Addison’s disease (hypoadrenalism)
Refer to GP. Don’t treat until diagnosed if later stage symptoms.
Adrenal disorders - Cushing’s syndrome (hypercortisolism)
Refer to GP. Ok to treat.
Alcoholic liver disease (ALD)
Stop drinking. Lifelong abstinence. Good nutrition. Refer to GP. OK to treat. Careful with herbal medicines
Anemia
Refer but ok to treat. Encourage to eat iron rich foods if deficient.
Anaphylaxis
Emergency, call ambulance.
Angina equivalent
Refer to GP for stress testing. OK to treat.
Anxiety
Refer to councilor. Ok to treat.
Aortic dissection (thoracic)
Emergency, call ambulance.
Appendicitis
Emergency, call ambulance.
Arachnoiditis
Emergency, call ambulance.
Arrhythmia
AF can cause stroke. Call ambulance if in AF. Otherwise refer to GP.
AS
Ok to treat.
Asthma
Lifestyles: Set goals and educate, avoid allergens and aggravating factors. Complimentary meds have had anecdotal success. Refer to GP, but ok to treat.
Atherosclerosis
Refer to GP but ok to treat
Autoimmune hepatitis
Refer to GP. 50% of symptomatic patients die within 5 years if not treated. 10% if treated. OK to treat.
Benign Positional Vertigo.
Perform the Epply maneuver to relieve symptoms.
Benign prostatic hyperplasia (BPH)
Refer to GP to check for cancer. Don’t treat until cancer ruled out
Bornholm disease /epidemic myalgia/coxsackie viral infection)
Will clear up without treatment. Don’t treat while infectious
Brain stem or cerebellar tumour
Refer to GP. Don’t treat until diagnosed.
Brain tumour
Refer to GP. Don’t treat until diagnosed.
Bronchiectasis
Refer to GP. Regular chest physiotherapy. OK to treat.
Carcinoid bowel tumour/carcinoid syndrome
Refer to GP. Don’t treat until diagnosed.
Cervical facet syndrome
Ok to treat.
Cervical spondylosis with radiculopathy
Refer to GP. Don’t treat until diagnosed.
Cervical stenosis/Cervical myelopathy
Refer to GP. Don’t treat until diagnosed.
Cervicogenic headache
Chiropractic can help this.
Cholelithiasis/chronic cholecystitis
Refer to GP. OK to treat.
Chronic kidney disease (CKD)/ Glomerolunephritis
Refer to GP, especially if BP high or young. Lifestyle - stop smoking, healthy diet, weight and exercise. May need to control consumption of protein if severe, with balance to avoid malnutrition.
Chronic liver failure
Emergency, call ambulance.
Chronic obstructive pulmonary disease (COPD)
Refer to GP. Ok to treat but check for osteoporosis. General aims: Improve breathlessness, Reduce frequency and severity of exacerbations, Improve health status. Lifestyle: Stop smoking. Pulmonary rehabilitation exercise groups - exercise, education and support. Flu and pneumococcal vaccination. Lose weight if obese. Improve nutrition. Address depression and social isolation. End of life care.
Chronic pancreatitis
Alcohol avoidance is crucial for alcohol related cases. Treatment for self neglect and malnutrition. Refer to GP.
Chronic pyelonephritis
Refer to GP. OK to treat.
Cirrhosis of the liver
Refer to doctor. Encourage healthy diet and no drinking. Careful with herbal medicines. OK to treat.
Cluster headache
Ok to treat
Coeliac disease
Responds well to gluten free diet. Dietary counseling. Correct deficiencies of Iron, folate, Ca, Vitamin D, with supplements. Monitor weight & nutrition. May refer to GP for further medication.
Colorectal cancer
Refer to GP. Don’t treat until diagnosed. Good prognosis if caught early.
Compartment syndrome
Emergency, call ambulance.
Costochondritis
Apply heat to tender area to sooth. OK to treat but avoid ribs.
Cranial nerve lesion
Emergency if undiagnosed. Call ambulance.
Cystic fibrosis
Refer to GP. Regular chest physiotherapy. Good nutrition. Don’t treat until diagnosed due to possible osteoporosis.
Dehydration headache
Encourage patient to drink more. OK to treat.
Dementia
Refer to GP. Difficulty with informed consent
Diabetes mellitis
Refer to GP but ok to treat
Diabetic Ketoacidosis
Emergency, call ambulance.
Diffuse idiopathic skeletal hyperostosis (DISH).
Chiropractic can help.
Dorsal column lesion.
Emergency if undiagnosed. Call ambulance.
Drug related headache
OK to treat
DVT
Emergency, call ambulance.
Ectopic pregnancy
Refer to GP. Don’t treat until diagnosed.
Eczema
Refer to GP if affecting daily life. Moisturisers can help. Ok to treat.
Endometriosis
Refer to GP. OK to treat.
Facet syndrome (Lumbar)
Chiropractic can help.
Fibromyalgia
Refer to GP but ok to treat
Frozen shoulder/Adhesive capsulitis
Refer to GP but ok to treat
Gastric carcinoma
Refer to GP. Don’t treat until diagnosed. Poor prognosis..
Gastritis
Refer to GP. OK to treat.
Gastrooesophageal reflux disease
Lifestyle: Weight loss. Avoidance of trigger foods. Elevation of bed head. Avoidance of late meals. Stop smoking. Refer to GP for further medication or investigation.
Gilberts syndrome
Refer to GP. Ok to treat. Harmless condition.
Graves’ disease - (overactive thyroid)
Refer to GP. Ok to treat.
Haemophillia
Refer to GP. Don’t treat until diagnosed.
Haemorrage - Cerebellar
Emergency, call ambulance.
Haemorrage - Intracerebral
Emergency, call ambulance.
Hemorrhage - Subarachnoid
Emergency, call ambulance.
Hemorrhage - Subdural and extradural
Emergency, call ambulance.
Haemorrhoids (Piles)
Prevent constipation and straining. Refer to GP if further investigation or treatment is needed.
Haemothorax
Emergency, call ambulance.
Hashimoto’s thyroiditis or other hypothyroidism
Refer to GP. Ok to treat.
Heart failure (dilated cardiomyopathy) - acute
Emergency, call ambulance.
Heart failure (dilated cardiomyopathy) - chronic
Refer to GP