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Medicine Year 3 > Two Week Wait > Flashcards

Two Week Wait Flashcards

1
Q

What are the symptoms that trigger a two week wait referral for suspected Lung Cancer?

A
  • An X ray finding that suggest lung cancer
  • Aged over 40 with unexplained haemoptysis

Aged 40 and over with two of the following symptoms:

  • Cough
  • Fatigue
  • SOB
  • Chest pain
  • Weight loss
  • Appetite loss

Aged 40 and over with any of the following:

  • Persistent or recurrent chest infection
  • Finger clubbing
  • Supraclavicular lymphadenopathy
  • Thrombocytosis
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2
Q

What are the symptoms that trigger a two week wait referral for suspected Oesophageal Cancer?

A

Anyone with dysphagia

aged 55 and over with weight loss and:

  • Upper abdominal pain
  • reflux
  • dyspepsia

Non-urgent referral for:

  • Haematemesis
  • Aged 55 and over with treatment resistant dyspepsia
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3
Q

What are the symptoms that trigger a two week wait referral for suspected Pancreatic Cancer?

A

Aged 40 and over with jaundice

Aged 60 and over with weight loss and:

  • Diarrhoea
  • Back pain
  • Abdominal pain
  • Nausea
  • Vomiting
  • Constipation
  • New onset diabetes
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4
Q

What are the symptoms that trigger a two week wait referral for suspected Gastric Cancer?

A

Upper abdominal mass, dysphagia or aged over 55 with weight loss and:

  • Upper abdominal pain
  • Reflux
  • Dyspepsia

Non-urgent for haematemesis or aged 55 and over with treatment resistant dyspepsia, abdominal pain, raised platelet count or low Hb

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5
Q

What are the symptoms that trigger a two week wait referral for suspected Gallbladder Cancer?

A

Upper abdominal mass consistent with gallbladder cancer

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6
Q

What are the symptoms that trigger a two week wait referral for suspected Liver Cancer?

A

Upper abdominal mass consistent with liver cancer

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7
Q

What are the symptoms that trigger a two week wait referral for suspected Colorectal Cancer?

A

Aged 40+ with unexplained weight loss and abdominal pain

Aged 50+ with unexplained rectal bleeding

Aged 60+ with iron deficiency anaemia or changes in bowel habit or occult blood in their faeces

Any adult with rectal or abdominal mass

Aged 50+ with rectal bleeding and:

  • Abdominal pain
  • Change in bowel habit
  • Weight loss
  • Iron deficiency anaemia
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8
Q

What are the symptoms that trigger a two week wait referral for suspected Anal Cancer?

A

Any adult with an unexplained anal mass or unexplained anal ulceration

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9
Q

What are the symptoms that trigger a two week wait referral for suspected Breast Cancer?

A

Aged 30+ with unexplained breast lump with or without pain

Aged 50+ with discharge, retraction or changes in one nipple

Any skin changes suspicious of cancer or aged 30+ with unexplained axillary lump

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10
Q

What are the symptoms that trigger a two week wait referral for suspected Ovarian Cancer?

A

Any patient with ascites and/or a pelvic mass which is not obviously uterine fibroids

Aged 50+ with persistent abdominal bloating, early satiety, loss of appetite, pelvic or abdominal pain or increased urinary urgency or frequency

Any age with weight loss, fatigue and changes in bowel habit

If CA125 is 35 IU/ml or greater then arrange USS. USS abnormalities then refer.

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11
Q

What are the symptoms that trigger a two week wait referral for suspected Endometrial Cancer?

A

Aged 55 and over with post-menopausal bleeding

Direct USS should be offered to all women aged 55+ with vaginal discharge and haematuria or thrombocytosis.

Direct uSS for all women aged 55+ with visible haematuria and low Hb, thrombocytosis or high glucose levels.

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12
Q

What are the symptoms that trigger a two week wait referral for suspected Cervical Cancer?

A

Women if, on examination, the appearance of their cervix is consistent with cervical cancer.

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13
Q

What are the symptoms that trigger a two week wait referral for suspected Vulval Cancer?

A

Women with an unexplained vulval lump, ulceration or bleeding.

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14
Q

What are the symptoms that trigger a two week wait referral for suspected Vaginal Cancer?

A

Women with an unexplained palpable mass in or at the entrance to the vagina.

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15
Q

What are the symptoms that trigger a two week wait referral for suspected Prostate Cancer?

A

Any male which has a malignant suspicion on DRE

Consider a DRE and PSA for any male with LUTS, erectile dysfunction or visible haematuria

Refer any male with elevated PSA in the age-specific range

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16
Q

What are the symptoms that trigger a two week wait referral for suspected Bladder Cancer?

A

Aged 45+ with unexplained visible haematuria without UTI, or visible haematuria that persists despite successful treatment of UTI

Aged 60+ with unexplained non-visible haematuria and dysuria or raised WCC

Non-urgent for 60+ with persistent or recurrent unexplained UTI

17
Q

What are the symptoms that trigger a two week wait referral for suspected Renal Cancer?

A

Aged 45+ with unexplained visible haematuria without a UTI or visible haematuria which persists despite successful treatment of a UTI

18
Q

What are the symptoms that trigger a two week wait referral for suspected Testicular Cancer?

A

Any male with non-painful enlargement or change of shape/texture of the testis

Direct USS for men with persistent or unexplained testicular symptoms

19
Q

What are the symptoms that trigger a two week wait referral for suspected Penile Cancer?

A

A penile mass or ulcerated lesion where a STI has been excluded or STI has been successfully treated

Unexplained or persistent symptoms effecting the foreskin glans

20
Q

What are the symptoms that trigger a two week wait referral for suspected Malignant Melanoma?

A

Score of three or more on the weighted 7 point check list:

Weighted 7‑point checklist
Major features of the lesions (scoring 2 points each):

change in size

irregular shape

irregular colour.

Minor features of the lesions (scoring 1 point each):

largest diameter 7 mm or more

inflammation

oozing

change in sensation.

21
Q

What are the symptoms that trigger a two week wait referral for suspected SCC?

A

Any clinical suspicion

22
Q

What are the symptoms that trigger a two week wait referral for suspected BCC?

A

Only consider if delay may cause problems for the patient

Medicine Year 3 (22 decks)

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