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OSCE Year 3 > Danger elimination and treatment timescale for minor ailments > Flashcards

Danger elimination and treatment timescale for minor ailments Flashcards

1
Q

Psoriasis

A

No previous diagnosis

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2
Q

Head lice

A
  • treatment failure
  • bacterial infection from scratching

Timescale for referral: ~2 weeks

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3
Q

Back ache

A
  • medication failure
  • severe back pain
  • pins and needles radiating to upper leg
  • middle/upper back pain

Timescale for referral: 5 days

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4
Q

Repetitive strain injuries

A
  • suspected fracture
  • medication failure

Timescale for referral: 5 days

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5
Q

Hair loss

A
  • alopecia areata
  • suspected drug-induced hair loss
  • suspected hypothyroidism
  • suspected anaemia

Timescale for referral: 6-12 months

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6
Q

Acne

A
  • failed medication
  • severe case

Timescale for referral: 8 weeks

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7
Q

Motion sickness

A
  • glaucoma

- failed treatment

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8
Q

Colic

A
  • failed medication
  • suspected lactose intolerance (flatulence, vomiting, diarrhoea, spitting out milk)
  • weight loss/failure to gain weight

Timescale for referral: 1 week

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9
Q

Athlete’s foot

A
  • diabetes
  • suspected bacterial infection
  • affecting parts of foot other than in between toes

Timescale for referral: 2 weeks

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10
Q

Eczema and contact dermatitis

A
  • broken skin
  • signs of infection

Timescale for referral: 7 days/1 week

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11
Q

Mouth ulcers

A
  • duration longer than 3 weeks
  • ADRs
  • Failed treatment
  • ulcers greater than 1cm
  • greater than 5-10 ulcers
  • unexplained weight loss
  • painless ulcers
  • persistent diarrhoea
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12
Q

Nappy rash

A
  • very severe rash
  • other parts of body affected
  • signs of bacterial infection
  • OTC treatment failure
  • broken skin

Timescale for referral: 1 week

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13
Q

Scabies

A
  • babies and children
  • bacterial infection
  • treatment failure

Timescale for referral: 2 weeks

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14
Q

Warts and verrucae

A
  • genital or facial warts
  • itching/bleeding
  • change in appearance of lesions (size/colour)
  • diabetics

Timescale for referral: 3 months

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15
Q

Tension headaches and migraine

A
  • children under 12 years
  • severe and lasting >4hours
  • associated with head injury/trauma
  • nausea and vomiting
  • ADRs
  • severe occipital pain
  • neck stiffness
  • frequently recurring

timescale for referral: 1 day

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16
Q

Sprains and strains

A
  • ADRs associated with falls/bruising
  • suspected fracture
  • medication failure

timescale for referral: 5 days

17
Q

Dysmenorrhoea

A
  • severe intermenstrual pain
  • abnormal discharge or bleeding
  • medication failure
  • presence of fever

Timescale for referral: 2 menstrual cycles

18
Q

Dandruff

A
  • suspected psoriasis
  • OTC treatment failure
  • signs of bacterial infection

Timescale for referral: 12 weeks

19
Q

Nausea and vomiting

A
  • Children <2years
  • blood in vomit/stool
  • Lasting >48 hours in adults

Timescale for referral: >48 hours in adults

20
Q

Common ear problems

A
  • signs of infection (discharge)
  • perforated ear drum
  • pain

Timescale for referral: 1-2 weeks

21
Q

Cold sores

A
  • babies and children
  • eye affected
  • atopic eczema
  • history of frequent cold sores
  • painless sores
  • signs of bacterial infection

Timescale for referral:
2 weeks

22
Q

Oral thrush

A
  • diabetes
  • failed medication
  • painless lesions
  • recurrent infection

Timescale for referral: 1 week

23
Q

Threadworms

A
  • medication failure
  • bacterial infection
  • recent travel abroad

Timescale for referral: 2 weeks

24
Q

Coughs

A
  • long duration (2-3 weeks)
  • difficulty breathing/shortness of breath
  • coloured sputum (yellow/green/rusty/blood-stained)
  • persistent nocturnal cough in children
  • croup/whooping cough

Timescale for referral: 2 weeks

25
Q

Sore throat

A
  • long duration (2-3 weeks)
  • ADRs
  • unable to swallow
  • white exudate on tonsils
  • recurrent infection

Timescale for referral: 1 week

26
Q

Irritable bowel syndrome

A
  • child under 16 presenting for first time
  • no previous history of IBS and no precipitating factors
  • unexplained weight loss
  • blood in stools
  • failed treatment
  • nausea
  • vomiting

Timescale for referral: 1 week

27
Q

Constipation

A
  • blood in stools
  • change in bowel habit lasting weeks or longer
  • OTC medication failure
  • ADR
  • abdominal pain
  • vomiting

Timescale for referral:

  • 1 week with OTC treatment
  • 2 weeks with dietary advice only
28
Q

Colds and flu

A
  • difficulty breathing
  • wheezing
  • persistent high temperature

Timescale for referral: 10-14 days

29
Q

Insomnia

A
  • suspected depression
  • insomnia lasting >3 weeks
  • children <16 years
  • medication failure

Timescale for referral: 1 week

30
Q

Conjunctivitis

A
  • <2 years of age
  • pain in eyeball
  • recent eye surgery
  • visual disturbance

Timescale for referral: 5 days

31
Q

Vaginal thrush

A
  • diabetes
  • suspected pregnancy/pregnancy
  • strong smelling/blood-stained discharge
  • > 2 attacks in past 6 months
  • OTC medication failure
  • Under 16 years
  • Over 60 years
  • First occurrence

Timescale for referral: 1 week

32
Q

Dyspepsia

A
  • persistent symptoms >5 days
  • ADRs
  • Treatment failure
  • Severe pain
  • Severe pain that radiates to arm(s)
  • Pain worsens on exertion/effort
  • regurgitation
  • difficulty swallowing
  • blood in vomit/stools
  • Over 45 years and first occurrence
  • children
  • unintentional weight loss

Timescale for referral: 1 week

33
Q

Seasonal and perennial rhinitis

A
  • failed medication
  • wheezing/shortness of breath
  • tightness of chest

Timescale for referral: 5 days

34
Q

Diarrhoea

A
  • Recent travel abroad
  • blood/mucus in stools
  • pregnancy
  • suspected drug-induced reaction
  • history of change in bowel habit
  • lasting 1 day or longer in <1 year of age
  • lasting 2 days or longer in <3 years of age or elderly
  • lasting 3 days or longer in older children/adults

Timescale for referral:
1 day for children, 2 days otherwise

35
Q

Cystitis

A
  • blood in urine
  • diabetes
  • pregnancy
  • failed medication
  • all men and children
  • loin pain/tenderness
  • recurrent cystitis

Timescale for referral: 2 days

36
Q

Haemorrhoids

A
  • blood in stool
  • persistent change in bowel habit
  • duration longer than 3 weeks
  • ADRs

Timescale for referral: 1 week

OSCE Year 3 (25 decks)

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