D&M Red Flags

What are the general red flags for Upper/lower GI conditions?

Anaemia, Loss of weight, Anorexia, Recent onset, Melaena, treatment failure max 14 days, medicines, severe pain

What are the referral criteria for Constipation?

Greater than 14 days, middle age sudden change in bowel habit

What are the red flags for Diarrhoea?

Change in bowel habit middle aged, travellers, failed treatment, associated vomiting, mucus in stools, with constipation, severe abdominal pain, medicines

What are the red flags for Haemorrhoids?

Fever, reduction via manual manipulation, change in bowel habit middle aged, severe sharp stabbing pain when pooing

What are the red flags for IBS

Children under 16, change of bowel habit middle aged, no history, fever, NAV, Severe abdominal pain, fat in stools

What are the red flags for NAV

Severe abdominal pain, dehydration, blood in vomit, duration

What are the red flags for mouth ulcers?

Children under 10 larger than 1cm, more than 5-10, longer than 14 days, painless, multiple sites

What are the red flags for cystitis?

Men, severity, duration, 2 in 6 months, 3 in 12 months, signs of STI, blood in urine, NAV, diabetics, pregnancy

What are the reg flags for thrush/BV?

First time, diabetic, smell, colour, OTC failure, pregnant, under 16 over 60, STIs

What are the red flags for eyes?

True eye pain, loss or change to vision, vomiting, limbal redness only

When to refer for eye conditions?

14 days or symptoms get worse or don’t resolve

What are the red flags for ear wax?

Trauma related deafness, foreign body, OTC medication failure, pain from middle ear, dizziness or tinnitus, glue ear

What are red flag symptoms for otitis externa?

ear pain in children, general inflammation of pinna, pain behind ear, slow growths on elderly patients

What are red flag symptoms for otitis media?

Discharge associated pain, fever/high temp, high risk of complications, severely unwell

When to refer for eczema?

Children under 10 needing steroids, lesions on face unresponsive to emollients, 7 day steroid treatment failure, blisters on palms, widespread and severe, secondary infection

When to refer for seborrheic dermatitis?

Symptoms are extensive on face and body

When to refer for acne?

Moderate to severe with risk of scarring, occupational/drug induced. OTC treatment failure 2 months, Rosacea

When to refer fungal skin infections?

Scalp, treatment failure, no improvement in 7 days

When to refer fungal nail infections?

Pregnant, under 18s, nail infections other than DLSO, two or more infected nails, destroyed nail, no improvement in 3 months, diabeteic

When to refer psoriasis?

Lesions extensive, causing severe itching, no history, pustular