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30 Cards in this Set
- Front
- Back
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Colds and flu
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- Earache not settling with analgesic
- In the very young - In the very old - In those with heart or lung disease - With persisting fever and productive cough - With pleuritic-type chest pain - Asthmatics |
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Cough
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- Cough lasting 2 or more weeks and not improving
- Yellow, green, rusty or blood-stained sputum - Chest pain - Shortness of breath - Wheezing - Whooping cough or croup - Recurrent nocturnal cough - Suspected adverse drug reaction - Failed medication |
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Sore throat
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- Lasts more than a week
- Recurrent bouts of infection - Hoarseness of more than 3 weeks duration - Difficulty in swallowing - Failed medication |
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Allergic rhinitis
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- Wheezing and shortness of breath
- Chest tightness - Painful ear - Painful sinuses - Purulent conjunctivitis - Failed medication |
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Mouth Ulcers
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- Duration of more than 3 weeks
- Associated weight loss - Involvement of other mucous membranes - Rash - Suspected ADR - Diarrhoea |
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Heartburn
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- Failure to respond to antacids
- Pain radiating to arms - Difficulty in swallowing - Regurgitation - Long duration - Increasing severity - Children |
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Indigestion
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- > 45 years if symptoms develop for the 1st time
- symptoms last more than 5 days or are recurrent - severe pain - blood in vomit or stool - pain worsens on effort - persistant vomiting - treatment has failed - ADR suspected - Associated weight loss - Children |
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Nausea and vomiting
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- Always
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Constipation
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- Change in bowel habit of 2 weeks or longer
- Presence of abdominal pain, vomiting or bloating - Blood in stools - Suspected ADR - Failure of OTC medication |
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Diarrhoea
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- Lasts more than 1 day in children under 1
- Lasts more than 2 days in children under 3 and the elderly - Lasts more than 3 days in older children and adults - Associated with severe vomiting and fever - Recent travel abroad - Suspected ADR - History of change in bowel habit - Presence of blood or mucus in the stools - Pregnancy |
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Irritable Bowel syndrome
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- Children
- Older person with no previous history of IBS - Pregnant women - Blood in stool - Unexplained weight loss - Over 45s - Signs of bowel obstruction - Unresponsive to appropriate treatment |
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Haemorrhoids
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- Duration longer than 3 weeks
- Presence of blood in the stools - Change in bowel habit - Suspected drug induced constipation - Associated abdominal pain/vomiting |
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Eczema/ Dermatitis
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- Evidence of infection
- Severe condition: badly fissured/cracked skin, bleeding - Failed medication - No identifiable cause (unless previously diagnosed as eczema) - > 2 weeks duration |
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Acne
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- severe acne
- Failed medication - Suspected ADR |
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Athlete’s Foot
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- Severe, affecting other parts of the foot
- Signs of bacterial infection - Failed medication - Diabetic patients - Involvement of toenails |
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Cold sores
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- Babies and young children
- Failure of an established sore to resolve - Severe or worsening sore - History of frequent cold sores - Lasts > 2 weeks - Painless sore - Patients with atopic eczema - Eye affected - Uncertain diagnosis - Immunocompromised patient |
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Warts and Verrucae
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- Changed appearance of lesions: size and colour
- Bleeding - Itching - Genital warts - Facial warts - Immunocompromised patients |
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Scabies
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- Babies and children
- Infected skin - Treatment failure - Unclear diagnosis |
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Dandruff
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- Suspected psoriasis
- Signs of infection - Unresponsive to appropriate treatment |
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Hair loss
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- Alopecia areata
- Suspected ADR - Suspected hypothyroidism - Menstrual disorders - Suspected anaemia |
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Headache
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- Headache associated with injury/trauma
- Severe headache of more than 4h duration - Suspected ADR - Headache in children under 12 years - Severe occipital headache (across the back of the head) - Headache that is worse in the morning but then improves - Associated drowsiness, unsteadiness, visual disturbance or vomiting - Neck stiffness - Frequent migraines required prophylactic treatment - Frequent and persistant headaches |
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Musculoskeletal problems
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- Suspected fracture
- Suspected ADR - Head injury - Medication failure - Arthritis - Severe back pain - Back pain (and/or pins and needles/numbness) radiating to leg - Back pain in the middle/upper back (especially in the older patient) |
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Cystitis
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- All men, children
- Fever, nausea/vomiting - Loin pain or tenderness - Haematuria - Vaginal discharge - Duration of longer than 2 days - Pregnancy - Recurrent cystitis - Failed medication |
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Dysmenorrhoea
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- 1st occurrence of symptoms
- known hypersensitivity to Imidazoles or other vaginal antifungal products - pregnancy or suspected pregnancy - more than 2 attacks in the previous 6 months - previous history of STD - exposure to partner with STD - <16 or >60 years of age - abnormal or irregular vaginal bleeding - any blood staining of vaginal discharge - vulval or vaginal sores, ulcers or blisters - associated lower abdominal pain or dysuria - adverse effects of treatment - no improvement with 7 days or treatment |
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Emergency Hormonal Contraception
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- age <16 years
- longer than 72 hours since unprotected sex - taking a medicine that interacts with EHC - requests for future use |
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Childhood rash
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- suspected meningitis
- flulike symptoms - vomiting - headache - neck stiffness - rash - small widespread spots or bruises that do not blanch when pressed - rashes that do not blanch when pressed |
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Napkin rash
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- Broken skin, severe rash
- Signs of infection - Other body area affected |
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Threadworms
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- Infection other than the threadworm suspected
- Recent travel abroad - Medication failure |
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Oral thrush
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- Recurrent infection
- All except babies - Failed medication |
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Insomnia
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- Suspected depression
- Chronic problem (longer than 3 weeks’ duration) - Children under 16 years |
