Monday 10th August 2020 GatewayC and the Maguire Communication Skills Training Unit have partnered to produce this resource below. Missed our free webinar on Effective Telephone Consultations? Watch it here. What are cues? It is often the case that people do not...
Potential pitfall: A negative bowel screening test should not be used to make decisions about referral in a symptomatic patient. Sensitivity levels have been set very differently for screening and symptomatic Faecal Immunochemical Tests (FIT). Helpful hint: The...
Potential pitfall: A negative bowel screening test should not be used to make decisions about referral in a symptomatic patient. Sensitivity levels have been set very differently for screening and symptomatic Faecal Immunochemical Tests (FIT). Helpful hint: The...
Potential pitfall: Fatigue is a common presenting problem in primary care, and yet it is important to remember that fatigue can represent a more serious condition. Many patients with chronic myeloid leukaemia (CML) have few or no symptoms at the time they are...
Reactive thrombocytosis can be indicator for several underlying causes, which are either self-limiting or serious. These can include infection (e.g. H.pylori), inflammation, blood loss, anaemia and a number of cancers.
Helpful hint
Depending on the presentation, NICE NG12 guidelines advise the need to investigate thrombocytosis for suspected cancer using the acronym L.E.G.O, in the following sites:
Lung: consider an urgent chest x-ray in patients over 40
Endometrial: consider an ultrasound for women over 55 with unexplained vaginal discharge or visible haematuria
Gastric: consider non-urgent direct access upper GI endoscopy for patients over 55 when present with relevant symptoms
Oesophageal: consider non-urgent direct access upper GI endoscopy for patients over 55 when present with relevant symptoms
A study by The British Journal of General Practice suggests that thrombocytosis can also be a marker of colorectal cancer, thus suggesting the use of the acronym LEGO-C to include colorectal cancer.
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