1st Line Flashcards
1st line investigations for all pathogies. (54 cards)
Pulmonary embolus
Well’s score >4
CTPA
Pulmonary embolus
Well’s score <4
D-dimer
Pneumothorax
CXR
Peptic ulcer
<55yr
No red flags
13C urea breath test
Stool antigen test
Peptic ulcer
>55yrs
Red flags (WL, bleeding, anaemia, vomiting, early satiety, dysphagia)
OGD endoscopy and biopsy
Hiatus hernia
Barium swallow
GORD
Clinical diagnosis
GORD
On PPIs but symptoms persist
Endoscopy
Oesophageal cancer
Endoscopy and biopsy
Dysphagia with red flags
Endoscopy
Achalasia
Barium swallow
Mallory-Weiss tear
Endoscopy
Oesophgeal varices
FBC
LFT
U+E
Ruptured peptic ulcer
BP- rule out shock
Bloods- rule out varices
Crohn’s
Stool sample
Ulcerative colitis
Stool sample
Coeliac disease
Stool sample
Anal fissure
Clinical diagnosis
Haemorrhoids
Digital rectal exam
Viral hepatitis
Liver function tests
Gallstones
LFTs
Primary biliary cirrhosis
LFTs
Primary sclerosing cholangitis
LFTs
Diverticular disease
FBC (leukocytosis)