GASTRO

Question 1

Dyspepsia - Urgent referral

Answer 1

• All:
  o Dysphagia
  o Upper ab mass*
• AGED >=55 + weight loss AND:
  o Upper ab pain
  o Reflux
  o Dyspepsia

*consistent with stomach cancer

Question 2

Dyspepsia - Non-urgent referral

Answer 2

• Haematemesis
• AGED >=55 +:
  o Tx-resistant dyspepsia

o Upper ab pain + low Hb

o Raised plt count +: N, V, weight loss, reflux, dyspepsia, upper ab pain

o N or V +: weight loss, reflux, dyspepsia, upper ab pain