Download A4Medicine Mobile App
Empower Your RCGP AKT Journey: Master the MCQs with Us! 🚀
Summary of NICE guidance based on symptoms -bleeding
| Symptoms and Specific Features | Possible Cancer | Recommendation |
|---|---|---|
| Unexplained bleeding, bruising, or petechiae | Leukaemia | Consider a very urgent full blood count (within 48 hours) |
| Haematemesis | Oesophageal or stomach | Consider non-urgent, direct-access upper gastrointestinal endoscopy |
| Unexplained haemoptysis, 40 and over | Lung | Refer using a suspected cancer pathway referral (for an appointment within 2 weeks) |
| Post-menopausal bleeding in women 55 and over | Endometrial | Refer using a suspected cancer pathway referral (for an appointment within 2 weeks) |
| Post-menopausal bleeding in women under 55 | Endometrial | Consider a suspected cancer pathway referral (for an appointment within 2 weeks) |
| Unexplained rectal bleeding, 50 and over | Colorectal | Offer quantitative faecal immunochemical testing |
| Rectal bleeding with unexplained abdominal pain or weight loss in adults under 50 | Colorectal | Offer quantitative faecal immunochemical testing |
| Unexplained vulval bleeding in women | Vulval | Consider a suspected cancer pathway referral (for an appointment within 2 weeks) |
Try our Free Plan to get the full article.
