| 'baby blues' | [•Postpartum care•] |
| 'growing pains' | [•Child with sore joints•] |
| 1-hydroxylase expressing haematological malignancies | [•Hypercalcaemia and back pain•] |
| Campylobacter | [•Diarrhoea•] |
| Giardia
Clostridioides difficile | [•Diarrhoea•] |
| H. pylori infection | [•Chronic upper abdominal symptoms•] |
| Haemophilus influenzae | [•Fever and headache•] |
| Haemophilus/Actinobacillus/Cardiobacterium/Eikenella/Kingella (HACEK) | [•Fever and a new murmur•] |
| Listeria monocytogenes | [•Fever and headache•] |
| Mycobacterium tuberculosis | [•Fever and headache•] |
| N. meningitidis | [•Fever and headache•] |
| S. pneumoniae | [•Fever and headache•] |
| Salmonella | [•Diarrhoea•] |
| Shigella | [•Diarrhoea•] |
| abdominal aortic aneurysm | [•Acutely painful limb•], [•Adult with abdominal mass•] |
| abdominal hernias | [•Bowel obstruction•] |
| abdominal migraine | [•Chronic abdominal pain in children and adolescents•] |
| abdominal/pelvic metastases | [•Adult with abdominal mass•] |
| abnormal fetal heart rate pattern in labour | [•Labour•] |
| abnormal fetal presentation (breech, cord) | [•Labour•] |
| abortion | [•Pregnancy diagnosis•] |
| abscess | [•Musculoskeletal lump•], [•Space occupying lesion / progressive unilateral weakness•] |
| absence seizures | [•Epilepsy / seizure•] |
| abuse | [•Falls and collapses•] |
| accidental ingestion in young child | [•Overdose in a child or adolescent•] |
| accidental trauma | [•Superficial injuries•] |
| accommodative esotropia | [•Infant or child with strabismus•] |
| achalasia | [•Acute chest pain•], [•Dysphagia•] |
| Achilles tendonitis | [•Deep vein thrombosis•] |
| achondroplasia | [•Family with a genetic disorder•] |
| acne vulgaris | [•Pimples and rash on the face•] |
| acoustic neuroma | [•Hearing loss•], [•Dizziness and vertigo•] |
| acquired myopathies (Cushing's syndrome, hyperthyroidism, cancer, hypo/hypercalcaemia) | [•Neuromuscular disease / generalised muscle weakness•] |
| acromegaly | [•Painful hands in the cold•] |
| acromioclavicular joint problems | [•Regional limb pain•] |
| actinic keratosis | [•Skin tumours•] |
| acute angle closure glaucoma | [•Pupil abnormality•] |
| acute appendicitis | [•Acute abdominal pain in children and adolescents•], [•Acute abdominal pain•], [•Infant with vomiting and diarrhoea•] |
| acute asthma | [•Food allergy in paediatrics•] |
| acute cholecystitis | [•Late pregnancy complications•] |
| acute closed angle glaucoma | [•Acute or chronic red eye•] |
| acute coronary syndrome (STEMI, NSTEMI and unstable angina) | [•Acute chest pain•], [•Agitated and combative patient•], [•Heart failure•] |
| acute coronary syndrome (STEMI, NSTEMI, cardiac arrhythmias and unstable angina) | [•Postoperative complications•] |
| acute cranial nerve III palsy with pupil involvement | [•Pupil abnormality•] |
| acute eye trauma | [•Acute trauma to the eye•] |
| acute hepatitis virus A-E | [•Chronic liver disease•] |
| acute hydrocephalus | [•Altered level of consciousness in an adult•] |
| acute infectious illness such as urinary tract infection | [•Irritable infant•] |
| acute infective exacerbation (including COVID and other respiratory viruses) | [•Chronic shortness of breath•] |
| acute infective exacerbations (including COVID and other respiratory viruses, bronchiectasis | [•Pneumonia•] |
| acute intermittent porphyria | [•Major depressive episode•] |
| acute interstitial nephritis | [•Acute kidney injury•] |
| acute kidney injury | [•Acute presentation of diabetes mellitus•], [•Heart failure•] |
| acute liver disease of pregnancy | [•Late pregnancy complications•] |
| acute lymphoblastic leukaemia | [•Pancytopenia•] |
| acute mesenteric insufficiency | [•Acute abdominal pain•] |
| acute myeloid leukaemia | [•Pancytopenia•] |
| acute otitis media | [•Irritable infant•], [•Hearing loss•], [•Glue ear•], [•Febrile infant•] |
| acute psychosis | [•Space occupying lesion / progressive unilateral weakness•] |
| acute respiratory distress syndrome | [•Anxiety disorder•] |
| acute stress disorder | [•Anxiety disorder•] |
| acute tubular necrosis | [•Acute kidney injury•] |
| acute urinary retention | [•Postoperative complications•] |
| acute viral polyarthritis (hepatitis, parvovirus B19, rubella) | [•Swollen and tender joints•] |
| addiction factitious disorder | [•Medically unexplained physical symptoms•] |
| Addison's disease | [•Unexplained loss of consciousness•], [•Bipolar affective disorder•], [•Adrenal crisis•], [•Type 1 diabetes mellitus•], [•Acute psychosis•], [•Agitated and combative patient•], [•Major depressive episode•] |
| adenocarcinoma | [•Abnormal cervical smear result•] |
| adenocarcinoma in situ | [•Abnormal cervical smear result•] |
| adenomyosis | [•Heavy menstrual periods•] |
| adenoviral conjunctivitis/herpes simplex virus | [•Child with red swelling around one eye•] |
| adhesions | [•Bowel obstruction•] |
| adjustment disorder | [•Major depressive episode•] |
| adjustment disorder with anxious features | [•Anxiety disorder•] |
| adrenal insufficiency | [•Hyponatraemia•], [•Hypercalcaemia and back pain•] |
| adrenoleukodystrophy | [•Adrenal crisis•] |
| adult respiratory distress syndrome (non-cardiogenic pulmonary oedema) | [•Heart failure•] |
| advanced chronic open angle glaucoma | [•Gradual deterioration in visual acuity over time•] |
| age-related macular degeneration | [•Gradual deterioration in visual acuity over time•] |
| agoraphobia | [•Anxiety disorder•] |
| airway management failure | [•Preoperative assessment and management•] |
| airway trauma | [•Preoperative assessment and management•] |
| alcohol | [•Menopause•] |
| alcohol abuse/dependence | [•Haemochromatosis•], [•Alcohol•], [•Accidental overdose•], [•Secondary hypertension•], [•Type 1 diabetes mellitus•], [•Alcohol and drug dependence disorders•], [•Personality disorder•] |
| alcohol and other hypnosedative abuse/dependence | [•Major depressive episode•] |
| alcohol intoxication | [•Dizziness and vertigo•] |
| alcohol withdrawal | [•Epilepsy / seizure•], [•Delirium / dementia•] |
| alcohol-related psychosis | [•Anxiety disorder•], [•Acute psychosis•] |
| alcohol/drug abuse | [•Dementia / disturbance of memory / cognitive function•] |
| alcoholic hallucinosis | [•Alcohol and drug dependence disorders•] |
| alcoholic liver disease | [•Alcohol•], [•Chronic liver disease•] |
| allergic bronchopulmonary aspergillosis | [•Chronic sputum production•] |
| allergic conjunctivitis | [•Infant with an altered light reflex and watery eye•] |
| allergic contact dermatitis | [•Adult eczema•] |
| allergic reaction | [•Skin and soft tissue infection•], [•Child with generalised swelling•], [•Child with red swelling around one eye•] |
| allergic rhinitis | [•Epistaxis•], [•Upper respiratory tract symptoms•] |
| alpha-1-antitrypsin deficiency | [•Chronic liver disease•], [•Chronic shortness of breath•] |
| Alport syndrome | [•Chronic kidney disease / asymptomatic worsening renal function•] |
| altitude sickness | [•Polycythaemia•] |
| Alzheimer's disease | [•Delirium / dementia•], [•Dementia / disturbance of memory / cognitive function•] |
| amiodarone induced thyroiditis | [•Hyperthyroidism•] |
| amiodarone use,iodine deficiency | [•Hypothyroidism•] |
| amoebic colitis or liver abscess | [•Febrile returning traveller•] |
| amphetamine abuse | [•Alcohol and drug dependence disorders•] |
| amphetamine overdose | [•Self-harm•] |
| amyloidosis | [•Patient with jaundice•], [•Adrenal crisis•], [•Heart failure•], [•Chronic kidney disease / asymptomatic worsening renal function•], [•Lymphadenopathy and splenomegaly•] |
| anaemia | [•Unexplained loss of consciousness•] |
| anaemia of chronic disease | [•Infant or child with pallor•], [•Anaemia•] |
| anaemia of chronic renal disease | [•Infant or child with pallor•] |
| anal fissure | [•Perianal pathology•], [•Rectal bleeding•] |
| anal prolapse | [•Perianal pathology•] |
| anal squamous cell carcinoma | [•Perianal pathology•] |
| anal trauma | [•Perianal pathology•] |
| analgesic nephropathy | [•Chronic kidney disease / asymptomatic worsening renal function•] |
| anaphylaxis | [•Facial swelling and itchy rash•], [•Compromised airway•], [•Preoperative assessment and management•], [•Upper airway disease•], [•Child with generalised swelling•], [•Anxiety disorder•], [•Neonatal stridor•] |
| anaphylaxis/laryngeal oedema | [•Sudden onset shortness of breath•] |
| anastomotic leak | [•Postoperative complications•] |
| aneurysm | [•Space occupying lesion / progressive unilateral weakness•] |
| angina | [•Stable angina•] |
| angiodysplasia | [•Upper gastrointestinal bleeding•], [•Rectal bleeding•] |
| angioedema | [•Facial swelling and itchy rash•], [•Compromised airway•], [•Upper airway disease•], [•Child with generalised swelling•] |
| animal bites | [•Superficial injuries•], [•Hand injury•] |
| ankylosing spondylitis | [•Inflammatory low back pain•], [•Non-specific back pain•], [•Reactive arthritis•] |
| anorexia nervosa | [•Amenorrhoea•], [•Eating disorders•], [•Anxiety disorder•], [•Personality disorder•], [•Major depressive episode•] |
| anterior cruciate ligament (ACL) rupture | [•Knee injury•] |
| anterior ischaemic optic neuropathy (arteritic (giant cell arteritis) and non-arteritic) | [•Sudden painless loss of vision•] |
| anterior shoulder dislocation / instability | [•Dislocated joint•] |
| anterior uveitis (iritis) | [•Acute or chronic red eye•] |
| anterior uveitis/posterior synechiae | [•Pupil abnormality•] |
| anticoagulant use | [•Epistaxis•] |
| anticoagulant-induced | [•Rectal bleeding•] |
| antineutrophil cytoplasm antibody (ANCA) vasculitis | [•Acute kidney injury•] |
| antiphospholipid syndrome | [•Deep vein thrombosis•] |
| antiplatelet medication use | [•Epistaxis•] |
| antisocial personality disorder | [•Personality disorder•] |
| antithrombin defiency | [•Deep vein thrombosis•] |
| anxiety | [•Menopause•] |
| anxiety disorder | [•Chronic bowel motility problems•], [•Bipolar affective disorder•], [•Alcohol and drug dependence disorders•], [•Personality disorder•], [•Disruptive behaviour disorder•] |
| anxiety/depression | [•Chronic abdominal pain in children and adolescents•], [•Child or adolescent with a headache•] |
| anxiety/hyperventilation | [•Sudden onset shortness of breath•] |
| aortic aneurysm | [•AAA screening•] |
| aortic arch dilatation | [•Dysphagia•] |
| aortic dissection | [•Out of hospital cardiac arrest•], [•Acute chest pain•], [•Acute abdominal pain•] |
| aortic regurgitation | [•Valvular heart disease•] |
| aortic sclerosis | [•Valvular heart disease•] |
| aortic stenosis | [•Valvular heart disease•], [•Arrhythmias•], [•Stable angina•] |
| aplasia | [•Congenital hearing loss•] |
| aplastic anaemia | [•Pancytopenia•], [•Anaemia•] |
| apnoea of prematurity | [•Late pregnancy complications•] |
| appendicitis | [•Late pregnancy complications•] |
| arbovirus diseases | [•Neuromuscular disease / generalised muscle weakness•] |
| Argyll Robertson pupil in syphilis | [•Pupil abnormality•] |
| arsenic poisoning | [•Neuromuscular disease / generalised muscle weakness•] |
| arterio-venous malformation | [•Gross haematuria•] |
| asbestosis | [•Worsening shortness of breath•] |
| ascites | [•Adult with abdominal mass•] |
| Asherman syndrome | [•Amenorrhoea•], [•Infertility•] |
| aspiration and lung abcess | [•Haemoptysis and abnormal chest X-ray•] |
| aspiration of foreign body | [•Child with respiratory distress•] |
| aspiration pneumonia | [•Preoperative assessment and management•], [•Pneumonia•] |
| aspirin overdose | [•Self-harm•], [•Acute presentation of diabetes mellitus•] |
| assault | [•Superficial injuries•] |
| asteototic eczema | [•Rest home resident with itching and rash•] |
| asthma | [•Pre-admission and surgical risk assessment•], [•Sudden onset shortness of breath•], [•Child with respiratory distress•], [•Chronic shortness of breath•], [•Intimate Partner Violence•] |
| asystole | [•Out of hospital cardiac arrest•] |
| atelectasis | [•Pre-admission and surgical risk assessment•] |
| atherosclerotic renal artery stenosis | [•Secondary hypertension•] |
| atopic eczema (dermatitis) | [•Itching child•], [•Child with red swelling around one eye•] |
| atrial fibrillation | [•Arrhythmias•] |
| atrial myxoma | [•Fever and a new murmur•] |
| atrial natiuretic peptide-secreting tumours | [•Hyponatraemia•] |
| atrial septal defect: ostium primum | [•Valvular heart disease•] |
| atrophic vaginitis | [•Postmenopausal bleeding•] |
| attention deficit disorder with hyperactivity (ADHD) | [•Bipolar affective disorder•], [•Disruptive behaviour disorder•] |
| atypical antipsychotic overdose | [•Self-harm•] |
| atypical glandular cells | [•Abnormal cervical smear result•] |
| atypical squamous cells | [•Abnormal cervical smear result•] |
| auricular haematoma | [•Head trauma•] |
| autistic spectrum disorder | [•Before school check•] |
| autoimmune adrenitis | [•Adrenal crisis•] |
| autoimmune disease e.g. SLE | [•Facial swelling and itchy rash•] |
| autoimmune hepatitis | [•Chronic liver disease•] |
| autoimmune polyglandular syndrome types 1 and 2 | [•Adrenal crisis•] |
| autosomal dominant polycystic kidney disease | [•Secondary hypertension•], [•Gross haematuria•] |
| AV nodal re-entrant tachycardia | [•Arrhythmias•] |
| AV reentrant tachycardia | [•Arrhythmias•] |
| avascular necrosis | [•Hip fracture•] |
| avoidant personality disorder | [•Personality disorder•] |
| axillary artery / nerve injury | [•Dislocated joint•] |
| azoospermia | [•Infertility•] |
| bacterial conjunctivitis | [•Infant with an altered light reflex and watery eye•] |
| bacterial endocarditis (Staphylococcus aureus, Viridans streptococci, Enterococcus faecalis) | [•Fever and a new murmur•] |
| bacterial infection | [•Infant with jaundice•] |
| bacterial meningitis | [•Fever and headache•], [•Upper respiratory tract symptoms•] |
| bacterial pneumonia | [•Febrile infant•] |
| Baker's popliteal cyst | [•Knee pain•] |
| Barrett's oesophagus | [•Dysphagia•] |
| basal cell carcinoma | [•Skin tumours•] |
| base of skull fracture | [•Head trauma•] |
| behavioural problems (enuresis, tantrums, antisocial behaviours, shyness) | [•Before school check•] |
| Behçet’s disease | [•Bipolar affective disorder•], [•Gout / acute pain and swelling of knee•], [•Reactive arthritis•], [•Acute psychosis•] |
| Bell's palsy | [•Stroke / TIA / sudden onset unilateral weakness•], [•Dysphagia•] |
| benign bone tumours | [•Musculoskeletal lump•] |
| benign essential tremor | [•Tremor and parkinsonism•] |
| benign intracranial hypertension | [•Child or adolescent with a headache•], [•Headache•] |
| benign ovarian cysts | [•Gynaecological abdominal pain•] |
| benign paroxysmal positional vertigo | [•Dizziness and vertigo•] |
| benign prostatic hypertrophy | [•Acute kidney injury•], [•Elevation of prostate-specific antigen•] |
| benzodiazepine and other hypnosedative abuse/dependence | [•Alcohol and drug dependence disorders•] |
| benzodiazepine overdose | [•Self-harm•] |
| beta-blocker overdose | [•Self-harm•] |
| biliary atresia | [•Infant with jaundice•] |
| biliary colic/gallstones | [•Acute abdominal pain•] |
| bipolar affective disorder | [•Self-harm•], [•Bipolar affective disorder•], [•Alcohol and drug dependence disorders•], [•Acute psychosis•], [•Personality disorder•], [•Major depressive episode•] |
| bladder cancer | [•Dysuria•] |
| bladder distension | [•Adult with abdominal mass•] |
| bladder transitional cell carcinoma | [•Gross haematuria•] |
| bleeding | [•Postoperative complications•] |
| bleeding diathesis | [•Gout / acute pain and swelling of knee•] |
| bleeding disorder | [•Knee injury•] |
| blepharitis | [•Child with red swelling around one eye•] |
| blepharochalasis | [•Child with red swelling around one eye•] |
| blood group incompatibility (unconjugated) | [•Infant with jaundice•] |
| blunt trauma | [•Superficial injuries•], [•Child with red swelling around one eye•] |
| body dysmorphic disorder | [•Eating disorders•], [•Medically unexplained physical symptoms•] |
| boil/furuncle | [•Skin and soft tissue infection•] |
| bone or other malignancy (e.g. leukaemia) | [•Osteomyelitis•] |
| bony metastases | [•Regional limb pain•] |
| borderline personality disorder | [•Self-harm•], [•Eating disorders•], [•Personality disorder•], [•Major depressive episode•] |
| botulism | [•Neuromuscular disease / generalised muscle weakness•] |
| bowel obstruction | [•Acute abdominal pain•], [•Infant with vomiting and diarrhoea•], [•Fetal health•] |
| brachial neuritis | [•Regional limb pain•] |
| brachial plexus injury | [•Dislocated joint•] |
| brain abscess | [•Bipolar affective disorder•], [•Acute psychosis•] |
| brain herniation from raised intracranial pressure | [•Head trauma•] |
| brain tumour | [•Alcohol and drug dependence disorders•], [•Child or adolescent with a headache•] |
| branchial cleft cyst | [•Neck lump•] |
| Braxton-Hicks contractions | [•Late pregnancy complications•] |
| breast abscess | [•Breast lump and screening•] |
| breast cancer | [•Clinical audit•], [•Contraception•] |
| breast cancer (invasive/metastatic adenocarcinoma, lobar carcinoma in-situ, ductal carcinoma in-situ) | [•Breast lump and screening•] |
| breast milk jaundice | [•Infant with jaundice•] |
| breath holding attacks | [•Altered level of consciousness in a child•] |
| bronchiectasis | [•Chronic sputum production•], [•Chronic shortness of breath•] |
| bronchiolitis obliterans | [•Chronic shortness of breath•] |
| brucellosis | [•Non-specific back pain•] |
| Brugada syndrome | [•Arrhythmias•] |
| Buerger's disease | [•Acutely painful limb•] |
| bulbar/pseudobulbar palsy | [•Dysphagia•] |
| bulimia nervosa | [•Eating disorders•], [•Personality disorder•], [•Major depressive episode•] |
| bullous lung disease | [•Chronic shortness of breath•] |
| bullous pemphigoid | [•Rest home resident with itching and rash•], [•Blisters•] |
| burn | [•Child with red swelling around one eye•] |
| caesarean birth | [•Labour•] |
| caffeine | [•Menopause•] |
| calcium pyrophosphate dihydrate disease (CPPD) arthritis | [•Gout / acute pain and swelling of knee•] |
| candidiasis | [•Dysuria•] |
| cannabis abuse | [•Alcohol and drug dependence disorders•] |
| capillary haemangioma | [•Child with red swelling around one eye•] |
| carbuncle | [•Skin and soft tissue infection•] |
| carcinoid syndrome | [•Chronic bowel motility problems•], [•Menopause•] |
| carcinoma | [•Headache, morning stiffness and shoulder pain•] |
| carcinoma in situ | [•Skin tumours•] |
| carcinoma of the pancreas | [•Medically unexplained physical symptoms•] |
| cardiac arrhythmias | [•Unexplained loss of consciousness•], [•Falls and collapses•], [•Epilepsy / seizure•], [•Pre-admission and surgical risk assessment•], [•Altered level of consciousness in a child•], [•Postoperative complications•] |
| cardiac failure | [•Acute kidney injury•], [•Chronic shortness of breath•] |
| cardiac murmurs | [•6 week check•] |
| cardiac tamponade | [•Out of hospital cardiac arrest•], [•Acute chest pain•], [•Sudden onset shortness of breath•], [•Penetrating chest trauma•] |
| cardiomyopathy (alcoholic, idiopathic, hypertensive, ischaemic) | [•Heart failure•] |
| carotid artery aneurysm | [•Neck lump•] |
| carotid artery dissection | [•Unexplained loss of consciousness•], [•Stroke / TIA / sudden onset unilateral weakness•] |
| carotid paraganglioma (chemodectoma) | [•Neck lump•] |
| carpal tunnel syndrome | [•Painful hands in the cold•] |
| Castleman’s Disease | [•Lymphadenopathy and splenomegaly•] |
| cat scratch disease | [•Fever and adenopathy•] |
| cataracts | [•6 week check•] |
| cauda equina syndrome | [•Non-specific back pain•], [•Acutely painful limb•] |
| cauda-equina syndrome | [•Urinary incontinence in women•] |
| cavernous sinus thrombosis | [•Acute or chronic red eye•] |
| cellulitis | [•Skin and soft tissue infection•], [•Deep vein thrombosis•] |
| cellulitis impetigo | [•Itching child•] |
| central diabetes insipidus | [•Diabetes insipidus•] |
| central nervous system neoplasia (primary and secondary) | [•Major depressive episode•] |
| central or branch retinal artery occlusion | [•Sudden painless loss of vision•] |
| central or branch retinal vein occlusion | [•Sudden painless loss of vision•] |
| central sleep apnoea | [•Daytime sleepiness•] |
| cerebellopontine angle tumour | [•Hearing loss•], [•Dizziness and vertigo•] |
| cerebral contusion | [•Head trauma•] |
| cerebral cyst | [•Space occupying lesion / progressive unilateral weakness•] |
| cerebral herniation syndromes | [•Altered level of consciousness in an adult•] |
| cerebral oedema | [•Altered level of consciousness in an adult•] |
| cerebral palsy | [•Labour•], [•Congenital hearing loss•], [•Child with abnormal gait•] |
| cerebral tumour | [•Falls and collapses•], [•Delirium / dementia•], [•Agitated and combative patient•], [•Dementia / disturbance of memory / cognitive function•] |
| cerebrovascular accident | [•Unexplained loss of consciousness•], [•Altered level of consciousness in a child•], [•Child with abnormal gait•] |
| cerebrovascular accident (stroke) | [•Sudden painless loss of vision•] |
| cerumen accumulation | [•Hearing loss•] |
| cervical cancer | [•Clinical audit•], [•Gynaecological abdominal pain•], [•Vaginal bleeding late in pregnancy•], [•Postmenopausal bleeding•], [•Dysuria•] |
| cervical cord compression | [•Painful hands in the cold•] |
| cervical dysplasia / carcinoma | [•Heavy menstrual periods•], [•Postmenopausal bleeding•] |
| cervical ectropian/erosion | [•Heavy menstrual periods•] |
| cervical polyps | [•Heavy menstrual periods•], [•Vaginal bleeding late in pregnancy•], [•Postmenopausal bleeding•] |
| cervical spine fractures | [•Neck injury•] |
| cervical spine sprains | [•Neck injury•] |
| cervix (cervicitis, polyp) | [•Gynaecological abdominal pain•] |
| chemical burns (acid and alkali) | [•Burns•] |
| chemotherapy toxicity | [•Menopause•], [•Pancytopenia•] |
| chikungunya (in a recent traveller) | [•Swollen and tender joints•] |
| child abuse | [•Disruptive behaviour disorder•] |
| chlamydia | [•Dysuria•] |
| cholangiocarcinoma | [•Patient with jaundice•] |
| cholecystitis | [•Patient with jaundice•], [•Acute abdominal pain•] |
| cholesteatoma | [•Hearing loss•], [•Glue ear•] |
| cholesterol emboli syndrome | [•Acutely painful limb•] |
| chorioamnionitis | [•Labour•] |
| choriocarcinoma | [•Postpartum care•] |
| chromosomal or genetic syndrome (leading to obesity/dysmorphism) | [•Osteomyelitis•] |
| chromosomal or genetic syndrome (Turner's syndrome) | [•Child with abnormal puberty•] |
| chronic compartment syndrome | [•Chronic limb pain•] |
| chronic disease (especially coeliac, inflammatory bowel disease) | [•Child with abnormal puberty•] |
| chronic fatigue syndrome | [•Major depressive episode•] |
| chronic hepatitis B and C | [•Chronic liver disease•] |
| chronic illness (malabsorption, chronic infection) | [•Failure to thrive•] |
| chronic inflammation | [•Haemochromatosis•] |
| chronic inflammatory demyelinating polyneuropathy | [•Neuromuscular disease / generalised muscle weakness•] |
| chronic ischaemic gut | [•Chronic bowel motility problems•] |
| chronic kidney disease | [•Secondary hypertension•] |
| chronic lymphocytic leukaemia | [•Lymphadenopathy and splenomegaly•] |
| chronic mesenteric insufficiency | [•Acute abdominal pain•] |
| chronic myeloid leukaemia | [•Pancytopenia•] |
| chronic obstructive pulmonary disease | [•Polycythaemia•], [•Teaching•], [•Chronic sputum production•], [•Heart failure•], [•Chronic shortness of breath•], [•Pneumonia•] |
| chronic pancreatitis | [•Chronic bowel motility problems•], [•Diarrhoea•] |
| chronic renal failure | [•Hypercalcaemia and back pain•] |
| chronic sinusitis | [•Epistaxis•] |
| chronic subdural haematoma | [•Space occupying lesion / progressive unilateral weakness•], [•Dementia / disturbance of memory / cognitive function•] |
| Churg-Strauss syndrome | [•Bipolar affective disorder•], [•Acute psychosis•] |
| ciliary dyskinesia syndrome | [•Chronic sputum production•] |
| clavicle fracture/nonunion | [•Regional limb pain•] |
| cleft palate | [•Congenital hearing loss•], [•6 week check•] |
| closed loop obstruction | [•Bowel obstruction•] |
| cluster headache | [•Sudden onset severe headache•], [•Headache•] |
| CMV | [•Infant with jaundice•] |
| co-morbid mental health problems (e.g. depression) | [•Chronic illness in paediatrics•] |
| CO2 narcosis | [•Unexplained loss of consciousness•] |
| coagulopathies | [•Heavy menstrual periods•], [•Gynaecological abdominal pain•], [•Vaginal bleeding late in pregnancy•], [•Gross haematuria•], [•Postpartum care•] |
| coarctation of the aorta | [•Secondary hypertension•], [•6 week check•] |
| Coats disease
Watery eye:
congenital nasolacrimal duct obstruction | [•Infant with an altered light reflex and watery eye•] |
| cocaine abuse/overdose | [•Alcohol and drug dependence disorders•] |
| cochlear malformation | [•Congenital hearing loss•] |
| coeliac disease | [•Chronic bowel motility problems•], [•Eating disorders•], [•Chronic abdominal pain in children and adolescents•], [•Failure to thrive•], [•Anaemia•], [•Chronic upper abdominal symptoms•] |
| colorectal cancer | [•Chronic bowel motility problems•], [•Bowel obstruction•], [•Adult with abdominal mass•], [•Rectal bleeding•] |
| combined oral contraceptive pill use | [•Secondary hypertension•] |
| common viral upper respiratory tract infection (viral sore throat) | [•Sore throat management in the New Zealand context•] |
| common femoral artery aneurysm | [•Groin lump•] |
| community acquired / nosocomial pneumonia | [•Pneumonia•] |
| compartment syndrome | [•Hand injury•], [•Acutely painful limb•] |
| concerns about vaccination | [•6 week check•] |
| concha bullosa | [•Epistaxis•] |
| concussion | [•Neck injury•], [•Head trauma•], [•Agitated and combative patient•] |
| conduct disorder (CD) | [•Disruptive behaviour disorder•] |
| congenital adrenal hyperplasia | [•Amenorrhoea•], [•Adrenal crisis•], [•Infertility•] |
| congenital adrenal hypoplasia | [•Adrenal crisis•] |
| congenital anomaly (ectopic ureter) | [•Child with disorder of elimination•] |
| congenital band adhesion and other causes of partial bowel obstruction | [•Chronic abdominal pain in children and adolescents•] |
| congenital cardiovascular abnormality | [•Child with respiratory distress•] |
| congenital choledochal cyst | [•Infant with jaundice•] |
| congenital diaphragmatic hernia | [•Unwell neonate•], [•Fetal health•] |
| congenital esotropia (non-accomodative, requiring surgical correction) | [•Infant or child with strabismus•] |
| congenital fetal abnormality | [•Labour•] |
| congenital hearing loss | [•Glue ear•] |
| congenital heart disease | [•Unwell neonate•], [•Infant or child with a murmur•], [•Failure to thrive•], [•Fever and a new murmur•], [•Fetal health•] |
| congenital infection particularly cytomegalovirus | [•Congenital hearing loss•] |
| congenital laryngeal abnormalities (e.g. vocal cord palsy) | [•Neonatal stridor•] |
| congenital lung abnormality | [•Child with respiratory distress•] |
| congenital melanocytic naevi and other skin conditions (napkin dermatitis, haemangiomas/vascular malformations, Mongolian blue spots) difficulty establishing feeding | [•6 week check•] |
| congenital or acquired immunodeficiency | [•Failure to thrive•] |
| congenital rubella syndrome
Watery eye:
congenital glaucoma | [•Infant with an altered light reflex and watery eye•] |
| conjunctivitis (bacterial, viral, allergic) | [•Acute or chronic red eye•] |
| constipation | [•Chronic abdominal pain in children and adolescents•], [•Late pregnancy complications•], [•Abdominal or inguinal lump•], [•Acute abdominal pain in children and adolescents•], [•Delirium / dementia•], [•Perianal pathology•], [•Child with disorder of elimination•] |
| contact dermatitis | [•Child with red swelling around one eye•] |
| contact irritation (in relation to scabies treatment) | [•Itching child•] |
| conversion disorder | [•Medically unexplained physical symptoms•] |
| COPD | [•Pre-admission and surgical risk assessment•] |
| cor pulmonale /pulmonary hypertension | [•Daytime sleepiness•] |
| cord prolapse | [•Labour•] |
| corkscrew oesophagus (oesphageal spasm) | [•Dysphagia•] |
| corneal dystrophies | [•Infant with an altered light reflex and watery eye•] |
| corneal or sub-tarsal foreign body | [•Infant with an altered light reflex and watery eye•] |
| coronary artery vasospasm | [•Stable angina•] |
| corpus luteum cyst | [•Gynaecological abdominal pain•] |
| costochondritis | [•Acute chest pain•] |
| cranial nerve III palsy in herpes zoster ophthalmicus | [•Pupil abnormality•] |
| craniopharyngioma | [•Amenorrhoea•], [•Panhypopituitarism•], [•Infertility•] |
| Crohn's disease | [•Eating disorders•], [•Perianal pathology•], [•Adult with abdominal mass•], [•Child with sore joints•] |
| Crohn's strictures | [•Bowel obstruction•] |
| croup | [•Upper respiratory tract symptoms•], [•Neonatal stridor•] |
| cryptococcosis | [•Dementia / disturbance of memory / cognitive function•] |
| crystal arthropathy | [•Knee pain•] |
| Curling's (severe stress/burns) ulcer | [•Upper gastrointestinal bleeding•] |
| Cushing's syndrome | [•Bipolar affective disorder•], [•Secondary hypertension•], [•Major depressive episode•], [•Obesity•] |
| cutaneous lupus (subacute cutaneous lupus, discoid lupus) | [•Pimples and rash on the face•] |
| cutaneous T cell lymphoma | [•Adult eczema•] |
| cutaneous vasculitis +/- systemic involvement | [•Blisters•] |
| cyanotic congenital heart disease | [•Infant or child with a murmur•] |
| cyanotic heart disease | [•Polycythaemia•] |
| cyclothymia | [•Bipolar affective disorder•] |
| cystic fibrosis | [•Infant with jaundice•], [•Chronic abdominal pain in children and adolescents•], [•Chronic sputum production•], [•Family with a genetic disorder•], [•Failure to thrive•] |
| cytomegalovirus | [•Chronic liver disease•], [•Fetal health•] |
| cytomegalovirus (CMV) | [•Febrile returning traveller•] |
| dacryoadenitis | [•Child with red swelling around one eye•] |
| dacryocystitis | [•Child with red swelling around one eye•] |
| damaged teeth | [•Preoperative assessment and management•] |
| de-gloving and crush injuries | [•Hand injury•] |
| decreased mobility | [•Urinary incontinence in women•] |
| deep neck space infection | [•Compromised airway•], [•Upper airway disease•], [•Upper respiratory tract symptoms•], [•Neonatal stridor•] |
| deep skin or soft infection | [•Fracture•] |
| deep vein thrombosis | [•Pre-admission and surgical risk assessment•], [•Preoperative assessment and management•], [•Acutely painful limb•], [•Deep vein thrombosis•] |
| degenerative disc disease | [•Non-specific back pain•] |
| dehydration | [•Postoperative complications•] |
| delayed maturation | [•Child with disorder of elimination•] |
| delayed puberty (constitutional) | [•Child with abnormal puberty•] |
| deliberate self-harm | [•Superficial injuries•] |
| delirium | [•Personality disorder•], [•Dementia / disturbance of memory / cognitive function•] |
| delirium tremens | [•Agitated and combative patient•] |
| delirium tremens postoperative nausea and vomiting | [•Postoperative complications•] |
| dementia | [•Accidental overdose•], [•Major depressive episode•] |
| depression | [•Headache, morning stiffness and shoulder pain•], [•Painful hands in the cold•], [•Self-harm•], [•Eating disorders•], [•Medically unexplained physical symptoms•], [•Alcohol and drug dependence disorders•], [•Acute chest pain•], [•Anxiety disorder•], [•Acute psychosis•], [•Personality disorder•], [•Dementia / disturbance of memory / cognitive function•] |
| depressive personality disorder | [•Personality disorder•], [•Disruptive behaviour disorder•] |
| dermal burn (superficial, mid and deep) | [•Burns•] |
| dermatitis | [•Skin and soft tissue infection•] |
| dermatitis herpetiformis | [•Blisters•] |
| dermatomyositis | [•Painful hands in the cold•], [•Chronic limb pain•] |
| dermatomyositis/polymyositis | [•Headache, morning stiffness and shoulder pain•] |
| dermoid cyst | [•Child with red swelling around one eye•], [•Neck lump•] |
| developmental delay | [•Before school check•] |
| developmental dysplasia of the hip | [•Osteomyelitis•], [•Child with abnormal gait•], [•6 week check•] |
| deviated septum | [•Epistaxis•] |
| diabetes insipidus | [•Urinary incontinence in women•] |
| diabetes mellitus | [•Urinary incontinence in women•], [•Diplopia•], [•Risk assessment in early pregnancy•], [•Pre-admission and surgical risk assessment•], [•Preoperative assessment and management•], [•Diabetes insipidus•], [•Chronic kidney disease / asymptomatic worsening renal function•], [•Child with disorder of elimination•], [•Obesity•] |
| diabetic ketoacidosis | [•Unexplained loss of consciousness•], [•Acute abdominal pain in children and adolescents•], [•Altered level of consciousness in a child•], [•Acute presentation of diabetes mellitus•], [•Postoperative complications•], [•Acute abdominal pain•], [•Infant with vomiting and diarrhoea•] |
| diabetic retinopathy | [•Annual eye screen for patient with diabetes•] |
| diabetic retinopathy (maculopathy) | [•Gradual deterioration in visual acuity over time•] |
| Dieulafoy (vascular) lesion | [•Upper gastrointestinal bleeding•] |
| diffuse alveolar haemorrhage | [•Haemoptysis and abnormal chest X-ray•], [•Worsening shortness of breath•] |
| diffuse axonal injury | [•Unexplained loss of consciousness•], [•Head trauma•], [•Penetrating chest trauma•] |
| diffuse idiopathic skeletal hyperostosis (Forestier's disease) | [•Inflammatory low back pain•] |
| diffuse lung disease associated with connective tissue diseases | [•Worsening shortness of breath•] |
| diphtheria | [•Compromised airway•] |
| direct cardiac trauma | [•Penetrating chest trauma•] |
| disc prolapse | [•Inflammatory low back pain•] |
| discitis | [•Inflammatory low back pain•], [•Non-specific back pain•] |
| discoid eczema | [•Rest home resident with itching and rash•] |
| disease of major organ system (e.g. chronic renal failure) | [•Failure to thrive•] |
| dissociative disorder | [•Personality disorder•] |
| distracting injuries | [•Neck injury•] |
| diuretic toxicity | [•Hyponatraemia•] |
| diverticular disease | [•Rectal bleeding•] |
| diverticulitis | [•Bowel obstruction•], [•Acute abdominal pain•] |
| domestic violence | [•Superficial injuries•] |
| Down syndrome | [•Family with a genetic disorder•], [•Fetal health•] |
| drug eruption | [•Rest home resident with itching and rash•] |
| drug eruption (major) | [•Blisters•] |
| drug eruption (mild) | [•Blisters•] |
| drug hypersensitivity syndrome/drug reaction with eosinophilia and systemic symptoms (DRESS) | [•Blisters•] |
| drug induced | [•Chronic bowel motility problems•], [•Diabetes in pregnancy•], [•Falls and collapses•], [•Arrhythmias•], [•Delirium / dementia•], [•Hearing loss•], [•Postpartum care•] |
| drug induced oesophagitis | [•Dysphagia•] |
| drug induced- accidental ingestion | [•Altered level of consciousness in a child•] |
| drug seeking behaviour | [•Anxiety disorder•] |
| drug-induced | [•Acute kidney injury•] |
| drug-induced diffuse lung disease | [•Worsening shortness of breath•] |
| drug-induced liver disease | [•Patient with jaundice•] |
| drug-induced lupus erythematosus | [•SLE / fatigue / pain and swelling in the hands•] |
| drug-induced parkinsonism | [•Tremor and parkinsonism•] |
| drugs (beta-blockers, calcium channel blockers, substance abuse) | [•Major depressive episode•] |
| drugs (e.g. diuretics) | [•Urinary incontinence in women•] |
| drugs (including non-prescription medications) | [•Chronic liver disease•] |
| drugs (rifampicin) | [•Gross haematuria•] |
| drugs (warfarin, aspirin) | [•Heavy menstrual periods•] |
| Duane syndrome | [•Infant or child with strabismus•] |
| Duchenne’s muscular dystrophy | [•Family with a genetic disorder•] |
| duct ectasia | [•Breast lump and screening•] |
| dysfibrinogenaemia | [•Deep vein thrombosis•] |
| dysfunctional uterine bleeding | [•Heavy menstrual periods•] |
| dyslipidaemia | [•Obesity•] |
| dyspepsia | [•Chronic bowel motility problems•] |
| dysthymic disorder | [•Alcohol and drug dependence disorders•], [•Anxiety disorder•], [•Major depressive episode•] |
| eating disorder | [•Chronic abdominal pain in children and adolescents•] |
| eclampsia | [•Risk assessment in early pregnancy•], [•Late pregnancy complications•] |
| ectopic ACTH from malignancy | [•Obesity•] |
| ectopic pregnancy | [•Heavy menstrual periods•], [•Gynaecological abdominal pain•], [•Pregnancy diagnosis•], [•Acute abdominal pain•], [•Contraception•] |
| eczema herpeticum | [•Itching child•] |
| electrical burns | [•Burns•] |
| electrolyte imbalance | [•Out of hospital cardiac arrest•], [•Acute psychosis•], [•Delirium / dementia•], [•Postoperative complications•] |
| embolic disease from atrial fibrillation | [•Acute abdominal pain•] |
| emotional trauma | [•Arrhythmias•] |
| emotional/physical neglect or abuse | [•Before school check•] |
| empty sella syndrome | [•Amenorrhoea•], [•Panhypopituitarism•], [•Infertility•] |
| empyema | [•Haemoptysis and abnormal chest X-ray•] |
| encephalitis | [•Unexplained loss of consciousness•], [•Sudden onset severe headache•], [•Bipolar affective disorder•], [•Falls and collapses•], [•Epilepsy / seizure•], [•Alcohol and drug dependence disorders•], [•Fever and headache•], [•Altered level of consciousness in a child•], [•Acute psychosis•], [•Agitated and combative patient•], [•Febrile infant•] |
| encephalocoele | [•Child with red swelling around one eye•] |
| encephalopathy of any cause | [•Bipolar affective disorder•], [•Alcohol and drug dependence disorders•], [•Anxiety disorder•], [•Acute psychosis•] |
| endocervical / vaginal infection | [•Heavy menstrual periods•] |
| endocrine causes of hyperglycaemia | [•Diabetes in pregnancy•] |
| endometrial carcinoma | [•Postmenopausal bleeding•] |
| endometrial hyperplasia | [•Postmenopausal bleeding•] |
| endometrial hyperplasia / carcinoma | [•Heavy menstrual periods•] |
| endometrial polyps | [•Heavy menstrual periods•], [•Postmenopausal bleeding•] |
| endometriosis | [•Dysuria•], [•Infertility•], [•Acute abdominal pain•] |
| endometritis | [•Postpartum care•] |
| enteropathic arthritis (associated with inflammatory bowel disease) | [•Inflammatory low back pain•], [•Swollen and tender joints•], [•Reactive arthritis•] |
| enterovirus infection (Coxsackie virus and Echovirus) | [•Reactive arthritis•] |
| eosinophilic gastroenteritis | [•Chronic bowel motility problems•] |
| eosinophilic oesphagitis | [•Dysphagia•] |
| ephelis | [•Skin tumours•] |
| epidermal burn | [•Burns•] |
| epidermoid cyst | [•Musculoskeletal lump•] |
| epididymitis | [•Acute severe testicular pain•] |
| epidural haematoma | [•Postoperative complications•] |
| epiglottitis | [•Child with respiratory distress•], [•Sore throat management in the New Zealand context•] |
| epiglottitis/supraglottitis | [•Compromised airway•], [•Upper airway disease•], [•Upper respiratory tract symptoms•], [•Neonatal stridor•] |
| epilepsy | [•Unexplained loss of consciousness•], [•Chronic illness in paediatrics•], [•Arrhythmias•] |
| episcleritis | [•Acute or chronic red eye•] |
| episiotomy | [•Labour•] |
| epistaxis | [•Epistaxis•] |
| Epstein-Barr virus (EBV) | [•Infant with jaundice•], [•Chronic liver disease•], [•Febrile returning traveller•] |
| erysipelas | [•Skin and soft tissue infection•], [•Child with red swelling around one eye•] |
| erythema ab igne | [•Blisters•] |
| erythema multiforme | [•Facial swelling and itchy rash•], [•Blisters•] |
| erythrodermic eczema | [•Itching child•] |
| erythrodermic psoriasis | [•Rash on extensor surfaces and joint pains•] |
| essential hypertension | [•Risk assessment in early pregnancy•], [•Secondary hypertension•], [•Late pregnancy complications•], [•Obesity•] |
| ethylene glycol poisoning | [•Self-harm•], [•Acute presentation of diabetes mellitus•] |
| Ewing's sarcoma | [•Musculoskeletal lump•] |
| exogenous adrenal suppression | [•Adrenal crisis•] |
| external compression of bile duct | [•Patient with jaundice•] |
| external compression of ureters | [•Acute kidney injury•] |
| external hordeolum/stye | [•Child with red swelling around one eye•] |
| external tracheal compression (e.g. vascular ring) | [•Neonatal stridor•] |
| extra-renal salt loss | [•Hyponatraemia•] |
| extradural haemorrhage | [•Unexplained loss of consciousness•], [•Head trauma•], [•Agitated and combative patient•] |
| extraocular muscle palsy associated with post-viral or posterior fossa compressive lesion | [•Infant or child with strabismus•] |
| exudative (wet) age-related macular degeneration | [•Sudden painless loss of vision•] |
| face/brow presentation | [•Labour•] |
| facial nerve paresis | [•Glue ear•] |
| facial trauma | [•Upper airway disease•] |
| factor V Leiden | [•Deep vein thrombosis•] |
| Fahr disease | [•Bipolar affective disorder•] |
| fall | [•Falls and collapses•], [•Superficial injuries•] |
| familial adenomatous polyposis | [•Genetic testing information•], [•Family with a genetic disorder•], [•Rectal bleeding•] |
| familial breast cancer | [•Genetic testing information•] |
| familial genetic abnormalities e.g. parental translocation or consanguinity | [•Fetal health•] |
| familial ovarian cancer | [•Genetic testing information•] |
| familial patterns of growth | [•Failure to thrive•] |
| family dysfunction | [•Child or adolescent with a headache•] |
| family violence | [•Vaginal bleeding late in pregnancy•] |
| fat necrosis | [•Breast lump and screening•] |
| febrile convulsion | [•Epilepsy / seizure•], [•Altered level of consciousness in a child•] |
| femoral hernia | [•Groin lump•] |
| fetal growth restriction | [•Risk assessment in early pregnancy•], [•Fetal health•] |
| fetal malposition (occipito-posterior) | [•Labour•] |
| fibroadenoma | [•Breast lump and screening•] |
| fibrocystic change | [•Breast lump and screening•] |
| fibroids | [•Heavy menstrual periods•], [•Adult with abdominal mass•] |
| fibromuscular dysplasia | [•Secondary hypertension•] |
| fibromyalgia | [•Headache, morning stiffness and shoulder pain•], [•SLE / fatigue / pain and swelling in the hands•], [•Painful hands in the cold•], [•Medically unexplained physical symptoms•], [•Acute chest pain•] |
| finger dislocations | [•Hand injury•] |
| fistula-in-ano | [•Perianal pathology•] |
| flail chest | [•Penetrating chest trauma•] |
| flow murmur | [•Valvular heart disease•], [•Fever and a new murmur•] |
| focal epilepsy | [•Stroke / TIA / sudden onset unilateral weakness•] |
| focal segmental glomerulosclerosis | [•Acute kidney injury•] |
| focal seizures with loss of awareness (temporal lobe epilepsy, frontal lobe epilepsy, parietal lobe epilepsy and occipital lobe epilepsy) | [•Epilepsy / seizure•] |
| focal seizures with retained awareness (focal motor seizures, focal sensory seizures, benign rolandic epilepsy) | [•Epilepsy / seizure•] |
| food allergy | [•Chronic abdominal pain in children and adolescents•], [•Compromised airway•] |
| food allergy (cows milk protein intolerance/allergy) | [•Failure to thrive•] |
| Food anaphylaxis | [•Food allergy in paediatrics•] |
| food intolerance | [•Food allergy in paediatrics•] |
| food poisoning | [•Diarrhoea•] |
| foreign body | [•Compromised airway•], [•Epistaxis•], [•Dysphagia•] |
| foreign body in external auditory canal | [•Hearing loss•] |
| foreign body in vagina | [•Gynaecological abdominal pain•] |
| Foreign body inhalation | [•Food allergy in paediatrics•] |
| fracture | [•Fracture•] |
| fractured neck of femur | [•Hip fracture•] |
| fragile X syndrome | [•Menopause•], [•Family with a genetic disorder•] |
| frailty | [•Falls and collapses•] |
| fronto-temporal dementia | [•Delirium / dementia•], [•Dementia / disturbance of memory / cognitive function•] |
| frost-bite | [•Burns•] |
| frozen shoulder (adhesive capsulitis) | [•Regional limb pain•] |
| full thickness burn | [•Burns•] |
| fulminant liver failure | [•Needlestick injury•] |
| functional abdominal pain (recurrent idiopathic abdominal pain) | [•Chronic abdominal pain in children and adolescents•] |
| gallstones | [•Patient with jaundice•], [•Pre-admission and surgical risk assessment•], [•Chronic upper abdominal symptoms•] |
| Ganser syndrome | [•Personality disorder•] |
| gastric cancer | [•Upper gastrointestinal bleeding•], [•Chronic upper abdominal symptoms•], [•Adult with abdominal mass•] |
| gastritis | [•Upper gastrointestinal bleeding•], [•Late pregnancy complications•], [•Chronic upper abdominal symptoms•] |
| gastro-oesophageal reflux disease | [•Late pregnancy complications•], [•Stable angina•], [•Acute chest pain•], [•Daytime sleepiness•], [•Epistaxis•], [•Chronic upper abdominal symptoms•] |
| gastroenteritis | [•Chronic bowel motility problems•], [•Infectious disease outbreak•], [•Febrile infant•] |
| gastrointestinal bleed | [•Unexplained loss of consciousness•] |
| gastrointestinal lymphoma | [•Chronic upper abdominal symptoms•] |
| gastrointestinal upset secondary to antibiotics | [•Infant with vomiting and diarrhoea•] |
| generalised anxiety disorder | [•Acute chest pain•], [•Anxiety disorder•], [•Major depressive episode•] |
| genetic haemochromatosis (Cys282Tyr) | [•Haemochromatosis•] |
| genetic haemochromatosis (transferrin receptor mutation, ferroportin mutation) | [•Haemochromatosis•] |
| genetic hearing loss | [•Congenital hearing loss•] |
| genetic syndrome (Turner's syndrome) | [•Failure to thrive•] |
| genital warts | [•Dysuria•] |
| gestational diabetes mellitus | [•Diabetes in pregnancy•], [•Risk assessment in early pregnancy•] |
| gestational hypertension | [•Secondary hypertension•] |
| gestational impaired glucose tolerance | [•Diabetes in pregnancy•] |
| giant cell arteritis | [•Headache, morning stiffness and shoulder pain•], [•Sudden loss of vision and headache•], [•Stroke / TIA / sudden onset unilateral weakness•], [•Headache•] |
| glandular fever (EBV and CMV mononucleosis) | [•SLE / fatigue / pain and swelling in the hands•], [•Fever and adenopathy•], [•Sore throat management in the New Zealand context•] |
| glioma | [•Panhypopituitarism•] |
| glomerulonephritis | [•Chronic kidney disease / asymptomatic worsening renal function•] |
| glomerulonephritis (acute post-streptococcal GN) | [•Child with generalised swelling•] |
| glue sniffing | [•Acute presentation of diabetes mellitus•] |
| goitre | [•Dysphagia•] |
| gonococcal arthritis (disseminated gonococcal infection) | [•Gout / acute pain and swelling of knee•], [•Reactive arthritis•] |
| gonorrhoea | [•Dysuria•] |
| Goodpasture's syndrome | [•Acute kidney injury•] |
| GORD,benign oesophageal stricture | [•Dysphagia•] |
| gout | [•Gout / acute pain and swelling of knee•], [•Regional limb pain•], [•Reactive arthritis•], [•Chronic kidney disease / asymptomatic worsening renal function•] |
| granulomatosis with polyangiitis (Wegner’s granulomatosis) | [•Epistaxis•] |
| granulomatous disease | [•Space occupying lesion / progressive unilateral weakness•] |
| Graves' disease | [•Hyperthyroidism•] |
| great vessel injury | [•Penetrating chest trauma•] |
| growth abnormalities | [•Before school check•] |
| Guillain–Barré syndrome | [•Neuromuscular disease / generalised muscle weakness•], [•Child with abnormal gait•] |
| gynaecologic problems | [•Chronic abdominal pain in children and adolescents•] |
| haemarthrosis | [•Gout / acute pain and swelling of knee•] |
| haematological malignancies (myelodysplastic syndrome, myelofibrosis, leukaemias, myeloma) | [•Anaemia•] |
| haematological malignancy | [•Epistaxis•] |
| haemochromatosis | [•Patient with jaundice•], [•Panhypopituitarism•], [•Genetic testing information•], [•Family with a genetic disorder•], [•Chronic liver disease•] |
| haemoglobinopathies | [•Anaemia•], [•Fetal health•] |
| haemolysis | [•Gross haematuria•] |
| haemolytic anaemias (autoimmune disease, hereditary spherocytosis, G6PD deficiency) | [•Anaemia•] |
| haemolytic anaemias (hereditary spherocytosis, G6PD deficiency, autoimmune disease) | [•Infant or child with pallor•] |
| haemolytic disease of the newborn (HDN) | [•Vaginal bleeding late in pregnancy•] |
| haemolytic-uraemic syndrome (HUS)/thrombotic thrombocytopenic purpura (TTP) | [•Late pregnancy complications•], [•Infant with vomiting and diarrhoea•] |
| haemophilia | [•Infant or child with easy bruising•] |
| haemopneumothorax | [•Penetrating chest trauma•] |
| haemorrhage (subdural, extradural, subarachnoid, intracerebral, intraventricular) | [•Altered level of consciousness in an adult•] |
| haemorrhagic cystitis | [•Dysuria•] |
| haemorrhoids | [•Perianal pathology•], [•Rectal bleeding•] |
| haemothorax | [•Penetrating chest trauma•] |
| hair tourniquet | [•Irritable infant•] |
| hairy cell leukaemia | [•Pancytopenia•], [•Lymphadenopathy and splenomegaly•] |
| Hashimoto's thyroiditis | [•Hypothyroidism•] |
| head injury | [•Altered level of consciousness in a child•] |
| head injury syndrome | [•Altered level of consciousness in an adult•] |
| head trauma | [•Bipolar affective disorder•], [•Alcohol and drug dependence disorders•], [•Acute psychosis•] |
| healthcare-associated infection (including surgical site infection, pneumonia, peripheral and central intravenous cannula infection, urinary tract infection) | [•Postoperative complications•] |
| heart block (first, second and third-degree) | [•Arrhythmias•] |
| heart failure | [•Deep vein thrombosis•] |
| heart failure ('flash' pulmonary odema, consider rheumatic heart disease as an underlying cause) | [•Sudden onset shortness of breath•] |
| HELLP (haemolysis, elevated liver enzymes, low platelets) | [•Risk assessment in early pregnancy•] |
| HELLP syndrome | [•Late pregnancy complications•] |
| Henoch-Schonlein purpura | [•Infant or child with easy bruising•], [•Acute abdominal pain in children and adolescents•], [•Child with sore joints•] |
| hepatic congestion | [•Chronic liver disease•] |
| hepatic encephalopathy | [•Unexplained loss of consciousness•], [•Agitated and combative patient•] |
| hepatitis | [•Haemochromatosis•], [•Chronic abdominal pain in children and adolescents•] |
| hepatitis (especially HepB) | [•Infant with jaundice•] |
| hepatitis A | [•Febrile returning traveller•] |
| hepatitis B | [•Dysuria•], [•Needlestick injury•], [•Febrile returning traveller•] |
| hepatitis C | [•Dysuria•], [•Needlestick injury•], [•Febrile returning traveller•] |
| hepatocellular carcinoma | [•Polycythaemia•], [•Alcohol•], [•Patient with jaundice•], [•Chronic liver disease•] |
| hepatosplenomegaly | [•Adult with abdominal mass•] |
| hepatotoxins including aspergillus flavum | [•Chronic liver disease•] |
| hereditary angioedema (in cases of isolated angioedema) | [•Facial swelling and itchy rash•] |
| hereditary haemorrhagic telangiectasia | [•Epistaxis•] |
| hereditary nonpolyposis colorectal cancer | [•Genetic testing information•], [•Rectal bleeding•] |
| hereditary sideroblastic anaemia | [•Haemochromatosis•] |
| herpes simplex virus | [•Dysuria•] |
| herpes simplex virus encephalitis | [•Fever and headache•] |
| herpes simplex virus meningitis | [•Fever and headache•] |
| herpes zoster (shingles) | [•Blisters•] |
| herpes zoster ophthalmicus | [•Diplopia•], [•Acute or chronic red eye•] |
| hidradenitis suppurativa | [•Skin and soft tissue infection•] |
| high altitude pulmonary oedema | [•Heart failure•] |
| high grade squamous intraepithelial lesion | [•Abnormal cervical smear result•] |
| high oxygen affinity haemoglobinopathy | [•Polycythaemia•] |
| hip dislocation | [•Hip fracture•] |
| Hirschprung disease | [•Acute abdominal pain in children and adolescents•] |
| Hirschsprung disease | [•Child with disorder of elimination•] |
| histrionic personality disorder | [•Personality disorder•] |
| HIV | [•SLE / fatigue / pain and swelling in the hands•], [•Bipolar affective disorder•], [•Alcohol and drug dependence disorders•], [•Pancytopenia•], [•Fever and adenopathy•], [•Dysuria•], [•Acute psychosis•], [•Needlestick injury•], [•Perianal pathology•], [•Abnormal cervical smear result•], [•Contraception•], [•Dementia / disturbance of memory / cognitive function•], [•Lymphadenopathy and splenomegaly•], [•Major depressive episode•], [•Neck lump•], [•Fetal health•] |
| Hodgkin and non-Hodgkin lymphomas | [•Neck lump•] |
| Holmes-Adie pupil | [•Pupil abnormality•] |
| Horners syndrome | [•Pupil abnormality•] |
| human bites | [•Superficial injuries•] |
| human papilloma virus | [•Perianal pathology•], [•Abnormal cervical smear result•] |
| Huntington's disease | [•Bipolar affective disorder•], [•Tremor and parkinsonism•], [•Family with a genetic disorder•], [•Acute psychosis•], [•Dementia / disturbance of memory / cognitive function•], [•Major depressive episode•] |
| hydrocephalus | [•Unexplained loss of consciousness•], [•Tremor and parkinsonism•], [•Head trauma•], [•6 week check•] |
| hydrocoele | [•Abdominal or inguinal lump•], [•Acute severe testicular pain•], [•Groin lump•] |
| hyper/hypothyroidism | [•Amenorrhoea•] |
| hyperbilirubinaemia | [•Congenital hearing loss•] |
| hypercalcaemia | [•Alcohol and drug dependence disorders•], [•Anxiety disorder•], [•Agitated and combative patient•] |
| hypercalcaemia secondary to medication (thiazide and lithium toxicity) | [•Hypercalcaemia and back pain•] |
| hyperemesis gravidarum | [•Pregnancy diagnosis•] |
| hyperglycaemia | [•Hyponatraemia•] |
| hyperosmolar non-ketotic syndrome | [•Unexplained loss of consciousness•], [•Acute presentation of diabetes mellitus•] |
| hyperparathyroidism | [•Hypercalcaemia and back pain•] |
| hypersensitivity pneumonitis (extrinsic allergic alveolitis) | [•Worsening shortness of breath•] |
| hypersplenism | [•Pancytopenia•] |
| hypertensive cardiomyopathy | [•Stable angina•] |
| hypertensive encephalopathy | [•Arrhythmias•] |
| hypertensive nephrosclerosis | [•Chronic kidney disease / asymptomatic worsening renal function•] |
| hypertensive retinopathy | [•Annual eye screen for patient with diabetes•] |
| hyperthyroidism | [•Eating disorders•], [•Bipolar affective disorder•], [•Alcohol and drug dependence disorders•], [•Hypercalcaemia and back pain•], [•Anxiety disorder•], [•Acute psychosis•], [•Major depressive episode•] |
| hypertrophic obstructive cardiomyopathy | [•Valvular heart disease•], [•Arrhythmias•], [•Stable angina•] |
| hyperventilation syndrome | [•Acute chest pain•], [•Anxiety disorder•] |
| hypo /hyperthyroidism | [•Headache, morning stiffness and shoulder pain•] |
| hypo/hypernatraemia | [•Unexplained loss of consciousness•], [•Agitated and combative patient•] |
| hypocalcaemia | [•Agitated and combative patient•] |
| hypochondriasis | [•Medically unexplained physical symptoms•], [•Personality disorder•] |
| hypochromic microcytic anaemia (iron deficiency; thalassemia) | [•Infant or child with pallor•] |
| hypoglycaemia | [•Unexplained loss of consciousness•], [•Falls and collapses•], [•Unwell neonate•], [•Arrhythmias•], [•Stroke / TIA / sudden onset unilateral weakness•], [•Altered level of consciousness in a child•], [•Acute psychosis•], [•Agitated and combative patient•] |
| hypokalaemia | [•Diabetes insipidus•] |
| hypoparathyroidism | [•Delirium / dementia•] |
| hypopituitarism | [•Type 1 diabetes mellitus•], [•Osteomyelitis•] |
| hypospadias | [•6 week check•] |
| hypotension (any cause) | [•Out of hospital cardiac arrest•] |
| hypothalamic amenorrhoea | [•Amenorrhoea•], [•Infertility•] |
| Hypothalamic/pituitary tumour | [•Child with abnormal puberty•] |
| hypothermia | [•Out of hospital cardiac arrest•] |
| hypothyroidism | [•Infant with jaundice•], [•Hyponatraemia•], [•Osteomyelitis•], [•Failure to thrive•], [•Child with abnormal puberty•], [•Delirium / dementia•], [•Agitated and combative patient•], [•Anaemia•], [•Dementia / disturbance of memory / cognitive function•], [•Major depressive episode•] |
| hypovolaemia | [•Acute kidney injury•] |
| hypoxia | [•Agitated and combative patient•] |
| hypoxic ischaemic encephalopathy | [•Labour•] |
| ichthyosis or other genodermatosis | [•Itching child•] |
| idiopathic | [•Epilepsy / seizure•] |
| idiopathic intracranial hypertension | [•Sudden onset severe headache•] |
| idiopathic pulmonary fibrosis (cryptogenic fibrosing alveolitis) | [•Worsening shortness of breath•] |
| idiopathic urticarial | [•Facial swelling and itchy rash•] |
| IgA nephropathy | [•Gross haematuria•], [•Acute kidney injury•] |
| ileus | [•Bowel obstruction•] |
| illegal abortion | [•Gynaecological abdominal pain•] |
| immobilisation | [•Hypercalcaemia and back pain•] |
| immune thrombocytopenia | [•Epistaxis•] |
| immune thrombocytopenia (ITP) | [•Infant or child with easy bruising•] |
| immunisation delay | [•Clinical audit•], [•Before school check•] |
| immunodeficiency | [•Itching child•], [•Abnormal cervical smear result•] |
| immunodeficiency (inherited) | [•Family with a genetic disorder•] |
| immunoglobulin deficiency | [•Chronic sputum production•] |
| impaired glucose tolerance | [•Obesity•] |
| imperforate hymen | [•Child with abnormal puberty•] |
| impetigo | [•Skin and soft tissue infection•] |
| implantation bleed | [•Gynaecological abdominal pain•] |
| inadequate analgesia | [•Postoperative complications•] |
| inadequate caloric intake (feeding problems) | [•Failure to thrive•] |
| incarcerated hernia | [•Irritable infant•] |
| inclusion body myositis | [•Headache, morning stiffness and shoulder pain•], [•Neuromuscular disease / generalised muscle weakness•] |
| increased iodine intake | [•Hyperthyroidism•] |
| induced labour | [•Labour•] |
| infection | [•Haemochromatosis•], [•Acute psychosis•] |
| infection (urinary tract infection, giardiasis) | [•Chronic abdominal pain in children and adolescents•] |
| infection (urinary, respiratory) | [•Infant with vomiting and diarrhoea•] |
| infection of joint prostheses | [•Knee pain•] |
| infection-induced urticaria/angioedema | [•Facial swelling and itchy rash•] |
| Infectious diarrhoea including rotavirus | [•Diarrhoea•] |
| infectious gastroenteritis (e.g. rotavirus) | [•Infant with vomiting and diarrhoea•] |
| infectious gastronenteritis | [•Acute abdominal pain in children and adolescents•] |
| infectious mononucleosis | [•Lymphadenopathy and splenomegaly•], [•Upper respiratory tract symptoms•] |
| infective endocarditis | [•Valvular heart disease•], [•Alcohol and drug dependence disorders•] |
| inflammatory bowel disease | [•Chronic bowel motility problems•], [•Chronic abdominal pain in children and adolescents•], [•Diarrhoea•], [•Rectal bleeding•] |
| inflammatory breast cancer | [•Breast lump and screening•] |
| inflammatory bronchiolitis | [•Chronic shortness of breath•] |
| influenza | [•Febrile infant•], [•Upper respiratory tract symptoms•] |
| inguinal hernia | [•Abdominal or inguinal lump•], [•Acute severe testicular pain•] |
| inguinal hernia (direct or indirect) | [•Groin lump•] |
| inguinal lymph nodes | [•Abdominal or inguinal lump•] |
| inhalation injury | [•Upper airway disease•] |
| inhaled foreign body | [•Upper airway disease•], [•Neonatal stridor•] |
| inherited metabolic disorders | [•Unwell neonate•], [•6 week check•] |
| innocent murmur | [•Infant or child with a murmur•] |
| insect bites | [•Facial swelling and itchy rash•] |
| insomnia | [•Alcohol and drug dependence disorders•], [•Daytime sleepiness•] |
| intellectual disability | [•Disruptive behaviour disorder•] |
| intentional overdose in older child or adolescent | [•Overdose in a child or adolescent•] |
| intercurrent infection (upper respiratory tract infection, lower respiratory tract infection, urinary tract infection) | [•Chronic illness in paediatrics•] |
| intercurrent infections | [•Child or adolescent with a headache•] |
| internal hordeolum/chalazion | [•Child with red swelling around one eye•] |
| interstitial nephritis | [•Chronic kidney disease / asymptomatic worsening renal function•] |
| intertrigo | [•Rest home resident with itching and rash•] |
| intestinal lymphangiectasia | [•Child with generalised swelling•] |
| intestinal obstruction | [•Acute abdominal pain in children and adolescents•] |
| intestinal pathogens | [•Febrile returning traveller•] |
| intimate partner violence | [•Intimate Partner Violence•] |
| intoxications | [•Agitated and combative patient•] |
| intra-abdominal sepsis | [•Bowel obstruction•] |
| intracerebral haemorrhage | [•Head trauma•] |
| intracranial aneurysm | [•Diplopia•] |
| intracranial bleeding | [•Child or adolescent with a headache•] |
| intracranial haemorrhage | [•Neck injury•], [•Epilepsy / seizure•], [•Alcohol and drug dependence disorders•], [•Penetrating chest trauma•] |
| intracranial neoplasia | [•Sudden onset severe headache•] |
| intracranial space-occupying lesion | [•Stroke / TIA / sudden onset unilateral weakness•] |
| intracranial trauma (cranial nerve IV particularly) | [•Diplopia•] |
| intravesical Bacillus Calmette-Guerin | [•Reactive arthritis•] |
| intussusception | [•Bowel obstruction•], [•Irritable infant•], [•Abdominal or inguinal lump•], [•Acute abdominal pain in children and adolescents•], [•Infant with vomiting and diarrhoea•] |
| iron deficiency | [•Anaemia•] |
| irritable bowel syndrome | [•Chronic bowel motility problems•], [•Anxiety disorder•], [•Chronic upper abdominal symptoms•] |
| irritant contact dermatitis | [•Adult eczema•] |
| ischaemic bowel | [•Postoperative complications•], [•Rectal bleeding•] |
| ischaemic heart disease | [•Clinical audit•], [•Pre-admission and surgical risk assessment•], [•Anxiety disorder•] |
| jetlag and other disorders of chronobiology | [•Daytime sleepiness•] |
| juvenile chronic arthritis | [•Child with sore joints•] |
| juvenile haemochromatosis | [•Haemochromatosis•] |
| juvenile myoclonic epilepsy | [•Epilepsy / seizure•] |
| juvenile rheumatoid arthritis | [•Osteomyelitis•] |
| Kallman's syndrome | [•Amenorrhoea•], [•Infertility•] |
| Kaposi sarcoma | [•Fever and adenopathy•] |
| Kawasaki disease | [•Febrile infant•] |
| keratitis | [•Acute or chronic red eye•] |
| ketoconazole use | [•Adrenal crisis•] |
| knee dislocation | [•Knee injury•] |
| knee ligament sprains | [•Knee injury•] |
| labyrinthitis | [•Dizziness and vertigo•] |
| lactic acidosis | [•Acute presentation of diabetes mellitus•] |
| laryngeal squamous cell carcinoma | [•Compromised airway•], [•Upper airway disease•] |
| laryngeal web | [•Neonatal stridor•] |
| laryngitis | [•Upper airway disease•] |
| laryngomalacia | [•Neonatal stridor•], [•6 week check•] |
| late-onset muscular dystrophies | [•Neuromuscular disease / generalised muscle weakness•] |
| lead poisoning | [•Infant or child with pallor•], [•Neuromuscular disease / generalised muscle weakness•], [•Disruptive behaviour disorder•] |
| leaking abdominal aortic aneurysm | [•Non-specific back pain•] |
| left ventricular failure | [•Daytime sleepiness•] |
| leptospirosis | [•Febrile returning traveller•] |
| leukaemia and other malignancies | [•Infant or child with pallor•], [•Infant or child with easy bruising•] |
| leukocoria (must have red reflex to exclude retinoblastoma) | [•Infant or child with strabismus•] |
| Lewy body dementia | [•Delirium / dementia•], [•Dementia / disturbance of memory / cognitive function•] |
| lichen simplex chronicus | [•Adult eczema•], [•Rash on extensor surfaces and joint pains•] |
| lifestyle factors (e.g. caffeine intake) | [•Urinary incontinence in women•] |
| lipoma | [•Musculoskeletal lump•], [•Breast lump and screening•], [•Groin lump•], [•Neck lump•] |
| liquorice use | [•Secondary hypertension•] |
| lithium use | [•Hypothyroidism•] |
| liver abscess | [•Patient with jaundice•], [•Acute abdominal pain•] |
| liver disease | [•Haemochromatosis•] |
| liver metastases | [•Patient with jaundice•] |
| localised scleroderma (morphoea) | [•Painful hands in the cold•] |
| lochia | [•Postpartum care•] |
| low grade squamous intraepithelial lesion | [•Abnormal cervical smear result•] |
| lower respiratory tract infection (including pneumonia and bronchiolitis) | [•Child with respiratory distress•] |
| Ludwig's angina | [•Compromised airway•] |
| lumbar disc prolapse | [•Non-specific back pain•] |
| lumbar spinal stenosis | [•Chronic limb pain•] |
| lunate dislocation | [•Hand injury•] |
| lung abscess | [•Pneumonia•] |
| lung cancer | [•Haemoptysis and abnormal chest X-ray•], [•Pneumonia•] |
| Lyme disease | [•Eating disorders•], [•Medically unexplained physical symptoms•], [•Alcohol and drug dependence disorders•], [•Major depressive episode•] |
| lymphadenitis | [•Neck lump•] |
| lymphadenopathy (malignant) | [•Musculoskeletal lump•] |
| lymphadenopathy (reactive) | [•Musculoskeletal lump•], [•Groin lump•], [•Neck lump•] |
| lymphocele | [•Groin lump•] |
| lymphocytic hypophysitis | [•Panhypopituitarism•] |
| lymphoedema | [•Deep vein thrombosis•] |
| lymphoma | [•SLE / fatigue / pain and swelling in the hands•], [•Fever and adenopathy•], [•Abdominal or inguinal lump•], [•Adult with abdominal mass•], [•Dementia / disturbance of memory / cognitive function•], [•Groin lump•], [•Lymphadenopathy and splenomegaly•] |
| major depressive disorder | [•Major depressive episode•] |
| malabsorption | [•Chronic abdominal pain in children and adolescents•], [•Diarrhoea•] |
| malaria | [•Febrile returning traveller•] |
| malignancy | [•Fracture•], [•Acute abdominal pain•], [•Child with abnormal gait•], [•Child with sore joints•] |
| malignant hyperpyrexia | [•Preoperative assessment and management•] |
| malignant hypertension | [•Stroke / TIA / sudden onset unilateral weakness•] |
| malignant/necrotising otitis externa | [•Glue ear•] |
| malingering | [•Medically unexplained physical symptoms•], [•Anxiety disorder•] |
| Mallory-Weiss tear | [•Upper gastrointestinal bleeding•] |
| malnutrition | [•Pre-admission and surgical risk assessment•] |
| malrotation | [•Chronic abdominal pain in children and adolescents•] |
| Marfan syndrome | [•Family with a genetic disorder•] |
| massive haemorrhage | [•Unexplained loss of consciousness•] |
| massive rhabomyolysis | [•Acute presentation of diabetes mellitus•] |
| massive/submassive pulmonary embolism | [•Out of hospital cardiac arrest•] |
| mastitis | [•Breast lump and screening•] |
| mastocytosis | [•Menopause•] |
| mastoiditis | [•Glue ear•] |
| maternal depression/stress | [•6 week check•] |
| maternal sepsis | [•Diabetes in pregnancy•], [•Late pregnancy complications•], [•Labour•] |
| MDMA (ecstasy) abuse | [•Alcohol and drug dependence disorders•] |
| measles | [•Hearing loss•], [•Febrile infant•] |
| meconium aspiration syndrome | [•Labour•] |
| meconium exposure | [•Labour•] |
| medically unexplained physical symptoms (somatoform disorder) | [•Eating disorders•] |
| medication (warfarin, hormone therapy, tamoxifen) | [•Postmenopausal bleeding•] |
| medication-related somnolence | [•Daytime sleepiness•] |
| medications | [•Menopause•], [•Infertility•] |
| medullary sponge kidney | [•Diabetes insipidus•] |
| medulloblastomas | [•Space occupying lesion / progressive unilateral weakness•] |
| melanoma | [•Groin lump•], [•Skin tumours•] |
| membranous nephropathy | [•Acute kidney injury•] |
| Ménière's disease | [•Hearing loss•], [•Dizziness and vertigo•] |
| meningioma | [•Panhypopituitarism•], [•Hearing loss•] |
| meningitis | [•Unexplained loss of consciousness•], [•Sudden onset severe headache•], [•Falls and collapses•], [•Unwell neonate•], [•Alcohol and drug dependence disorders•], [•Irritable infant•], [•Altered level of consciousness in a child•], [•Altered level of consciousness in a child•], [•Hearing loss•], [•Agitated and combative patient•], [•Child or adolescent with a headache•], [•Febrile infant•], [•Infant with vomiting and diarrhoea•] |
| meningitis and sequelae including hearing loss and hydrocephalus | [•Congenital hearing loss•] |
| meningococcaemia | [•Infant or child with easy bruising•], [•Febrile infant•] |
| meniscal tear | [•Knee injury•], [•Knee pain•] |
| mental health (stress, depression or anxiety) | [•Non-specific back pain•] |
| Merkel cell carcinoma | [•Skin tumours•] |
| mesenteric adenitis | [•Acute abdominal pain in children and adolescents•] |
| mesenteric ischaemia | [•Rectal bleeding•] |
| metabolic (e.g. hypercalaemia) | [•Urinary incontinence in women•] |
| metabolic disorders | [•Infant with jaundice•], [•Infant or child with a murmur•], [•Altered level of consciousness in a child•] |
| metabolic syndrome | [•Haemochromatosis•], [•Diabetes in pregnancy•], [•Risk assessment in early pregnancy•], [•Obesity•] |
| metacarpal fracture | [•Hand injury•] |
| metastases | [•Adrenal crisis•], [•Panhypopituitarism•], [•Lymphadenopathy and splenomegaly•] |
| metastatic bone disease | [•Musculoskeletal lump•] |
| metastatic cancer | [•Groin lump•], [•Neck lump•] |
| metastatic cancer from non-gynaecological primary | [•Postmenopausal bleeding•] |
| metastatic cancer with bone marrow infiltration | [•Anaemia•] |
| methaemoglobinaemia | [•Polycythaemia•] |
| methamphetamine overdose | [•Self-harm•] |
| methanol or formaldehyde poisoning | [•Acute presentation of diabetes mellitus•] |
| methanol poisoning | [•Self-harm•] |
| mid-dilated pupil in acute angle closure glaucoma | [•Pupil abnormality•] |
| migraine | [•Sudden onset severe headache•], [•Stroke / TIA / sudden onset unilateral weakness•], [•Dizziness and vertigo•], [•Child or adolescent with a headache•], [•Headache•] |
| minimal change disease | [•Acute kidney injury•] |
| miscarriage (threatened, recurrent, spontaneous, complete or incomplete) | [•Heavy menstrual periods•], [•Gynaecological abdominal pain•], [•Pregnancy diagnosis•] |
| mitral regurgitation | [•Valvular heart disease•] |
| mitral stenosis | [•Valvular heart disease•], [•Arrhythmias•] |
| mitral valve prolapse | [•Valvular heart disease•] |
| mixed connective tissue disease | [•Painful hands in the cold•] |
| molar pregnancy | [•Gynaecological abdominal pain•], [•Pregnancy diagnosis•] |
| monogenic diabetes mellitus | [•Type 2 diabetes mellitus•] |
| motion sickness | [•Dizziness and vertigo•] |
| motor neuron disease | [•Neuromuscular disease / generalised muscle weakness•] |
| multifocal atrial tachycardia | [•Arrhythmias•] |
| multinodular goitre | [•Neck lump•] |
| multiple cerebral infarct | [•Tremor and parkinsonism•] |
| multiple myeloma | [•Headache, morning stiffness and shoulder pain•], [•Knee pain•] |
| multiple pregnancy | [•Pregnancy diagnosis•] |
| multiple sclerosis | [•Urinary incontinence in women•], [•Neuromuscular disease / generalised muscle weakness•], [•Self-harm•], [•Eating disorders•], [•Bipolar affective disorder•], [•Medically unexplained physical symptoms•], [•Stroke / TIA / sudden onset unilateral weakness•], [•Acute psychosis•], [•Delirium / dementia•], [•Space occupying lesion / progressive unilateral weakness•], [•Hearing loss•], [•Dizziness and vertigo•], [•Major depressive episode•] |
| multiple squamous cell carcinoma in situ | [•Rash on extensor surfaces and joint pains•] |
| multiple superficial spreading basal cell cancers | [•Rash on extensor surfaces and joint pains•] |
| multiple system atrophy | [•Tremor and parkinsonism•] |
| mumps | [•Hearing loss•] |
| Munchausen syndrome | [•Medically unexplained physical symptoms•] |
| Munchausen syndrome by proxy | [•Medically unexplained physical symptoms•] |
| muscle cramps | [•Chronic limb pain•] |
| muscle injury | [•Chronic limb pain•] |
| muscular dystrophies | [•Child with abnormal gait•], [•Dysphagia•] |
| myasthenia gravis | [•Diplopia•], [•Neuromuscular disease / generalised muscle weakness•] |
| mycobacterial infection | [•Lymphadenopathy and splenomegaly•] |
| myelodysplastic syndrome | [•Pancytopenia•] |
| myelofibrosis | [•Pancytopenia•] |
| myeloma | [•Pancytopenia•], [•Hypercalcaemia and back pain•], [•Chronic kidney disease / asymptomatic worsening renal function•] |
| myocardial infarction | [•Out of hospital cardiac arrest•], [•Acute abdominal pain•] |
| myocarditis | [•Out of hospital cardiac arrest•], [•Heart failure•], [•Fever and a new murmur•] |
| myositis | [•Osteomyelitis•] |
| myositis associated with neoplasia | [•Headache, morning stiffness and shoulder pain•] |
| myositis ossificans | [•Knee injury•], [•Musculoskeletal lump•] |
| myxoedema coma | [•Unexplained loss of consciousness•] |
| naevus | [•Skin tumours•] |
| narcissistic personality disorder | [•Personality disorder•] |
| narcolepsy | [•Daytime sleepiness•] |
| nasal polyp | [•Epistaxis•] |
| nasopharyngeal carcinoma | [•Epistaxis•] |
| necrotising fasciitis | [•Osteomyelitis•] |
| necrotising/malignant otitis externa | [•Hearing loss•] |
| necrotizing fasciitis | [•Skin and soft tissue infection•], [•Acutely painful limb•], [•Deep vein thrombosis•] |
| neonatal death | [•Labour•] |
| neonatal sepsis | [•Unwell neonate•] |
| nephroblastoma (Wilms tumour) | [•Abdominal or inguinal lump•] |
| nephrocalcinosis | [•Chronic kidney disease / asymptomatic worsening renal function•] |
| nephrogenic diabetes insipidus | [•Diabetes insipidus•] |
| nephrolithiasis | [•Chronic kidney disease / asymptomatic worsening renal function•] |
| nephrotic syndrome | [•Child with generalised swelling•], [•Heart failure•] |
| nerve/vascular laceration | [•Hand injury•] |
| neuorofibroma | [•Child with red swelling around one eye•] |
| neural tube defects | [•Fetal health•] |
| neuroblastoma | [•Abdominal or inguinal lump•] |
| neurofibromatosis | [•Family with a genetic disorder•] |
| neurogenic bladder | [•Child with disorder of elimination•] |
| neurogenic pulmonary oedema | [•Heart failure•] |
| neurologic event | [•Fracture•] |
| neurological disorders (multiple sclerosis, myasthenia gravis) | [•Dysphagia•] |
| neuroma | [•Groin lump•] |
| neuromuscular disorders | [•Daytime sleepiness•] |
| neuropathic and regional pain syndromes | [•Chronic illness in paediatrics•] |
| neurosarcoidosis | [•Panhypopituitarism•] |
| noise-induced hearing loss | [•Hearing loss•] |
| non accidental injury (traumatic perforation or organ laceration) | [•Acute abdominal pain in children and adolescents•] |
| non accidental injury/head trauma | [•Altered level of consciousness in a child•] |
| non-accidental injury | [•Infant or child with easy bruising•], [•Superficial injuries•], [•Fracture•], [•Irritable infant•], [•Child with abnormal gait•], [•Child with sore joints•] |
| non-accidental injury and neglect | [•Chronic illness in paediatrics•] |
| non-alcoholic fatty liver disease | [•Haemochromatosis•], [•Chronic liver disease•], [•Obesity•] |
| non-bacterial endocarditis | [•Fever and a new murmur•] |
| non-specific low back pain | [•Non-specific back pain•] |
| non-steroidal anti-inflammatory drug use | [•Chronic upper abdominal symptoms•] |
| normal baby | [•Fetal health•] |
| normal birth | [•Labour•] |
| normal birth transition | [•Labour•] |
| normal breast tissue | [•Breast lump and screening•] |
| normal infant crying ('reflux') | [•6 week check•] |
| normal infant/ infantile colic/reflux | [•Irritable infant•] |
| normal labour | [•Labour•] |
| normal menopause and perimenopause | [•Menopause•] |
| normal pressure hydrocephalus | [•Bipolar affective disorder•], [•Hip fracture•], [•Acute psychosis•], [•Dementia / disturbance of memory / cognitive function•] |
| normal/abnormal newborn behaviour | [•6 week check•] |
| norovirus | [•Diarrhoea•] |
| nutritional/exogenous obesity | [•Osteomyelitis•] |
| obesity | [•Pre-admission and surgical risk assessment•], [•Childhood obesity•], [•Type 2 diabetes mellitus•] |
| obesity hypoventilation syndrome | [•Polycythaemia•], [•Daytime sleepiness•] |
| obesity leading to secondary problems with mobility/pressure areas | [•Chronic illness in paediatrics•] |
| obsessive-compulsive personality disorder | [•Eating disorders•], [•Anxiety disorder•], [•Personality disorder•], [•Major depressive episode•] |
| obstructive sleep apnoea | [•Polycythaemia•], [•Secondary hypertension•], [•Alcohol and drug dependence disorders•], [•Daytime sleepiness•], [•Headache•], [•Major depressive episode•], [•Obesity•] |
| obturator hernia | [•Groin lump•] |
| occult bacterial infection | [•Febrile returning traveller•] |
| occupational lung disease | [•Worsening shortness of breath•] |
| ocular cicatricial pemphigoid | [•Acute or chronic red eye•] |
| oedematous states (cirrhosis, heart failure, nephrotic syndrome) | [•Hyponatraemia•] |
| oesophageal candidiasis | [•Dysphagia•] |
| oesophageal carcinoma | [•Upper gastrointestinal bleeding•], [•Dysphagia•] |
| oesophageal rupture | [•Acute chest pain•] |
| oesophageal ulcer | [•Upper gastrointestinal bleeding•] |
| oesophageal varices | [•Upper gastrointestinal bleeding•] |
| oesophageal web | [•Dysphagia•] |
| oesophagitis | [•Upper gastrointestinal bleeding•] |
| oligoazoospermia | [•Infertility•] |
| Opacity in infant:
Chorioretinal colobomas | [•Infant with an altered light reflex and watery eye•] |
| Opacity in infant:
Congenital cataract | [•Infant with an altered light reflex and watery eye•] |
| open fractures | [•Hand injury•] |
| operative birth (ventouse, forceps) | [•Labour•] |
| opioid abuse | [•Alcohol and drug dependence disorders•], [•Alcohol and drug dependence disorders•] |
| opioid overdose | [•Self-harm•] |
| opioid toxicity | [•Delirium / dementia•] |
| oppositional defiant disorder (ODD) | [•Disruptive behaviour disorder•] |
| optic neuritis | [•Sudden painless loss of vision•] |
| orbital cellulitis | [•Child with red swelling around one eye•] |
| orbital trauma/blow-out fracture | [•Diplopia•] |
| orchitis (especially mumps) | [•Acute severe testicular pain•] |
| organ failure (liver, renal, Reyes syndrome) | [•Altered level of consciousness in a child•] |
| organophosphate poisoning | [•Self-harm•] |
| oropharyngeal abnormalities | [•Daytime sleepiness•] |
| orthopaedic deformity | [•Child with abnormal gait•] |
| orthostatic hypotension | [•Arrhythmias•] |
| Osgood-Schlatter disease | [•Osteomyelitis•] |
| osteoarthritis | [•Headache, morning stiffness and shoulder pain•], [•Menopause•], [•Chronic limb pain•], [•Gout / acute pain and swelling of knee•], [•Swollen and tender joints•], [•Regional limb pain•], [•Acutely painful limb•], [•Knee pain•] |
| osteochondral fracture | [•Knee injury•] |
| osteogenesis imperfecta | [•Fracture•] |
| osteolytic metastases (particularly breast and lung cancer) | [•Hypercalcaemia and back pain•] |
| osteomalacia | [•Hip fracture•] |
| osteomyelitis | [•Fracture•], [•Osteomyelitis•], [•Child with abnormal gait•], [•Febrile infant•], [•Child with sore joints•] |
| osteopenia | [•Menopause•] |
| osteoporosis | [•Menopause•] |
| osteoporotic fracture | [•Hip fracture•] |
| osteosarcoma | [•Musculoskeletal lump•] |
| ostium secundum and sinus venosus | [•Valvular heart disease•] |
| other causes of fever including malignancy and connective tissue disease | [•Febrile returning traveller•] |
| other causes of hypoalbuminaemia | [•Child with generalised swelling•] |
| other causes of postoperative fever (including atelectasis, deep venous thrombosis, pulmonary embolus, drug reaction) | [•Postoperative complications•] |
| other congenital infections | [•Fetal health•] |
| other hand/wrist fractures including scaphoid and Bennett's fracture | [•Hand injury•] |
| other infection leading to septic collapse and/or seizure | [•Altered level of consciousness in a child•] |
| other inherited coagulation and platelet abnormalities | [•Infant or child with easy bruising•] |
| other multi-trauma injuries | [•Neck injury•] |
| other serious infection | [•Irritable infant•] |
| other tumours e.g. choroidal haemangioma | [•Infant with an altered light reflex and watery eye•] |
| otitis externa | [•Hearing loss•], [•Glue ear•] |
| otitis media with effusion | [•Congenital hearing loss•], [•Glue ear•] |
| otosclerosis | [•Hearing loss•] |
| ototoxic drugs (including herbal remedies) | [•Congenital hearing loss•], [•Dizziness and vertigo•] |
| outbreak diarrhoea from community water or food contamination | [•Infant with vomiting and diarrhoea•] |
| ovarian carcinoma | [•Heavy menstrual periods•], [•Postmenopausal bleeding•], [•Chronic upper abdominal symptoms•], [•Adult with abdominal mass•] |
| ovarian cyst | [•Adult with abdominal mass•] |
| ovarian cyst accident (torsion, rupture, haemorrhage) | [•Gynaecological abdominal pain•], [•Acute abdominal pain•] |
| overdose | [•Unexplained loss of consciousness•], [•Out of hospital cardiac arrest•] |
| overdose (paracetamol; aspirin; beta-blockers; calcium channel blockers; digoxin; warfarin; opioids; tricyclic antidepressants) | [•Accidental overdose•] |
| Paget's disease | [•Hip fracture•], [•Hearing loss•] |
| pain disorder | [•Medically unexplained physical symptoms•] |
| pain from contractures or undiagnosed fractures and other orthopaedic causes (e.g. back pain from scoliosis, hip subluxation) | [•Chronic illness in paediatrics•] |
| pain syndrome | [•Regional limb pain•] |
| palindromic rheumatism | [•Swollen and tender joints•] |
| pancreatic adenocarcinoma | [•Patient with jaundice•] |
| pancreatic insufficiency | [•Chronic bowel motility problems•] |
| pancreatic insufficiency (cystic fibrosis) | [•Eating disorders•] |
| pancreatitis | [•Chronic abdominal pain in children and adolescents•], [•Alcohol and drug dependence disorders•], [•Late pregnancy complications•], [•Non-specific back pain•], [•Heart failure•], [•Acute abdominal pain•], [•Chronic upper abdominal symptoms•] |
| panhypopituitarism | [•Amenorrhoea•], [•Panhypopituitarism•], [•Infertility•] |
| panic attack | [•Acute chest pain•] |
| panic disorder | [•Alcohol and drug dependence disorders•], [•Anxiety disorder•] |
| papilloma | [•Breast lump and screening•] |
| paracetamol overdose | [•Self-harm•] |
| paraldehyde | [•Acute presentation of diabetes mellitus•] |
| paraneoplastic disease | [•Swollen and tender joints•] |
| paraneoplastic syndrome | [•Bipolar affective disorder•], [•Acute psychosis•] |
| paranoid personality disorder | [•Personality disorder•] |
| parapneumonic effusion/empyema | [•Pneumonia•] |
| paratonsillar abscess | [•Upper airway disease•] |
| Parental extreme anxiety around allergy | [•Food allergy in paediatrics•] |
| parenteral nutrition | [•Hypercalcaemia and back pain•] |
| Parkinson's disease | [•Falls and collapses•], [•Tremor and parkinsonism•], [•Hip fracture•], [•Delirium / dementia•], [•Dementia / disturbance of memory / cognitive function•], [•Dysphagia•], [•Major depressive episode•] |
| Parkinson's Plus syndromes | [•Delirium / dementia•] |
| parvovirus | [•Infant with jaundice•] |
| parvovirus B19 | [•Pancytopenia•] |
| passive-aggressive (negativistic) personality disorder | [•Personality disorder•] |
| patella dislocation | [•Knee injury•] |
| patella fracture | [•Knee injury•] |
| patent ductus arteriosus | [•Valvular heart disease•] |
| pathologic fracture | [•Knee injury•] |
| pathological fracture | [•Knee pain•] |
| pathological fracture secondary to bone malignancy or metastatic disease | [•Hip fracture•] |
| PCOS | [•Obesity•] |
| peau d'orange | [•Breast lump and screening•] |
| pelvic abnormalities (obstructed labour) | [•Labour•] |
| pelvic inflammatory disease | [•Heavy menstrual periods•], [•Gynaecological abdominal pain•], [•Acute abdominal pain•] |
| pelvoureteric junction (PUJ) obstruction | [•Abdominal or inguinal lump•] |
| pemphigus vulgaris | [•Blisters•] |
| penetrating injury | [•Superficial injuries•] |
| peptic ulcer disease | [•Bowel obstruction•], [•Chronic abdominal pain in children and adolescents•], [•Upper gastrointestinal bleeding•], [•Acute abdominal pain•], [•Chronic upper abdominal symptoms•] |
| perforated viscus | [•Bowel obstruction•], [•Flank pain and dysuria•] |
| perforation | [•Postoperative complications•] |
| perianal abscess | [•Perianal pathology•] |
| pericarditis | [•Out of hospital cardiac arrest•], [•Acute chest pain•], [•Acute abdominal pain•], [•Fever and a new murmur•] |
| perimenopause | [•Heavy menstrual periods•] |
| perineal trauma | [•Labour•] |
| perineal trauma (post catheter insertion, post-procedure including rectal examination, sexual activity) | [•Elevation of prostate-specific antigen•] |
| peripheral neuropathy | [•Chronic limb pain•] |
| peripheral vascular disease | [•Chronic limb pain•], [•Pre-admission and surgical risk assessment•], [•Deep vein thrombosis•] |
| peripheral vascular trauma | [•Acutely painful limb•] |
| peritonitis | [•Acute abdominal pain in children and adolescents•], [•Postoperative complications•] |
| peritonsillar abscess/quinsy | [•Compromised airway•], [•Upper respiratory tract symptoms•], [•Sore throat management in the New Zealand context•] |
| pernicious anaemia | [•Anaemia•], [•Chronic upper abdominal symptoms•] |
| persistent hyperplastic primary vitreous | [•Infant with an altered light reflex and watery eye•] |
| persistent pulmonary hypertension | [•Infant or child with a murmur•] |
| personality disorder | [•Anxiety disorder•] |
| Perthes disease | [•Osteomyelitis•] |
| pervasive developmental disorder | [•Disruptive behaviour disorder•] |
| phaeochromocytoma | [•Secondary hypertension•], [•Stroke / TIA / sudden onset unilateral weakness•], [•Anxiety disorder•] |
| pharyngeal pouch | [•Dysphagia•], [•Neck lump•] |
| pharyngitis | [•Fever and headache•], [•Dysphagia•], [•Upper respiratory tract symptoms•] |
| phenylketonuria | [•Family with a genetic disorder•] |
| pheochromocytoma | [•Menopause•] |
| physiological and active third stage | [•Labour•] |
| physiological anisocoria (physiological difference in pupil size) | [•Pupil abnormality•] |
| pilonidal sinus | [•Perianal pathology•] |
| pituitary adenoma | [•Panhypopituitarism•] |
| pituitary apoplexy | [•Panhypopituitarism•] |
| placenta praevia | [•Vaginal bleeding late in pregnancy•] |
| placental abruption | [•Late pregnancy complications•], [•Vaginal bleeding late in pregnancy•] |
| platelet defects | [•Heavy menstrual periods•] |
| pleuritis | [•Acute chest pain•] |
| pneumonia | [•Unwell neonate•], [•Pre-admission and surgical risk assessment•], [•Heart failure•], [•Upper respiratory tract symptoms•] |
| pneumonia (lower lobe) | [•Acute abdominal pain in children and adolescents•] |
| pneumothorax | [•Unwell neonate•], [•Acute chest pain•], [•Heart failure•], [•Chronic shortness of breath•] |
| POEMS syndrome | [•Painful hands in the cold•] |
| polyarteritis nodosa | [•Epilepsy / seizure•] |
| polyarticular gout | [•Swollen and tender joints•] |
| polycystic ovarian syndrome | [•Amenorrhoea•], [•Diabetes in pregnancy•], [•Infertility•], [•Pregnancy diagnosis•], [•Pimples and rash on the face•] |
| polycythaemia vera | [•Polycythaemia•], [•Deep vein thrombosis•], [•Headache•] |
| polymorphic ventricular tachycardia | [•Arrhythmias•] |
| polymyalgia rheumatica | [•Headache, morning stiffness and shoulder pain•], [•Sudden loss of vision and headache•], [•Painful hands in the cold•], [•Swollen and tender joints•] |
| polymyositis | [•SLE / fatigue / pain and swelling in the hands•], [•Painful hands in the cold•], [•Chronic limb pain•] |
| poor progress in labour | [•Labour•] |
| popliteal aneurysm | [•Acutely painful limb•] |
| popliteal artery injury | [•Knee injury•] |
| porphyria | [•Haemochromatosis•], [•Neuromuscular disease / generalised muscle weakness•], [•Bipolar affective disorder•], [•Medically unexplained physical symptoms•], [•Gross haematuria•], [•Acute psychosis•], [•Acute abdominal pain•] |
| post-coital headache | [•Sudden onset severe headache•] |
| post-concussion syndrome | [•Head trauma•] |
| post-electrocution dislocation | [•Dislocated joint•] |
| post-general anaesthetic confusion | [•Delirium / dementia•] |
| post-ictal dislocation | [•Dislocated joint•] |
| post-neurosurgery | [•Panhypopituitarism•] |
| post-operative deep vein thrombosis (DVT) | [•Knee pain•] |
| post-radioactive iodine hypothyroidism | [•Hypothyroidism•] |
| post-radiotherapy | [•Panhypopituitarism•] |
| post-streptococcal glomerulonephritis | [•Gross haematuria•] |
| post-traumatic brain injury | [•Panhypopituitarism•] |
| post-traumatic stress disorder | [•Anxiety disorder•], [•Personality disorder•], [•Major depressive episode•] |
| post-traumatic stress disorder (PTSD) | [•Bipolar affective disorder•] |
| posterior cruciate injury | [•Knee injury•] |
| posterior shoulder instability / dislocation | [•Dislocated joint•] |
| posterior sternoclavicular joint dislocation | [•Regional limb pain•] |
| postnatal depression | [•Postpartum care•] |
| postnatal depression/anxiety | [•Irritable infant•] |
| postoperative ileus | [•Postoperative complications•] |
| postpartum haemorrhage | [•Labour•] |
| postpartum thyroiditis | [•Hyperthyroidism•], [•Hypothyroidism•] |
| postural hypotension | [•Falls and collapses•], [•Hip fracture•] |
| Prader Willi/Angelman syndromes | [•Family with a genetic disorder•] |
| pre-eclampsia | [•Late pregnancy complications•] |
| prebullous pemphigoid | [•Rest home resident with itching and rash•] |
| precocious puberty | [•Child with abnormal puberty•] |
| preeclampsia | [•Risk assessment in early pregnancy•] |
| pregnancy | [•Dysuria•], [•Pregnancy diagnosis•], [•Chronic upper abdominal symptoms•] |
| pregnancy induced hypertension | [•Risk assessment in early pregnancy•], [•Late pregnancy complications•] |
| premature ovarian failure | [•Menopause•] |
| prematurity | [•Congenital hearing loss•] |
| presbyucsis | [•Hearing loss•] |
| preseptal (periorbital) cellulitis | [•Child with red swelling around one eye•] |
| preterm birth | [•Late pregnancy complications•] |
| preterm labour | [•Late pregnancy complications•], [•Vaginal bleeding late in pregnancy•] |
| primary and secondary Raynaud's phenomenon | [•Painful hands in the cold•] |
| primary biliary cirrhosis | [•Patient with jaundice•], [•Chronic liver disease•] |
| primary central nervous system lymphoma | [•Space occupying lesion / progressive unilateral weakness•] |
| primary hyperaldersteronism | [•Secondary hypertension•] |
| primary insomnia | [•Anxiety disorder•] |
| primary nocturnal enuresis | [•Child with disorder of elimination•] |
| primary ovarian failure | [•Amenorrhoea•] |
| primary ovarian insufficiency | [•Infertility•] |
| primary peritoneal and fallopian tube carcinomas | [•Postmenopausal bleeding•] |
| primary polydipsia | [•Hyponatraemia•], [•Diabetes insipidus•] |
| primary sclerosing cholangitis | [•Chronic liver disease•] |
| primary tumour (glioma, meningioma) | [•Space occupying lesion / progressive unilateral weakness•] |
| progressive multifocal leukoencephalopathy | [•Dementia / disturbance of memory / cognitive function•] |
| progressive respiratory failure | [•Chronic illness in paediatrics•] |
| progressive supranuclear palsy | [•Tremor and parkinsonism•], [•Hip fracture•] |
| prolactinaemia | [•Pregnancy diagnosis•] |
| prolactinoma | [•Amenorrhoea•], [•Infertility•], [•Major depressive episode•] |
| prostate adenocarcinoma | [•Elevation of prostate-specific antigen•] |
| prostate cancer | [•Acute kidney injury•] |
| prostatic hypertrophy | [•Chronic kidney disease / asymptomatic worsening renal function•] |
| prostatitis | [•Elevation of prostate-specific antigen•] |
| protein C/S deficiency | [•Deep vein thrombosis•] |
| pseudo-obstruction | [•Bowel obstruction•], [•Postoperative complications•] |
| pseudohyponatraemia | [•Hyponatraemia•] |
| pseudomembranous colitis | [•Rectal bleeding•] |
| pseudostrabismus | [•Infant or child with strabismus•] |
| pseudotumour cerebri | [•Space occupying lesion / progressive unilateral weakness•] |
| psoas abcess | [•Non-specific back pain•] |
| psoriasis | [•Rash on extensor surfaces and joint pains•] |
| psoriatic arthritis | [•Inflammatory low back pain•], [•Gout / acute pain and swelling of knee•], [•Swollen and tender joints•], [•Reactive arthritis•], [•Child with sore joints•] |
| psychogenic non-epileptic seizures | [•Epilepsy / seizure•] |
| psychological | [•Urinary incontinence in women•] |
| psychosis of any cause | [•Anxiety disorder•], [•Agitated and combative patient•] |
| PTH-related peptide secreting tumour (particularly breast and lung cancer) | [•Hypercalcaemia and back pain•] |
| pubic rami fracture | [•Hip fracture•] |
| puerperal psychosis | [•Postpartum care•] |
| puerperal sepsis | [•Postpartum care•] |
| pulled (dislocated) elbow | [•Fracture•] |
| pulmonary contusion | [•Penetrating chest trauma•] |
| pulmonary embolism | [•Unexplained loss of consciousness•], [•Pre-admission and surgical risk assessment•], [•Preoperative assessment and management•], [•Out of hospital cardiac arrest•], [•Acute chest pain•], [•Sudden onset shortness of breath•], [•Heart failure•], [•Deep vein thrombosis•], [•Postpartum care•] |
| pulmonary fibrosis | [•Pre-admission and surgical risk assessment•], [•Heart failure•] |
| pulmonary hypertension | [•Pre-admission and surgical risk assessment•] |
| pulmonary hypertension (primary, secondary to pulmonary embolus) | [•Chronic shortness of breath•] |
| pulmonary hypertension of the newborn | [•Labour•] |
| pulmonary laceration | [•Penetrating chest trauma•] |
| pulmonary regurgitation | [•Valvular heart disease•] |
| pulmonary stenosis | [•Valvular heart disease•] |
| pulseless electrical activity | [•Out of hospital cardiac arrest•] |
| pustular psoriasis | [•Rash on extensor surfaces and joint pains•] |
| pyelonephritis | [•Flank pain and dysuria•], [•Non-specific back pain•], [•Acute abdominal pain in children and adolescents•], [•Acute abdominal pain•] |
| pyloric stenosis | [•Bowel obstruction•], [•Infant with vomiting and diarrhoea•] |
| pyonephrosis | [•Flank pain and dysuria•] |
| pyrexia of unknown origin | [•Fever and adenopathy•] |
| pyschosocial deprivation (maternal depression, disturbed maternal-infant interaction, neglect) | [•Failure to thrive•] |
| quadriceps tendon rupture | [•Knee injury•] |
| radiation burns | [•Burns•] |
| radiation proctitis | [•Rectal bleeding•] |
| radiculopathy | [•Acute chest pain•] |
| radiotherapy toxicity | [•Menopause•] |
| raised intracranial pressure | [•Unexplained loss of consciousness•], [•Altered level of consciousness in a child•], [•Infant with vomiting and diarrhoea•] |
| Ramsey Hunt syndrome | [•Dizziness and vertigo•] |
| ranula | [•Neck lump•] |
| rare causes of SIADH including ADH-secreting tumours and chemotherapy agents | [•Hyponatraemia•] |
| reactive arthritis | [•Inflammatory low back pain•], [•Swollen and tender joints•], [•Reactive arthritis•] |
| reactive arthritis (post-infectious) | [•Child with sore joints•] |
| reactive or inflammatory arthritis | [•Knee pain•] |
| rectal varices | [•Rectal bleeding•] |
| recurrent acute otitis media | [•Congenital hearing loss•] |
| recurrent laryngeal nerve palsy | [•Upper airway disease•] |
| recurrent skin infection particularly furunculosis | [•Itching child•] |
| recurrent urinary tract infection | [•Child with disorder of elimination•] |
| red cell aplasia | [•Pancytopenia•], [•Anaemia•] |
| referred abdominal pain | [•Regional limb pain•] |
| referred cardiac pain | [•Regional limb pain•] |
| renal artery embolus | [•Flank pain and dysuria•] |
| renal calculi | [•Flank pain and dysuria•], [•Late pregnancy complications•], [•Acute kidney injury•], [•Acute severe testicular pain•], [•Acute abdominal pain•] |
| renal cell carcinoma | [•Polycythaemia•], [•Gross haematuria•] |
| renal disease | [•Risk assessment in early pregnancy•], [•Anaemia•] |
| renal infarction | [•Acute abdominal pain•] |
| renal papillary necrosis | [•Flank pain and dysuria•] |
| renal tubular acidosis types 1 and 2 | [•Acute presentation of diabetes mellitus•] |
| renal vein thrombosis | [•Flank pain and dysuria•] |
| renovascular disease | [•Chronic kidney disease / asymptomatic worsening renal function•] |
| respiratory distress syndrome | [•Unwell neonate•], [•Infant or child with a murmur•] |
| restless leg syndrome | [•Daytime sleepiness•] |
| retained placenta or tissue/clots | [•Labour•] |
| retained product of conception | [•Postpartum care•] |
| retinal detachment | [•Sudden painless loss of vision•] |
| retinoblastoma | [•Infant with an altered light reflex and watery eye•] |
| retinoblastoma (red reflex eye examination) | [•6 week check•] |
| retinopathy of prematurity and its stages | [•Infant with an altered light reflex and watery eye•] |
| retractile testes | [•Abdominal or inguinal lump•] |
| retrobulbar haemorrhage | [•Child with red swelling around one eye•] |
| retroperitoneal fibrosis | [•Acute kidney injury•] |
| retropharyngeal abscess | [•Sore throat management in the New Zealand context•] |
| rhabdomyolysis | [•Gross haematuria•] |
| rhabdomyosarcoma | [•Child with red swelling around one eye•] |
| rheumatic fever | [•SLE / fatigue / pain and swelling in the hands•], [•Osteomyelitis•], [•Child with sore joints•], [•Fever and a new murmur•] |
| rheumatic heart disease | [•Gout / acute pain and swelling of knee•] |
| rheumatoid arthritis | [•Headache, morning stiffness and shoulder pain•], [•SLE / fatigue / pain and swelling in the hands•], [•Chronic limb pain•], [•Gout / acute pain and swelling of knee•], [•Swollen and tender joints•] |
| rib fracture | [•Penetrating chest trauma•] |
| rickets | [•Child with abnormal gait•] |
| road traffic crash | [•Superficial injuries•] |
| rosacea | [•Pimples and rash on the face•] |
| rotator cuff disorders | [•Regional limb pain•] |
| rubella | [•Infant with jaundice•], [•Fetal health•] |
| ruptured abdominal aortic aneurysm | [•Flank pain and dysuria•], [•Arrhythmias•], [•Acute abdominal pain•] |
| ruptured Baker's cyst | [•Acutely painful limb•], [•Deep vein thrombosis•] |
| salivary gland tumours (as cause of raised PSA) | [•Elevation of prostate-specific antigen•] |
| saphena varix | [•Groin lump•] |
| sarcoid arthropathy | [•Gout / acute pain and swelling of knee•], [•Swollen and tender joints•] |
| sarcoidosis | [•SLE / fatigue / pain and swelling in the hands•], [•Epilepsy / seizure•], [•Hypercalcaemia and back pain•], [•Worsening shortness of breath•], [•Epistaxis•], [•Heart failure•], [•Lymphadenopathy and splenomegaly•] |
| sarcoma | [•Musculoskeletal lump•], [•Groin lump•] |
| scabies | [•Rest home resident with itching and rash•], [•Itching child•] |
| scalding burns | [•Burns•] |
| schizoaffective disorder | [•Bipolar affective disorder•], [•Acute psychosis•], [•Personality disorder•], [•Major depressive episode•] |
| schizoid personality disorder | [•Personality disorder•] |
| schizophrenia | [•Self-harm•], [•Bipolar affective disorder•], [•Acute psychosis•], [•Personality disorder•], [•Major depressive episode•] |
| schizophreniform disorder | [•Personality disorder•] |
| schizotypal personality disorder | [•Personality disorder•] |
| sciatica | [•Acutely painful limb•] |
| scleritis | [•Acute or chronic red eye•] |
| scleroderma | [•Chronic kidney disease / asymptomatic worsening renal function•] |
| sebaceous cyst | [•Breast lump and screening•], [•Groin lump•], [•Neck lump•] |
| seborrhoeic dermatitis | [•Rash on extensor surfaces and joint pains•] |
| seborrhoeic keratosis | [•Skin tumours•] |
| secondary causes of hypertension | [•Risk assessment in early pregnancy•] |
| secondary hypothyroidism | [•Hypothyroidism•] |
| secondary tumour | [•Space occupying lesion / progressive unilateral weakness•] |
| seizure disorder and/or status epilepticus | [•Altered level of consciousness in a child•] |
| seizures | [•Falls and collapses•], [•Space occupying lesion / progressive unilateral weakness•] |
| senile cataract | [•Gradual deterioration in visual acuity over time•] |
| sensory strabismus (congenital cataract or other intraocular lesion) | [•Infant or child with strabismus•] |
| sepsis | [•Type 1 diabetes mellitus•], [•Pancytopenia•], [•Acute kidney injury•], [•Infant or child with a murmur•] |
| sepsis (urinary tract infections) | [•Infant with vomiting and diarrhoea•] |
| septic arthritis | [•Knee injury•], [•Fracture•], [•Osteomyelitis•], [•Gout / acute pain and swelling of knee•], [•Swollen and tender joints•], [•Reactive arthritis•], [•Acutely painful limb•], [•Knee pain•], [•Child with abnormal gait•], [•Febrile infant•], [•Child with sore joints•] |
| septicaemia | [•Unwell neonate•], [•Febrile infant•] |
| severe acidosis/alkalosis | [•Unexplained loss of consciousness•] |
| severe sepsis | [•Acute presentation of diabetes mellitus•] |
| severe sepsis/septicaemia | [•Fever and a new murmur•] |
| sexual abuse/emotional trauma | [•Child with disorder of elimination•] |
| sexual assault | [•Postmenopausal bleeding•] |
| sexually transmitted infection | [•Contraception•] |
| sexually transmitted infections | [•Postmenopausal bleeding•], [•Acute severe testicular pain•], [•Febrile returning traveller•] |
| shaken baby syndrome/ non-accidental injury | [•Unwell neonate•] |
| Sheehan's syndrome | [•Panhypopituitarism•] |
| shock (hypovolaemic, distributive, cardiogenic) | [•Unexplained loss of consciousness•] |
| shoulder dystocia | [•Labour•] |
| shoulder instability | [•Regional limb pain•] |
| Shwachman-Diamond syndrome | [•Pancytopenia•] |
| SIADH (pneumonia, other infection, drugs particularly carbamazepine and selective serotonin reuptake inhibitors (SSRIs), postoperative) | [•Hyponatraemia•] |
| SIADH in head injury including stroke and intracranial haemorrhage | [•Hyponatraemia•] |
| sick euthyroid | [•Hypothyroidism•] |
| sick sinus syndrome | [•Arrhythmias•] |
| side effects of contraception | [•Heavy menstrual periods•] |
| side-effects of medication | [•Unexplained loss of consciousness•] |
| simple phobias | [•Anxiety disorder•] |
| simple pneumothorax | [•Penetrating chest trauma•] |
| simple/tension pneumothorax | [•Sudden onset shortness of breath•] |
| sinusitis | [•Child or adolescent with a headache•], [•Headache•] |
| Sjögren’s syndrome | [•Medically unexplained physical symptoms•], [•Swollen and tender joints•], [•Acute or chronic red eye•] |
| skin laceration and contusion | [•Head trauma•], [•Penetrating chest trauma•] |
| skull and base of skull fractures | [•Neck injury•] |
| skull fracture | [•Head trauma•] |
| sleep deprivation | [•Daytime sleepiness•] |
| slipped femoral capital epiphysis | [•Osteomyelitis•] |
| smoke inhalation | [•Compromised airway•] |
| smoking | [•Fetal health•] |
| social phobia | [•Alcohol and drug dependence disorders•], [•Anxiety disorder•], [•Personality disorder•] |
| social stressors | [•Postpartum care•] |
| soft tissue abscess | [•Groin lump•] |
| solid tumour metastases | [•Pancytopenia•] |
| somatisation disorder | [•Medically unexplained physical symptoms•], [•Stroke / TIA / sudden onset unilateral weakness•] |
| space occupying lesion | [•Tremor and parkinsonism•], [•Epilepsy / seizure•], [•Headache•] |
| specific learning disorder | [•Disruptive behaviour disorder•] |
| spinal cord abnormalities (e.g. spina bifida, dysraphism) | [•Child with abnormal gait•] |
| spinal cord injuries | [•Neck injury•] |
| spinal cord injury without radiological abnormality (SCIWORA) | [•Neck injury•] |
| spinal cord syndromes (central, anterior, Brown-Sequard) | [•Altered level of consciousness in an adult•] |
| spinal cord trauma | [•Penetrating chest trauma•] |
| spinal malignancy | [•Inflammatory low back pain•], [•Non-specific back pain•] |
| spinal stenosis | [•Non-specific back pain•], [•Acutely painful limb•] |
| splenic rupture | [•Penetrating chest trauma•] |
| spondyloarthritis | [•Gout / acute pain and swelling of knee•] |
| spondylosis deformans | [•Inflammatory low back pain•] |
| sprain | [•Acutely painful limb•] |
| squamous cell carcinoma | [•Abnormal cervical smear result•], [•Skin tumours•] |
| staggered overdose of 'therapeutic' paracetamol in children (accidental parental excess administration/lack of health literacy) | [•Overdose in a child or adolescent•] |
| status epilepticus | [•Altered level of consciousness in an adult•] |
| sternal fracture | [•Penetrating chest trauma•] |
| steroid use | [•Diabetes in pregnancy•], [•Bipolar affective disorder•], [•Acute psychosis•], [•Major depressive episode•] |
| Stevens Johnson syndrome | [•Blisters•], [•Acute or chronic red eye•] |
| stillbirth | [•Labour•] |
| Stokes-Adams attack | [•Epilepsy / seizure•], [•Arrhythmias•] |
| strain | [•Acutely painful limb•] |
| strangulated hernia | [•Groin lump•] |
| Streptococcus pyogenes pharyngitis | [•Sore throat management in the New Zealand context•] |
| stress fracture | [•Deep vein thrombosis•] |
| stress incontinence | [•Urinary incontinence in women•] |
| stroke | [•Falls and collapses•], [•Panhypopituitarism•], [•Hearing loss•], [•Dizziness and vertigo•], [•Major depressive episode•] |
| stroke (ischaemic infarction or bleeding) | [•Stroke / TIA / sudden onset unilateral weakness•] |
| sub-conjunctival haemorrhage | [•Acute or chronic red eye•] |
| subacute thyroiditis | [•Hyperthyroidism•], [•Hypothyroidism•] |
| subarachnoid haemorrhage | [•Unexplained loss of consciousness•], [•Sudden onset severe headache•], [•Falls and collapses•], [•Panhypopituitarism•], [•Arrhythmias•], [•Agitated and combative patient•] |
| subclavian steal syndrome | [•Arrhythmias•] |
| subcutaneous/orbital emphysema | [•Child with red swelling around one eye•] |
| subdural haemorrhage | [•Unexplained loss of consciousness•], [•Sudden onset severe headache•], [•Falls and collapses•], [•Medically unexplained physical symptoms•], [•Alcohol and drug dependence disorders•], [•Head trauma•], [•Agitated and combative patient•] |
| subdural tumour | [•Altered level of consciousness in a child•] |
| subglottic stenosis | [•Neonatal stridor•] |
| substance abuse | [•Self-harm•], [•Eating disorders•], [•Falls and collapses•], [•Medically unexplained physical symptoms•], [•Epilepsy / seizure•], [•Sudden onset shortness of breath•], [•Acute psychosis•], [•Fetal health•] |
| substance abuse (especially psychostimulants) | [•Bipolar affective disorder•] |
| substance abuse and dependence | [•Personality disorder•] |
| substance-induced anxiety disorder | [•Anxiety disorder•] |
| suicide attempt | [•Unexplained loss of consciousness•] |
| sunburn | [•Burns•] |
| superior mesenteric artery syndrome | [•Bowel obstruction•] |
| surgery | [•Menopause•] |
| surgical emphysema | [•Penetrating chest trauma•] |
| sustained and non-sustained ventricular tachycardia | [•Arrhythmias•] |
| Sydenham's chorea | [•Tremor and parkinsonism•] |
| syphilis | [•Infant with jaundice•], [•Bipolar affective disorder•], [•Stroke / TIA / sudden onset unilateral weakness•], [•Dysuria•], [•Acute psychosis•], [•Hearing loss•], [•Fetal health•] |
| systemic lupus erythematosus (SLE) | [•Headache, morning stiffness and shoulder pain•], [•SLE / fatigue / pain and swelling in the hands•], [•Painful hands in the cold•], [•Self-harm•], [•Eating disorders•], [•Bipolar affective disorder•], [•Chronic limb pain•], [•Medically unexplained physical symptoms•], [•Epilepsy / seizure•], [•Alcohol and drug dependence disorders•], [•Swollen and tender joints•], [•Acute kidney injury•], [•Acute psychosis•], [•Delirium / dementia•], [•Hearing loss•], [•Chronic kidney disease / asymptomatic worsening renal function•], [•Lymphadenopathy and splenomegaly•], [•Major depressive episode•], [•Pimples and rash on the face•] |
| systemic sclerosis | [•SLE / fatigue / pain and swelling in the hands•], [•Painful hands in the cold•], [•Dysphagia•] |
| systemic sepsis | [•Bowel obstruction•] |
| tachy-brady syndrome | [•Arrhythmias•] |
| teenage pregnancy | [•Pregnancy diagnosis•] |
| temporal lobe epilepsy | [•Acute psychosis•] |
| temporomandibular joint dysfunction | [•Headache•] |
| tendon laceration | [•Hand injury•] |
| tendon rupture (e.g. rheumatoid arthritis or post-fracture) | [•Hand injury•] |
| tendon sheath infection | [•Hand injury•] |
| tension headache | [•Sudden onset severe headache•], [•Headache•] |
| tension headaches | [•Child or adolescent with a headache•] |
| tension pneumothorax | [•Out of hospital cardiac arrest•], [•Penetrating chest trauma•] |
| teratogens | [•Fetal health•] |
| termination of pregnancy | [•Pregnancy diagnosis•] |
| tertiary syphilis | [•Agitated and combative patient•] |
| testicular cancer in an undescended testis | [•Groin lump•] |
| testicular seminoma | [•Acute severe testicular pain•] |
| testicular teratoma | [•Acute severe testicular pain•] |
| testicular torsion | [•Irritable infant•], [•Abdominal or inguinal lump•], [•Acute severe testicular pain•] |
| testicular trauma | [•Acute severe testicular pain•] |
| tetanus | [•Superficial injuries•], [•Hand injury•] |
| tetra/paraplegia | [•Urinary incontinence in women•] |
| thalassaemia | [•Family with a genetic disorder•], [•Anaemia•] |
| thoracic spine pathology | [•Regional limb pain•] |
| thrombo-occlusive peripheral vascular disease | [•Acutely painful limb•] |
| thrombocytopenia | [•Gross haematuria•] |
| thromboembolic peripheral vascular disease | [•Acutely painful limb•] |
| thrombophilia | [•Gynaecological abdominal pain•], [•Postpartum care•] |
| thrombophlebitis | [•Acutely painful limb•], [•Deep vein thrombosis•] |
| thyroglossal cyst | [•Neck lump•] |
| thyroid agenesis | [•Hypothyroidism•] |
| thyroid cancer | [•Neck lump•] |
| thyroid disorders | [•Menopause•] |
| thyroid dysfunction | [•Heavy menstrual periods•], [•Infertility•], [•Pregnancy diagnosis•] |
| thyroid eye disease | [•Diplopia•] |
| thyroid nodule/adenoma | [•Neck lump•] |
| TIA | [•Dizziness and vertigo•] |
| tibial plateau fractures | [•Knee injury•] |
| tinea corporis | [•Adult eczema•], [•Rash on extensor surfaces and joint pains•] |
| tinea cruris/corporis/onychomycosis | [•Rest home resident with itching and rash•] |
| tinea pedis | [•Skin and soft tissue infection•] |
| Todd's palsy | [•Stroke / TIA / sudden onset unilateral weakness•] |
| tonic-clonic seizures | [•Epilepsy / seizure•] |
| tonsillitis | [•Upper airway disease•], [•Upper respiratory tract symptoms•] |
| torsion of testicular appendage | [•Acute severe testicular pain•] |
| toxic epidermal necrolysis | [•Blisters•] |
| toxic multinodular goitre | [•Hyperthyroidism•] |
| toxic thyroid adenoma | [•Hyperthyroidism•] |
| toxin ingestion | [•Infant with vomiting and diarrhoea•] |
| toxocariasis | [•Infant with an altered light reflex and watery eye•] |
| toxoplasmosis | [•Infant with jaundice•], [•Fever and adenopathy•] |
| tracheitis | [•Upper respiratory tract symptoms•], [•Sore throat management in the New Zealand context•] |
| tracheo-oesophageal fistula | [•Neonatal stridor•] |
| tracheoesophageal fistula | [•Unwell neonate•] |
| tracheomalacia | [•Neonatal stridor•] |
| transfusion-related iron overload | [•Haemochromatosis•] |
| transient hip synovitis | [•Child with abnormal gait•] |
| transient ischaemic attack | [•Stroke / TIA / sudden onset unilateral weakness•] |
| transient tachypnea of the newborn | [•Unwell neonate•] |
| transverse myelitis | [•Neuromuscular disease / generalised muscle weakness•] |
| trauma | [•Compromised airway•], [•Osteomyelitis•], [•Out of hospital cardiac arrest•], [•Gross haematuria•], [•Reactive arthritis•], [•Epistaxis•], [•Acute or chronic red eye•], [•Acutely painful limb•] |
| trauma (accidental) | [•Child with sore joints•] |
| trauma during birth | [•Postpartum care•] |
| traumatic amputations | [•Hand injury•] |
| traumatic brain injury | [•Neck injury•] |
| traumatic injury | [•Child with abnormal gait•] |
| traumatic mydriasis | [•Pupil abnormality•] |
| trichomonas | [•Dysuria•] |
| tricuspid regurgitation | [•Valvular heart disease•] |
| tricuspid stenosis | [•Valvular heart disease•] |
| tricuspid valve prolapse | [•Valvular heart disease•] |
| tricyclic antidepressant overdose | [•Self-harm•] |
| trigeminal neuralgia | [•Sudden onset severe headache•], [•Headache•] |
| trisomy 21 | [•6 week check•] |
| tubal infertility (pelvic inflammatory disease) | [•Infertility•] |
| tuberculosis | [•SLE / fatigue / pain and swelling in the hands•], [•Adrenal crisis•], [•Haemoptysis and abnormal chest X-ray•], [•Fever and adenopathy•], [•Febrile returning traveller•], [•Pneumonia•], [•Neck lump•] |
| tuberculous arthritis (Pott's disease) | [•Inflammatory low back pain•] |
| tuberculous meningitis | [•Space occupying lesion / progressive unilateral weakness•] |
| tuberculous spinal disease | [•Non-specific back pain•] |
| tuberous sclerosis | [•Epilepsy / seizure•], [•Family with a genetic disorder•] |
| tubo-ovarian abscess,non-gynaecological causes of abdominal pain | [•Gynaecological abdominal pain•] |
| tumours | [•Chronic abdominal pain in children and adolescents•] |
| tympanic membrane perforation | [•Glue ear•] |
| tympanic membrane rupture | [•Hearing loss•] |
| type 1 diabetes mellitus | [•Diabetes in pregnancy•], [•Type 1 diabetes mellitus•], [•Acute presentation of diabetes mellitus•], [•Type 2 diabetes mellitus•] |
| type 2 diabetes mellitus | [•Diabetes in pregnancy•], [•Type 1 diabetes mellitus•], [•Clinical audit•], [•Type 2 diabetes mellitus•] |
| type II respiratory failure | [•Daytime sleepiness•] |
| typhoid fever | [•Febrile returning traveller•] |
| ulcerative colitis | [•Medically unexplained physical symptoms•] |
| unconjugated hyperbilirubinaemia | [•Infant with jaundice•] |
| undescended or ectopic testes | [•Abdominal or inguinal lump•] |
| undiagnosed maternal pre-existing conditions such as diabetes | [•Fetal health•] |
| undifferentiated somatoform disorder | [•Medically unexplained physical symptoms•] |
| undifferentiated spondyloarthritis | [•Reactive arthritis•] |
| unexplained infertility | [•Infertility•] |
| unplanned pregnancy | [•Pregnancy diagnosis•], [•Contraception•] |
| upper respiratory tract infection | [•Epistaxis•], [•Febrile infant•] |
| upper respiratory tract infection (including croup) | [•Child with respiratory distress•] |
| uraemic encephalopathy | [•Unexplained loss of consciousness•], [•Agitated and combative patient•] |
| uraemic/hepatic encephalopathy | [•Delirium / dementia•] |
| ureteric obstruction and hydronephrosis | [•Flank pain and dysuria•] |
| ureteric transitional cell carcinoma | [•Gross haematuria•] |
| urethritis/vaginitis | [•Urinary incontinence in women•] |
| urge incontinence | [•Urinary incontinence in women•] |
| urinary tract infection | [•Urinary incontinence in women•], [•Late pregnancy complications•], [•Diabetes insipidus•], [•Acute abdominal pain in children and adolescents•], [•Acute severe testicular pain•], [•Delirium / dementia•], [•Elevation of prostate-specific antigen•], [•Agitated and combative patient•], [•Acute abdominal pain•], [•Febrile infant•] |
| urogenital atrophy | [•Urinary incontinence in women•], [•Menopause•] |
| urticarial vasculitis | [•Facial swelling and itchy rash•] |
| uterine arterio-venous malformation | [•Postpartum care•] |
| uterine atony | [•Labour•], [•Postpartum care•] |
| uterine cancer | [•Adult with abdominal mass•] |
| uterine inversion | [•Labour•] |
| uterine malformation | [•Labour•] |
| uterine rupture | [•Vaginal bleeding late in pregnancy•], [•Labour•] |
| vaginal trauma | [•Gynaecological abdominal pain•], [•Vaginal bleeding late in pregnancy•], [•Postmenopausal bleeding•] |
| vaginitis | [•Dysuria•] |
| valvular heart disease | [•Pre-admission and surgical risk assessment•] |
| varicocele | [•Acute severe testicular pain•], [•Groin lump•] |
| varicose vein | [•Groin lump•] |
| vasa praevia | [•Vaginal bleeding late in pregnancy•] |
| vascular dementia | [•Delirium / dementia•], [•Dementia / disturbance of memory / cognitive function•] |
| vascular malformation | [•Upper gastrointestinal bleeding•], [•Epilepsy / seizure•] |
| vascular tumours | [•Musculoskeletal lump•] |
| vasculitis | [•Facial swelling and itchy rash•], [•Neuromuscular disease / generalised muscle weakness•], [•Sudden onset severe headache•], [•Stroke / TIA / sudden onset unilateral weakness•], [•Chronic kidney disease / asymptomatic worsening renal function•], [•Lymphadenopathy and splenomegaly•] |
| vasovagal syncope | [•Falls and collapses•], [•Epilepsy / seizure•], [•Arrhythmias•] |
| venous eczema and other forms of dermatitis | [•Chronic limb pain•] |
| venous insufficiency | [•Chronic limb pain•], [•Skin and soft tissue infection•] |
| venous sinus thrombosis | [•Sudden onset severe headache•], [•Stroke / TIA / sudden onset unilateral weakness•] |
| venous stasis dermatitis | [•Deep vein thrombosis•] |
| venous thromboembolism | [•Labour•], [•Contraception•] |
| ventricular fibrillation | [•Out of hospital cardiac arrest•] |
| ventricular septal defect | [•Valvular heart disease•] |
| ventricular tachycardia | [•Out of hospital cardiac arrest•] |
| vertebral fracture | [•Non-specific back pain•] |
| vertebral osteomyelitis | [•Inflammatory low back pain•], [•Non-specific back pain•] |
| vertebrobasilar artery TIA | [•Arrhythmias•] |
| vertebrobasilar insufficiency | [•Dizziness and vertigo•] |
| vestibular neuritis | [•Dizziness and vertigo•] |
| viral conjunctivitis | [•Infant with an altered light reflex and watery eye•] |
| viral meningitis | [•Fever and headache•] |
| viral upper respiratory tract infection | [•Fever and headache•], [•Upper respiratory tract symptoms•] |
| viral-induced wheeze | [•Child with respiratory distress•] |
| visual impairment | [•Hip fracture•] |
| visual or hearing impairment | [•Before school check•] |
| vitamin B12/folate deficiency | [•Pancytopenia•], [•Agitated and combative patient•], [•Anaemia•] |
| vitamin D toxicity | [•Hypercalcaemia and back pain•] |
| vitamin K/haemorrhagic disease of the newborn | [•Unwell neonate•] |
| vitreous hemorrhage | [•Sudden painless loss of vision•], [•Infant with an altered light reflex and watery eye•] |
| vocal cord paralysis | [•Compromised airway•] |
| vocal fold cyst | [•Neonatal stridor•] |
| vocal fold nodule | [•Neonatal stridor•] |
| vocal fold papilloma | [•Neonatal stridor•] |
| volvulus | [•Bowel obstruction•] |
| von Willebrand’s disease | [•Epistaxis•] |
| vulval intraepithelial neoplasia | [•Abnormal cervical smear result•] |
| vulval skin disorders | [•Postmenopausal bleeding•] |
| vulvar cancer | [•Abnormal cervical smear result•] |
| Waldenstrōm macroglobulinaema | [•Lymphadenopathy and splenomegaly•] |
| warfarin toxicity | [•Unexplained loss of consciousness•] |
| Waterhouse-Friderichsen syndrome | [•Adrenal crisis•] |
| Wernicke's encephalopathy | [•Agitated and combative patient•] |
| Wernicke-Korsakoff syndrome | [•Alcohol and drug dependence disorders•], [•Acute psychosis•], [•Delirium / dementia•], [•Major depressive episode•] |
| whiplash | [•Neck injury•] |
| Whipple's disease | [•Agitated and combative patient•] |
| white coat hypertension | [•Secondary hypertension•] |
| whooping cough | [•Child with respiratory distress•] |
| Wilson's disease | [•Bipolar affective disorder•], [•Medically unexplained physical symptoms•], [•Tremor and parkinsonism•], [•Acute psychosis•], [•Chronic liver disease•] |
| Wolff-Parkinson-White syndrome | [•Arrhythmias•] |
| wound dehiscence | [•Postoperative complications•] |
| wound infection | [•Superficial injuries•] |
| wound/episiotomy/urine infections | [•Labour•] |
| Zollinger-Ellison syndrome | [•Chronic upper abdominal symptoms•] |