Web3. The correct management pathway will depend on the suspected diagnosis and the severity of the bleeding: a. Minor bleeding, no acute problem - outpatient or GP management b. Major bleeding or acute abdominal / systemic problem – inpatient management The usual referral pathways are shown in the tables below. 4. WebRefer immediately to surgical on-call team if:. Symptoms of bowel obstruction; Signs of strangulation (Irreducible and painful) Signs of shock; Peritonitis / acute abdomen; Refer urgently to surgery if:. Hernia is incarcerated (irreducible but no obstruction) – within 2-8 … The attached surgical cover sheet should be completed in full for all routine … Download pathway, guidance and referral form. There are no pathways, guidance …
Local guidance on the investigation of an unexpected isolated …
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Chronic Obstructive Pulmonary Disease (COPD) Pathway
WebFluid resuscitation may be required (see Intravenous fluids) Provide adequate analgesia. IV morphine or intranasal fentanyl may be required as initial analgesia in severe pain (see Acute pain management) Keep children fasting. Consider enteral or intravenous fluids if assessment or diagnosis is delayed (consult local fasting guidelines) Early ... WebPaediatric Acute Abdominal Pain Pathway MEDICAL RED FLAGS o Septic appearance (fever, tachycardia, generally unwell) o Respiratory symptoms (tachypnoea … Web• Obstruction (colicky abdo pain, bilious vomiting, resonant bowel sounds) • Irreducible hernia • Jaundice Stool • Blood in stool • ‘Red currant jelly’ stool Circulation and … cliff phythian