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This BLOG is FREE!... YES... FREE!... It is Especially for the Smart GP Registrars,... Who Feel Like the 'Little NEMO' Lost within the Deep Blue Ocean...... To Support Each Other and Be Creative... Above All, TO BE SUCCESSFUL in CSA... Woo-Hoo!.... In short.... FOR THE GP REGISTRARS --- BY THE GP REGISTRARS...... I'm HEMA -- In short, I am a Doctor, Jewellery Designer, Blogger --> All by Passion... (Founder of www.royalamore.com - For Fashion With A Mission).. I have grabbed every opportunity to make mistakes in this Blog! I warn you! I am not a Grammar Guru!... ALL THE ARTICLES ARE FREE... YES, FREE...You can Use it... Fax it... Print it... Share it... The Choice is Endless:-)... This Blog is NOT for Gossiping... Whingeing... or Complaining... As They Put Your Precious Creative Attention on the Problem..... Above All...If You Are Struggling Alone and Need Some Extra Support for Your Exam Preparation... Please Email Me... I Will Certainly Try My Best to Help You... I Mean It Truly From My Heart!... To Your Success :-) Hema xoxo.

Friday 6 July 2012

2WW REFERRAL - CSA EXAM CHEAT SHEET 3 OF 5

Hellooo Friend!!!

Hema Here!

As a Doctor,

Don't We Have a Crucial Role in the Detection of Cancer?


'Two- week Referral' Guidelines is one of the most important tools for this is. 




This is one of the topics to freshen up just before your Big Day - CSA .***



Star*** marked means -  You need to give more attention!



Get NICE referral guidelines from -
http://www.nice.org.uk/nicemedia/pdf/CG027quickrefguide.pdf

We can have scenarios either -
To negotiate the plan to be referred for 2ww clinic or
To reassure that there is no need for 2ww referral.



Make sure the Patient understands -
Be unambiguous about the nature of the referral with the patient.
Patients sometimes findout that a clinical suspicion existed only after their hospital appointment.
This is understandably distressing and often leads to anger and shock.

Safety net and follow-up

Always advise patients to contact you if they have not heard from the hospital within two weeks.

It is good practice to see the patient after the diagnosis to offer emotional and psychosocial support.
Practise as many scenarios with your Trainer and Colleagues!

Top Ten Topics are :
  1. Lung                            }  See sheet 1 of 5.
  2. GI - Upper & Lower  } 
  3. Breast                  ]    See sheet 2 of 5.
  4. Gynaecological   ]
  5. Urology   ----> Lets see in this post.
  6. Haemotological    ====>> In the next blog :-)
  7. Skin
  8. Head & Neck
  9. Brain & CNS
  10. Bone.
It is important to remember Paediatric cases as it can come not only in CSA but also in our normal surgery!

Now we will look into 5) Urology. 

We will cover Prostate*** first.

    5. Urological Cases.

    PROSTATE***

    Urgent Referral


    - Hard, irregular mass*** + needs PSA level with referral.
    - High PSA*** with normal prostate.
    - Symptomatic and with High PSA***.
    These scenarios are vital and can definitely expect in CSA. 
    The Mantra is - Practise, Practise, Practise!
    How to break the bad news?
    Click to know -  Secret Steps for Breaking Bad news

    Extra Tips -

    When PSA is Borderline -

    Repeat in 1-3 months and if rising - Refer Urgently.

    Wait for 1 month after UTI for PSA testing*** .


    Urgent Urology Referral

    Any Age with

    1. Abdominal Mass from urinary tract origin.
    2. Testicular Mass/ Swelling ***.
    3. Penile cancer/ mass/Ulcer. (not Peyronie disease)
    4. Painless Macroscopic Haematuria***.  
    40 or more yrs - 
    Recurrent /Persistent UTI with Haematuria.
    50 or more yrs -  
    Unexplained Microscopic Haematuria***.


    Non Urgent Referral

    TO READ MORE, CLICK-
    http://csasmartgroup.com/?p=302

      Can't wait to see you in the next blog! 
      To Your Success,

      Hema xoxo.



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