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Red Flags by Mind Map: Red Flags

1. New Onset

1.1. <20 >50

2. Family HXX

3. Cancer Hxx

4. PAIN

4.1. Persistent Night Pain

4.2. Unremitting

4.3. Progressive

4.4. Chest pain

4.5. constant/severe extremity pain

4.6. frequent/severe abdominal pain

4.7. NO CHANGE WITH

4.7.1. MOVEMENT

4.7.2. POSITION

5. cvs/ventilatory

5.1. Unmanaged SOB

5.2. Cough >6/52

5.3. chest pain

6. Fatigue

7. Extremeties

7.1. severe pain

7.2. Swelling after trauma/injury

7.3. Colour change in hands/feet

8. digestion/urinary

8.1. frequent/severe adominal pain

8.2. change in bladder function

8.3. frequent nausea/vomiting

9. Swelling after injury/trauma

9.1. in abdomen

9.2. in extremeties

10. Feeling unwell

10.1. recurrent infections

10.2. Fever

10.3. Night sweats

11. NEUROLOGICAL

11.1. Headaches

11.1.1. Recent with hxx of HA

11.1.2. Sudden/abrupt

11.1.3. worst pain in life

11.1.4. Hxx of Ca (metastasise)

11.1.5. HIV PT's

11.2. changes to

11.2.1. vision

11.2.2. speech

11.2.3. hearing

11.2.4. balance/co-ordination INVESTIGATE FALLS/TRIPS

11.3. Severe neck pain

11.4. sudden weakness

11.5. progressive neuro symptoms

11.6. > 1 dermatome (esp with motor signs)

11.7. bilateral symptoms

12. Commonest cancers that mestatise to bone

12.1. Breast

12.2. Thyroid

12.3. Prostate

12.4. Kidney

12.5. Lung

12.6. Spine is most common place to mestatise

12.6.1. Tsp in breast Ca

12.6.2. lsp in cervix/colon

12.6.3. Tends to spread by Batson's venous Plexus

12.6.3.1. Network of valveless veins, connect deep pelvic veins/thoracic veins (draining the inferior end of the urinary bladder, breast/ prostate) to internal vertebral venous plexuses. Because of location/lack of valves, believed to provide a route spreading Ca metastases. Segment closest to Ca believed to metastise first.

13. FEELING UNWELL

13.1. Fever

13.2. Night sweats

13.3. Recurrent Infections