Medical History Active problems: Investigations: NB: UP TO DATE U&E REQUIRED TO ENABLE CT SCAN WITH CONTRAST FBC LFT INR TFT Known Allergies Medications Is this patient anticoagulated? Yes ( ) No ( ) Family History: Is there a family history of disease? Yes ( ) No ( ) Please provide details CANCER REFERRAL GUIDELINES UROLOGICAL PROSTATE URGENT Urgent 2ww referral if either: Prostate feels malignant on DRE PSA levels are above the age specific reference range Investigations: consider a PSA test and DRE with any of the following: Any lower urinary tract symptoms such as nocturia, frequency, hesitancy, urgency, retention Erectile dysfunction Visible haematuria BLADDER URGENT Urgent 2ww referral if aged 45 and over with: Unexplained visible haematuria without UTI or Visible haematuria that persists/recurs after successful treatment for UTI Aged 60 or over with unexplained non visible haematuria and either dysuria or Raised WCC NON-URGENT For other symptoms refer to Top Tips RENAL URGENT Urgent 2ww referral if 45 years and over with: Unexplained visible haematuria without UTI Visible haematuria that persists/recurs after successful treatment of UTI TESTICULAR URGENT CONSIDER 2ww referral with any of the following changes in the testis: Non painful enlargement Change in shape Change in texture Investigations: Consider a direct access USS with unexplained symptoms or persistent testicular symptoms
Medical History Active problems: Investigations: NB: UP TO DATE U&E REQUIRED TO ENABLE CT SCAN WITH CONTRAST FBC LFT INR TFT Known Allergies Medications Is this patient anticoagulated? Yes ( ) No ( ) Family History: Is there a family history of disease? Yes ( ) No ( ) Please provide details CANCER REFERRAL GUIDELINES UROLOGICAL PROSTATE URGENT Urgent 2ww referral if either: Prostate feels malignant on DRE PSA levels are above the age specific reference range Investigations: consider a PSA test and DRE with any of the following: Any lower urinary tract symptoms such as nocturia, frequency, hesitancy, urgency, retention Erectile dysfunction Visible haematuria BLADDER URGENT Urgent 2ww referral if aged 45 and over with: Unexplained visible haematuria without UTI or Visible haematuria that persists/recurs after successful treatment for UTI Aged 60 or over with unexplained non visible haematuria and either dysuria or Raised WCC NON-URGENT For other symptoms refer to Top Tips RENAL URGENT Urgent 2ww referral if 45 years and over with: Unexplained visible haematuria without UTI Visible haematuria that persists/recurs after successful treatment of UTI TESTICULAR URGENT CONSIDER 2ww referral with any of the following changes in the testis: Non painful enlargement Change in shape Change in texture Investigations: Consider a direct access USS with unexplained symptoms or persistent testicular symptoms
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