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VFC/Orthopedic – Trust Treatment & Follow-Up

Select the appropriate body area for guidance table

No Spinal injuries, back pain, Cauda Equina, foot drop etc to be referred to VFC
 

Patients that will not be suitable & need a “face-to-face” as below

  • Homeless patients
  • Prisoners
  • Non English Speaking Patients
  • Inpatients
  • Patients with Hearing Difficulties
  • Phoneless Patients
  • Injuries Associated with Domestic or Child Abuse
  • Children under 2 Years of Age
Upper Limb

Lower Limb

5th MT zones

Infant Feed Volumes – what is expected?

As you know part of assesses sing an infant is asking about how well it is feeding, especially in Bronchiolitis. However, our paediatric colleagues have noticed that many infants are over fed, and although their intake may have reduced it would still be considered adequate for normal growth.

The tables below give an indication of what a healthy intake is and should be used when assessing how well an infant is feeding. Read more

Sexual Health Referrals

Appropriate Conditions for GUM
  • Genital ulcers
  • Urethral discharge
  • Pelvic Inflammatory Disease (PID)
  • Testicular pain
  • Genital warts
  • Vaginal discharge
  • Emergency/ongoing Contraception
  • HIV risk concerns
  • Possible syphilis
  • PEP follow up
  • Pre-menopausal irregular vaginal bleeding
  • Known HIV patient please contact 01484 347077
PID Referral Criteria

History/Exam. – NICE CKS (Here) 

  • History:
    • Pelvic or lower abdominal pain (usually bilateral but can be unilateral).
    • Deep dyspareunia particularly of recent onset.
    • Abnormal vaginal bleeding (intermenstrual, postcoital, or ‘breakthrough’) which may be secondary to associated cervicitis and endometritis.
    • Abnormal vaginal or cervical discharge as a result of associated cervicitis, endometritis, or bacterial vaginosis. This is often very slight and may be transient, especially with chlamydial infection.
    • Right upper quadrant pain due to peri-hepatitis (Fitz–Hugh–Curtis syndrome).
    • Secondary dysmenorrhoea.
    • Ask about the possibility of pregnancy.
  • Exam: 
    • Lower abdominal tenderness (usually bilateral).
    • Adnexal tenderness (with or without a palpable mass), cervical motion tenderness, or uterine tenderness (on bimanual vaginal examination).
    • Abnormal cervical or vaginal mucopurulent discharge (on speculum examination).
    • A fever of greater than 38°C, although the temperature is often normal.

GUM Exclusions – Ref to Gynae

  • Pregnancy
  • Sepsis
  • Abscess

No GUM Exclusions – Complete following

  • Patient to preform 2 High Vaginal Swabs- Send For:
    • Chlamydia +Gonorrhoea 
    • TV
  • If Clinical Signs of PID – Treat with following (if allergies D/W Micro)
    • Ceftriaxone 1g i.m. – ONCE ONLY
    • Doxycycline 100mg twice a day & Metronidazole 400mg twice a day for 14 days
  • Refer to GUM (with/Without Signs)
Testicular Pain Criteria

GUM Exclusions – Ref to Urology

  • Torsion
  • Sepsis
  • Abscess

No GUM Exclusions – Complete following

  • 2 Urine Samples:
    • First Pass (white top) – Chlamydia +Gonorrhoea 
    • MSU (red top)
  • Treat with following (if allergies D/W Micro)
    • Doxycycline 100mg twice a day for 14 days
  • Refer to GUM 
Contacts

Kirklees

Calderdale

  • E-Mail referral (patient details and brief description): Sexualhealthservices.chft@nhs.net
  • Patient Self Referral: 01422 261370
  • Address: Broad St, Halifax, HX1 1UB

Acute Cystitis and Pyelonephritis Pathway

A joint Medical-Urology pathway has been agreed for Pyelonephritis

Study Running  – Send Urine Sample prior to Antibiotics

(if this does not interfere with treatment of Red-Flag Sepsis)

 

Imaging in ED is only required if ED suspects:

  • Ureteric Obstruction – Renal colic symptoms/Hx of stone
  • Acute Surgical Abdomen
  • Emphysematous pyelonephritis – Rare necrotising infection of the renal tract, presenting with flank pain and fever, 90% in uncontrolled diabetes mellitus (but immunocompromise and stones also increase chances)
  • Renal Abscess – Presents with flank pain and fever, risk factors include; diabetes mellitus, Renal stones, obstruction

Read more