| |
=
; |
=
; |
<=
/td>
| Domain
1 - Knowledge, skills and performance |
Domain
2 - Safety and quality |
Domain
3 - Communication, partnership and teamwork |
Domai=
n 4 -
Maintaining trust |
| Topic |
Presentation |
Condition
(including but not exclusively) |
Age |
Good
clinical care: assessment |
Good
clinical care: management |
Good
clinical care: technical skills |
Medical
record keeping and correspondence |
Teaching
and training |
Applying
knowledge and experience to clinical practice |
Clinical
governance and patient safety |
Interpersonal
skills |
Ethical
behaviour |
| |
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Targeted history-ta=
king |
Focussed examinatio=
n |
Investigation: choi=
ce
of appropriate tests |
Investigation:
interpretation of results |
Diagnosis and clini=
cal
decision making |
=
Acute including emergency, peri-operative, resuscitat=
ion
and DNAR decisions
| Long-term including=
the
role of the multi disciplinary team<=
/td>
| Symptom relief and =
end
of life |
Good practice in
management including advice, prescribing, devices and adherence to guidel=
ines |
Practical procedure=
s |
Keeping accurate, c=
lear
and legible records including legal documents |
Educating
healthcare professionals and students |
Apply the skills,
attitudes and practice of a teacher/trainer |
Finds and interprets
evidence relating to clinical questions; appraises recent research;
understands basic statistical concepts
| Scientific knowledge (including
genetics, anatomy, physiology, pathology, biochemistry, social science) as
related to clinical practice |
Patient
safety =
|
Quality assurance a=
nd
safety improvement including adverse events, complaints and audit<=
/a> |
Communication with
patients (consulting skills, advising, explaining)Communi=
cation
with patients (consulting skills, advising, explaining) |
To
adopt a person-centred approach in dealing with patients and their proble=
ms,
in the context of patients' circumstances, and involving patients in
management
|
Dealing
with complaints and conflict |
Working with collea=
gues
(including teamwork, delegation, handover, and discharge planning)=
|
Ethical=
and
legal issues |
| Blood and lymph |
Abnormal blood film |
Including haematological malignancies and
myeloproliferative disorders |
Child |
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| Elderly |
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| Blood and lymph |
Bruising/ bleeding/ purpura
| Any cause |
Child |
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| Adult |
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| Elderly |
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| Blood and lymph |
Generalised
enlarged lymph nodes |
Any
cause |
Adult |
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| Elderly |
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| Blood and lymph |
Pallor |
Anaemia
of any cause |
Adult |
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| Child |
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| Elderly |
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| Breast |
Breast
lump and/or pain |
Any cause |
Child |
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| Adult |
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| Elderly |
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| Cardiovascular |
Chest
pain |
Acute myocardial infarction, acute coronary syndrome =
and
angina |
Child |
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| Adult |
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| Elderly |
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| Cardiovascular |
Hypertension |
Including
risk factors |
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| Elderly |
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| Cardiovascular |
Palpitations |
Arrhythmias of any cause |
Child |
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| Adult |
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| Elderly |
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| Cardiovascular |
Peripheral
arterial disease |
Including
aneurysms, ischaemic limb and occlusions |
Child |
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| Elderly |
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| Cardiovascular |
Peripheral
oedema, breathlessness |
Heart failure including valvular heart disorder and
rheumatic heart disease |
Child |
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| Elderly |
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| Cardiovascular |
Peripheral
venous problems |
VTE/
DVT including risk factors and varicose veins |
Child |
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| Elderly |
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| Developmental problems |
Congenital
abnormalities |
Including heart, neural tube and musculoskeletal |
Child |
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| Elderly |
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| Developmental problems |
Developmental delay/ failure to thrive |
Physical |
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| Elderly |
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| Developmental problems |
Developmental delay/ failure to thrive |
Psychological and social<=
!--[if mso]>Psycholog=
ical and
social |
Child |
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| Elderly |
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| Digestive |
Abdominal
mass |
Including
organomegaly, hernias and ascites |
Child |
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| Elderly |
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| Digestive |
Abdominal
pain |
Including
acute abdomen any cause |
Child |
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| Elderly |
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| Digestive |
Anorexia
and weight loss |
Any cause |
Child |
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| Elderly |
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| Digestive |
Upper
GI symptoms |
Any cause |
Child |
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| Elderly |
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| Digestive |
Facial
pain and swelling |
Including oral disease and toothache |
Child |
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| Elderly |
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| Digestive |
Faecal
incontinence |
Including
spurious diarrhoea and encopresis |
Child |
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| Elderly |
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| Digestive |
Lower
GI symptoms |
Any cause |
Child |
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| Elderly |
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| Digestive |
Jaundice |
Including biliary tract problems=
|
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| Elderly |
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| Digestive |
Nutrition |
Including
over- and under-nutrition |
Child |
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| Elderly |
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| Endocrine |
Abnormal
blood sugar |
Diabetes
mellitus |
Child |
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| Elderly |
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| Endocrine |
General endocrine disorder |
Including pituitary, adrenal
| Child |
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| Elderly |
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| Endocrine |
Thyroid abnormalities |
Hyper/hypothyroidism and goitre<=
!--[if mso]>Hyper/hypothyroidism and goitre |
Child |
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| Elderly |
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| ENT |
Earache |
Any cause |
Child |
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| ENT |
Hearing
problems |
Any cause |
Child |
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| Adult |
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| Elderly |
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| ENT |
Hoarseness
and/or stridor |
Any cause |
Child |
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| Adult |
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| Elderly |
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| ENT |
Nasal
symptoms |
Including rhinorrhoea and epistaxis |
Child |
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| Adult |
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| Elderly |
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| ENT |
Vertigo |
Any cause |
Child |
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| Adult |
|
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| Elderly |
|
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|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
| Eye |
Eye
pain |
Any cause |
Child |
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
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| Adult |
|
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| Elderly |
|
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|
|
|
|
|
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|
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|
|
|
|
|
|
|
|
| Eye |
Orbital
swelling |
Any cause including eyelid disorders |
Child |
|
|
|
|
|
|
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|
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| Adult |
|
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| Elderly |
|
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|
|
|
|
|
|
|
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|
|
|
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|
|
| Eye |
Red
eye |
Including infections, inflammatory and trauma<=
/a> |
Child |
|
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|
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|
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|
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| Adult |
|
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| Elderly |
|
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|
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|
|
|
|
|
|
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|
|
|
|
|
|
| Eye |
Visual
impairment |
Gradual or sudden, including cataracts |
Child |
|
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| Adult |
|
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| Elderly |
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Genitourinary |
Urethral
discharge |
Any cause |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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| Adult |
|
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| Elderly |
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Genitourinary |
Vaginal
discharge |
Any cause |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
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| Adult |
|
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| Elderly |
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Homeostatic |
Acid-base
imbalance |
pH abnormalities |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
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| Adult |
|
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|
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| Elderly |
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Homeostatic |
Blood
gas abnormalities |
Metabolic and respiratory acidosis or alkalosis |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
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| Adult |
|
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|
|
| Elderly |
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Homeostatic |
Electrolyte abnormalities |
Any cause including excessive thirst and dehydration<=
span
style=3D'mso-spacerun:yes'> |
Child |
|
|
|
|
|
|
|
|
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| Adult |
|
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|
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|
|
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|
|
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|
|
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|
|
| Elderly |
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Homeostatic |
Urinary excretion |
Oliguria and polyuria including renal failure<=
/a> |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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| Adult |
|
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|
|
|
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|
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|
|
| Elderly |
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Infectious disease |
Fever |
Including
pyrexia of unknown origin |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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| Adult |
|
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|
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|
|
|
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|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Infectious disease |
Hospital
acquired infection |
Including infection control, MRSA, C diff<=
![endif]> |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
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|
|
| Adult |
|
|
|
|
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|
|
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|
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|
|
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|
|
|
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|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Infectious disease |
Serious
infection |
Including
HIV, AIDS, Hepatitis B and TB |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Infectious disease |
Travel
medicine and tropical infections |
Any cause |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Infectious disease |
Viral
infections |
Any cause |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Mental health |
Alcohol
and drug misuse and dependence |
Including co-morbi=
dity and
withdrawal |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Mental health |
Anxiety |
Including generalised anxiety disorder, phobias and O=
CD |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Mental health |
Personality
and behavioural disorders |
Including habit di=
sorders
and personality disorder |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Mental health |
Organic
brain syndromes |
Acute and chronic<=
/span> |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Mental health |
Self-harm |
Overdose, poisonin=
g and
other self-harm <=
![endif]> |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Mental health |
Eating
problems |
Anorexia
nervosa and bulimia nervosa |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Mental health |
Medically-unexplained
physical symptoms |
Including psychosomatic disorders, somatisat=
ion
disorders |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Mental health |
Learning
and communication problems |
Any cause |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Mental health |
Mood
(affective) problems |
Any cause |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Mental health |
Psychosis |
Schizophrenia and =
other
psychotic disorders |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Musculoskeletal |
Back
and neck problems |
Any
cause |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Musculoskeletal |
Foot
and ankle problems |
Any
cause |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Musculoskeletal |
Hand
and wrist problems |
Any
cause |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Musculoskeletal |
Hip
problems |
Any
cause |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Musculoskeletal |
Knee
problems |
Any
cause |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Musculoskeletal |
Rheumatological
problems |
All causes including joint pain of any cause |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Musculoskeletal |
Shoulder/upper
limb problems |
Any
cause |
Child |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Adult |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Elderly |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| Musculoskeletal |
Skeletal
problems including fractures |
Any cause |
Child |
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| Adult |
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| Elderly |
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| Neurological |
Loss
of consciousness of any cause |
Child |
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| Adult |
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| Elderly |
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| Neurological |
Cranial nerve problems |
Any
cause including visual field defects |
Child |
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| Adult |
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| Elderly |
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| Neurological |
Falls |
Any
cause including environmental |
Child |
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| Adult |
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| Elderly |
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| Neurological |
Headache |
Any
cause including raised intracranial pressure |
Child |
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| Adult |
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| Elderly |
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| Neurological |
Movement disorders including tremor and gait
problems |
Abnormalities
of the motor nervous system |
Child |
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| Adult |
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| Elderly |
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| Neurological |
Peripheral
nerve problems |
Including
neuropathies of any cause |
Child |
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| Adult |
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| Elderly |
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| Neurological |
Seizures |
Including epilepsy and convulsions |
Child |
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| Adult |
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| Elderly |
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| Neurological |
Speech and language disorder |
Any cause |
Child |
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| Adult |
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| Elderly |
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| Neurological |
Weakness |
TIA,
stroke, cerebral palsy, muscular dystrophy, nerve entrapments<=
![endif]> |
Child |
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| Adult |
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| Elderly |
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| Renal |
Abnormalities of the urine |
Including haematuria and proteinuria |
Child |
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| Adult |
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| Elderly |
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|
| Renal |
Renal problems |
Including chronic kidney disease=
|
Child |
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| Adult |
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| Elderly |
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| Reproductive |
Contraception |
Any method |
Child |
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| Adult |
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| Elderly |
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|
| Reproductive |
Fertility
problems |
Both
male and female; including normal development in puberty |
Child |
|
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| Adult |
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| Elderly |
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| Reproductive |
Normal
pregnancy and care |
Including prenatal diagnosis
| Child |
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| Adult |
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| Elderly |
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|
| Reproductive |
Problems
in pregnancy including bleeding |
Any cause |
Child |
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| Adult |
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| Elderly |
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|
|
| Reproductive |
Irregular
vaginal bleeding |
Any cause |
Child |
|
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| Adult |
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| Elderly |
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| Reproductive |
Pelvic
mass |
Any cause |
Child |
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| Adult |
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| Elderly |
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| Reproductive |
Pelvic
pain |
Any cause |
Child |
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| Adult |
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| Elderly |
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|
|
| Reproductive |
Vulval
and vaginal lumps/lesions |
Any
cause |
Child |
|
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| Adult |
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| Elderly |
|
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|
|
| Respiratory |
Breathlessness |
Any infection, inflammation, including COPD, asthma,
occupational lung disease and sleep apnoea |
Child |
|
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| Adult |
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| Elderly |
|
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|
|
|
|
|
|
|
|
| Respiratory |
Chest pain |
Including any pleuritic causeIncluding any pleuritic cause<=
/td>
| Child |
|
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| Adult |
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| Elderly |
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|
|
| Respiratory |
Cough |
Any cause including tumours and upper respiratory tra=
ct
problems |
Child |
|
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| Adult |
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| Elderly |
|
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|
|
| Respiratory |
Haemoptysis |
Including
pulmonary embolism |
Child |
|
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| Adult |
|
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| Elderly |
|
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|
|
| Respiratory |
Wheeze/Stridor |
Any cause |
Child |
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| Adult |
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| Elderly |
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|
|
| Seriously ill patient |
Collapse |
Any cause including anaphylaxis and coma |
Child |
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| Adult |
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| Elderly |
|
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|
|
| Seriously ill patient |
Infection |
Including septicaemia, meningitis and neutropaenic se=
psis |
Child |
|
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| Adult |
|
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| Elderly |
|
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|
|
|
|
|
| Seriously ill patient |
Multiple
trauma |
Including
head injury and intra-abdominal injury |
Child |
|
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| Adult |
|
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| Elderly |
|
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|
|
| Seriously ill patient |
Shock |
Any cause including blood lossAny cause including blood loss=
|
Child |
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| Adult |
|
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| Elderly |
|
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|
|
| Skin |
Dermatological
manifestations of systemic disease |
Any cause |
Child |
|
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| Adult |
|
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| Elderly |
|
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|
|
| Skin |
Hair
and nail problems |
Any cause |
Child |
|
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| Adult |
|
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| Elderly |
|
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|
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|
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|
|
|
|
|
|
| Skin |
Itchy
and/or scaly rashes |
Including
eczema, dermatoses (psoriasis etc.) and reactions (drugs/food) |
Child |
|
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| Adult |
|
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| Elderly |
|
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|
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|
|
| Skin |
Infections |
Including
viral, bacterial and fungal infections |
Child |
|
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| Adult |
|
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| Elderly |
|
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| Skin |
Extremes
of temperature |
Burns,
frostbite, hyperthermia and hypothermia |
Child |
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| Elderly |
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| Skin |
Bites
and stings |
Including infestations |
Child |
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| Adult |
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| Elderly |
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| Skin |
Bullous <=
/td>
| Any cause |
Child |
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| Adult |
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| Elderly |
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| Skin |
Lumps |
Any cause |
Child |
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| Adult |
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| Elderly |
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| Skin |
Moles
and pigmented lesions |
Any cause |
Child |
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| Adult |
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| Elderly |
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| Skin |
Ulcers |
Any cause |
Child |
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| Adult |
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| Elderly |
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| Urological |
Groin/scrotal
pain and/or swelling |
Any cause |
Child |
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| Adult |
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| Elderly |
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| Urological |
Urinary
tract obstruction |
Any cause |
Child |
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| Adult |
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| Elderly |
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