Acne vulgaris (or simply acne)
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AKI is a rapid reduction in kidney function resulting in a failure to maintain fluid, electrolyte and acid-base balance
Neck pain or a stiff neck is a common problem and generally nothing to worry about.
This page has information on the role of a dietitian with links to further information.
The importance of patients and families having the opportunity to share their priorities for their future care is crucial particularly around times such as pandemics. To assist you with this an electronic ReSPECT has been developed. Also please find some helpful updates and reminders that may be of use.
Information about seeking advice & guidance from secondary care to avoid unnecessary referrals and safely obtaining timely and safe management advice. Consultant Connect service. Urgent Connect GP Liaison Service
A guide to management pathways, referral routes and support for Post Covid Syndrome (Long Covid)
Summary for Ambulatory Emergency Care Clinic
The Ambulatory Pleural clinic at UHCW NHS Trust for lung / respiratory disease
Anaemia is a problem in which the body does not have enough healthy red blood cells.
Atrial fibrillation is the commonest cause for GP referral to anticoagulation services.
The sensitivity and simplicity of an ANA test makes it extremely popular initial test to evaluate for lupus.
Central resource page for management and referral information for Diabetes mellitus and its complications
A diagnosis of vitamin B12 or folate deficiency anaemia can often be made based on symptoms and the results of blood tests.
Ankylosing Spondylitis (AS) is a rheumatic disease that causes arthritis of the spine and sacroiliac joints.
Balanitis is a skin irritation on the head of the penis
Bariatrics is the branch of medicine that deals with the causes, prevention, and treatment of obesity.
A basal cell carcinoma (BCC) is a type of skin cancer.
Elderly Mentally Infirm (EMI) support system for CHESS Scheme for Nursing Homes
A swelling in the skin arising in a sebaceous gland, typically filled with yellowish sebum.
APC Guidance on self testing of blood glucose
On line booking of blood tests in Coventry, Rugby & North Warwickshire. Blood tests (phlebotomy) across Warwickshire are provided by the Coventry and Warwickshire Pathology Network
Information on the BNP Pathway
Cardiac rehabilitation is a programme of exercise and information sessions following a heart attack, heart surgery or procedure.
A carotid endarterectomy may be needed if one or both of your carotid arteries become narrowed because of a build-up of fatty deposits (plaque).
The main causes of chest pain include angina, ACS (including myocardial infarction), acute pericarditis, pneumonia, pulmonary embolism, pneumothorax.
Chronic kidney disease (CKD), also known as chronic renal disease, is progressive loss in kidney function over a period of months or years.
Chronic Obstructive Pulmonary Disease (COPD) includes chronic bronchitis, emphysema and chronic obstructive airways disease.
Cluster headaches are excruciating attacks of pain in one side of the head, often felt around the eye.
Coeliac disease is a common digestive condition where a person has an adverse reaction to gluten.
Community Ambulatory Electrocardiogram (ECG) service has been developed for Holter monitoring and Event Recording
A community based service for advice, management and education in common skin conditions
Community management advice for difficult diabetic and lipid cases
Connective Tissue Disease (CTDs) is any disease that targets the connective tissues within the body.
Constipation is a common condition that affects people of all ages. It can mean that you're not passing stools regularly or you're unable to completely empty your bowel.
NHS Continuing Healthcare (CHC) is a package of care for adults aged 18 or over which is arranged and funded solely by the NHS
General resources at a glance
Summary of the latest UHCW DVT guidelines
Coventry and Rugby have an Admiral nurse service in conjunction with the NHS Coventry and Rugby CCG, Dementia UK and Coventry University.
The Dementia Pop Up Clinics run by the Alzheimer’s Society offer appointments at practices across Coventry and Rugby.
A DEXA scan is a special type of X-ray that measures bone mineral density (BMD).
Personalised support to reduce their risk of Type 2 diabetes including education on healthy eating and lifestyle, help to lose weight and physical exercise programmes
Diabetic retinopathy, also known as diabetic eye disease, is when damage occurs to the retina due to diabetes.
Referral advice for diabetic foot and vascular problems
Central page for dietetics / dietary resources
Dupuytren’s contracture (Dupuytren's disease) is a condition that affects the hands and fingers.
Indigestion, also known as dyspepsia, is a condition of impaired digestion
Ebola virus disease is a serious illness that originated in Africa, where there is currently an outbreak.
Eczema is a condition that causes the skin to become itchy, red, dry and cracked. It is a long-term (chronic) condition in most people, although it can improve over time, especially in children.
Arm pain is common and usually caused by an injury or fall.
Management advice for abnormalities of Sodium and Potassium in U&Es
An ESR is often used to help diagnose conditions associated with inflammation.
Anyone can have a fall, but older people are more vulnerable and likely to fall, especially if they have a long-term health condition.
Identification of patients and families at raised CV risk from Total Cholesterol of 9mmol/l or more
High ferritin levels may suggest a disorder that has led to an excess accumulation of iron, resulting in iron overload.
Foot pain is a common problem with a wide range of possible causes.
A ganglion cyst is a fluid-filled swelling that usually develops near a joint or tendon.
Gastrointestinal bleeding (GI bleed), also known as gastrointestinal hemorrhage, is all forms of bleeding in the gastrointestinal tract.
Clinical genetics is a specialist regional service based at Birmingham Women’s Hospital.
Giant cell arteritis (GCA) is a large vessel vasculitis that affects 2.2 per 10,000 people each year in the UK
Links to the Pathology Directory UHCW
Gout is the most common form of inflammatory arthritis.
The GP Liaison Service offers a single point of contact for emergency referrals or pre referral advice
Allergic disease is a clinical diagnosis with tests used to help confirm or refute a diagnosis - allergy is NOT diagnosed by allergy tests
Updated information and referral forms for 2WW Haematology
“Opportunistic” haemoglobinopathy screening (not including national antenatal or neonatal screening programmes)
A bunion is a bony deformity of the joint at the base of the big toe. The medical name is hallux valgus.
Which asymptomatic patients need screening for HBV and HCV?
Government advice on management of vulnerable patients in heatwave situations.
It is suggested that General practitioners DO NOT request Thrombophilia screens without review of this guideline AND discussion with haematology.
Hirsutism is excessive hair growth in certain areas of the body. It's a problem that mainly affects women.
This page contains information and pathway details for HIV clinical testing
Guidance on home oxygen
Osteoarthritis is a condition that causes joints to become painful and stiff. It's the most common type of arthritis in the UK.
Hyperhidrosis is a common condition in which a person sweats excessively.
Hyperlipidaemia is abnormally elevated levels of any or all lipids and/or lipoproteins in the blood.
Stage 1 hypertension: Clinic blood pressure is 140/90 mmHg or higher and subsequent ambulatory blood pressure monitoring (ABPM) daytime average or home blood pressure monitoring (HBPM) average blood pressure is 135/85 mmHg or higher. Stage 2 hypertension: Clinic blood pressure is 160/100 mmHg or higher and subsequent ABPM daytime average or HBPM average blood pressure is 150/95 mmHg or higher. Severe hypertension: Clinic systolic blood pressure is 180 mmHg or higher or clinic diastolic blood pressure is 110 mmHg or higher.
The infectious diseases (ID) UHCW looks after adult patients (over 16) with all types of infection or suspected infection. We are a regional centre for infectious diseases and tropical medicine.
Inflammatory bowel disease (IBD) is a term mainly used to describe Ulcerative Colitis (UC) and Crohn's Disease (CD)
Irritable bowel syndrome (IBS) is a common, long-term condition of the digestive system.
Liver disease doesn't usually cause any obvious signs or symptoms until it's fairly advanced and the liver is damaged.
An arthroscopy is a type of keyhole surgery used both to diagnose and treat problems with joints.
Information regarding knee instability
Lactose intolerance is a common digestive problem where the body is unable to digest lactose, a type of sugar mainly found in milk and dairy products.
Management of ulcers on legs
The Living Well Pilot Project is a new service based at Coventry Myton Hospice for adults living with a life limiting illness who are registered with a Coventry GP.
These are guidelines for most patients most of the time. Like all guidelines, there are exceptions. Acute back pain is for < 6 weeks, chronic > 6 weeks
Lymphoedema Clinics referral details
Lactose intolerance is a common digestive problem where the body is unable to digest lactose, a type of sugar mainly found in milk and dairy products.
This statement has been agreed by the UK public health agencies: UK Health Security Agency, Public Health Scotland, Public Health Wales and Public Health Agency Northern Ireland.
Inflammatory causes of MSK pain - referral guidelines
Neurology is a branch of medicine dealing with disorders of the nervous system.
Accepts NHS E-referrals for nerve conduction testing for carpal tunnel screening and ulnar nerve screening at the elbow or wrist ONLY. This is not an EMG service.
Specialist advice in the community on the management of common paediatric dermatological conditions
Pain Management Solutions works with each patient to support them in finding the most effective and evidence-based approach to improving their ability to manage their pain on a day-to-day basis.
Palliative care is a multidisciplinary approach to specialized medical care for people with serious illnesses.
Practices can request a Paramedic to visit a patient at home on behalf of a GP. The key objective is to reduce avoidable hospital admissions by providing a timely response to patients requiring a visit, and ensuring patients are cared for at home if appropriate.
A paraprotein can have many causes—some serious but others unlikely ever to cause any problems.
Parkinson's disease is a condition in which parts of the brain become progressively damaged over many years. It can cause a wide variety of both movement (motor) and non-motor symptoms. Management becomes more complex as the disease progresses.
The PDNS care for Patients (and their carers) who are affected by Parkinson's Disease and associated neurological disorders
Resource references for pathology services
Pelvic physiotherapy services provided at the City of Coventry Health Centre by UHCW
A penile implant is a medical device that is custom-fit and surgically placed into a penis.
Pernicious anaemia is associated with autoimmune atrophic gastritis which has an increased risk of gastric cancer.
Physiotherapy helps to restore movement and function when someone is affected by injury, illness or disability. It can also help to reduce your risk of injury or illness in the future.
Podiatrists are health care professionals who have been trained to prevent, diagnose, treat and rehabilitate abnormal conditions of the feet and lower limbs.
Complications of chicken pox in pregnancy include severe maternal varicella and congenital varicella syndrome.
Primary Care Initiation of Direct Oral Anticoagulants (DOACs) for Stroke Prevention in Atrial Fibrillation (AF)
Guidance and information regarding initiation of DOACs
Prostate-specific antigen, or PSA, is a protein produced by cells of the prostate gland.
After an amputation, you may be able to have a prosthetic limb fitted.
Psoriasis is a skin condition that causes red, flaky, crusty patches of skin covered with silvery scales.
Psoriatic Arthritis can cause progressive joint damage and loss of function.
As part of the development of a community diagnostic centre, UHCW NHS Trust has launched a respiratory diagnostics service.
A Secondary Care Outpatient Service for Warwickshire registered patients
Referral for virtual monitoring of at risk suspected COVID-19 cases and those with long term respiratory conditions with pulse oximetry [formerly known as COVID Oximetry@home (virtual Ward)]
Early Arthritis Clinic allows rapid access to Rheumatology services for assessment of patients with painful, stiff or swollen joints which may represent the onset of rheumatoid arthritis.
There is a higher than expected national increase in notifications of invasive group A streptococcus (iGAS) and scarlet fever. Scarlet fever and iGAS infection are both notifiable diseases
Seborrhoeic dermatitis is an eczema affecting the eyebrows, anterior scalp, nasolabial folds, ears, axillae and groin.
Sepsis - overwhelming infection requiring urgent treatment
Injury from used needles and syringes found in community settings arouses much concern.
For full details see The Green Book (shortcut below)
Treatments and services for Sleep Apnoea and related conditions offered at the Sleep Medicine department.
Back injections may help treat two major back pain with radiculopathy
The stool sample should be collected in a clean, dry screw-top container.
Information regarding tattoo removal
About local hospice services for enhancing quality of life when cure is no longer an option
Information for Therapeutic drug sampling
Want to know more about Thyroid Function Tests? When does Free T4 measured in the laboratory? Protocol on Low TSH levels - when to repeat and when to refer to thyroid clinic?
The Tissue Viability Nurse Team can help with ulcers and difficult wounds.
NICE advise assessment by specialist within 24 hours
Local guidelines for management and referral of transient loss consciousness
Trigger finger is a condition that affects one or more of the hand's tendons, making it difficult to bend the affected finger or thumb.
With respect to primary care, the only tumour markers cited in the NICE Urgent Cancer Referral Guidance that should be requested to support diagnosis of possible cancers is Ca-125 and PSA
Referral guideline for rapid referral of suspected type 1 diabetes to reduce the risk of diabetic ketoacidosis
UHCW Hospital@Home Pathways. Details of UHCW outreach services to treat patients in their own environment with specialist nurse teams to treat and monitor certain conditions.
A summary of UTCs in Coventry & Warwickshire
Urinary tract infections (UTIs) are common infections. In order to avoid misdiagnosis of UTI and the subsequent overtreatment / misuse of antibiotics please adhere to the following principles when using dipsticks.
Vitamin D blood levels should only be tested with symptoms indicative of rickets, osteomalacia or symptomatic hypocalcaemia. If deficiency is found with these symptoms, a course of high dose replacement therapy should be prescribed
Warts are viral swellings that often develop on the skin of the hands and feet.
Zika virus disease is mainly spread by mosquitoes.