This site is intended for healthcare professionals
General Practice Notebook
Login | Register
Medical search

urgent referral to a chest physician

FREE subscriptions for doctors and students... click here
You have 3 open access pages.

Any of the following should be referred for urgent specialist review (2 week referral):

  • have chest X-ray findings that suggest lung cancer (1)
  • unexplained haemoptysis in patients over 40 years of age (1)

NICE state that if a chest X-ray or chest computed tomography (CT) scan suggests lung cancer (including pleural effusion and slowly resolving consolidation), patients should be offered an urgent referral to a member of the lung cancer multidisciplinary team (MDT), usually a chest physician (2).

Refer people using a suspected cancer pathway referral (for an appointment within 2 weeks) for mesothelioma if they have chest X-ray findings that suggest mesothelioma (1).

Consider emergency/immediate referral for patients with (2,3):

  • signs of superior vena caval obstruction (swelling of the face/neck with fixed elevation of jugular venous pressure)
  • stridor

Reference:

  1. NICE (June 2015). Suspected cancer: recognition and Suspected cancer: recognition and referral.
  2. NICE (February 2011). Lung cancer - the diagnosis and treatment of lung cancer
  3. NICE (June 2005). Referral Guidelines for Suspected Cancer

Links:

General Practice Notebook
General Practice Notebook
The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions LtdĀ®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions LtdĀ® receives funding from advertising but maintains editorial independence. GPnotebook stores small data files on your computer called cookies so that we can recognise you and provide you with the best service. If you do not want to receive cookies please do not use GPnotebook.