Red Flag Symptoms

Cancer

• Pressure effects - nerve compression etc spinal nerve - loss of sensation

• Pain - brain tumour Headaches, worse in the morning

• Lump - breast cancer

• Bleeding - into bowel (upper - black, lower - red) into the airways - blood in sputum, into semen from prostate or nipple in some breast cancers

• Loss of function of affected system

  • bruising when the blood fails to clot (leukaemia)
  • altered eye movements - tumour pressing on optic nerve

• Weight loss

• Night sweats

• Unexplained Anaemia

• Increased breathlessness

• Hypercalcaemia

Neuro

• Nausea, vomiting + photophobia $\to$ increased intracranial pressure
• Neck stiffness looking down - Meningitis
• Thunderclap headache $\pm$ focal neuro symptoms
• Confusion/Delirium

ENT

Resp

• Haemoptysis - bronchitis, PE, Tuberculosis, lung cancer, bronchiectasis
• Severe or increasing breathlessness.

Cardio

• Crushing central chest pain
• Dizziness, breathlessness, sweating
• Increasing pain in legs

Upper GI

• Black stools

Lower GI

• Bowel habit changes
• Obstruction
• Blood in stool
• Vomiting
• Fatigue
• Dysphagia
• Sleep
• Constipation
• Genitourinary symptoms

Urological

Reproductive

• Early satiety
• Frequency.
• Abdominal distension