Unexplained Iron deficiency and Hb 110g/L in a man should be referred urgently to a lower gastrointestinal specialist.
Courvoisier’s Law: in the presence of an enlarged gall bladder, which is non-tender and accompanied by mild jaundice, the cause is unlikely to be gallstones
Patients aged 55years and older wiht unexplained perssisten recent onset of dyspepsia alone should be reffered urgently for endoscopy. (less than 55years – less concerning).
Deterioration of blood sugars in a complicant diabetic patient or “new diagnosis” of diabetes in a patient without risk factors should make one think of pancreatic cancer.
“New onset IBS” in women over age 50 should prompt consideration of ovarian cancer particularly:
- Early saity
- Pelvic/abdominal pain
- Urinary frequency / urgency
Cancers that metastasise to bone:
These Kancers Predominately Love Bone