Add this result to my export selection Osteoporosis - prevention of fragility fractures: Scenario: Assessment Source: Clinical Knowledge Summaries - CKS (Remove filter) All women aged 65 years and over, and all men aged 75 years and over. Type: Guidance (Add filter)
Add this result to my export selection Osteoporosis - prevention of fragility fractures: Scenario: Management Source: Clinical Knowledge Summaries - CKS (Remove filter) For people at high risk of fragility fracture For people whose fracture risk is above the recommended threshold, offer a dual-energy x-ray absorptiometry (DXA)... Type: Guidance (Add filter)
Add this result to my export selection Immunizations - travel: Scenario: Meningococcal meningitis Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 August 2020 Vaccination with a quadrivalent meningococcal vaccine that protects against the A, C, W, and Y capsular types is recommended for the following groups of people... Type: Guidance (Add filter)
Add this result to my export selection Immunizations - travel: Scenario: Poliomyelitis Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 August 2020 Vaccination is indicated for people who are travelling to areas or countries where poliomyelitis is epidemic or endemic if:They have not been previously immunized. Type: Guidance (Add filter)
Add this result to my export selection Immunizations - travel: Scenario: Rabies Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 August 2020 Travellers to rabies-enzootic areas should be offered pre-exposure immunization against rabies, especially if they are: Staying for more than one month. Type: Guidance (Add filter)
Add this result to my export selection Immunizations - travel: Scenario: Tetanus Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 August 2020 Tetanus can potentially be contracted worldwide. Type: Guidance (Add filter)
Add this result to my export selection Immunizations - travel: Scenario: Tick-borne encephalitis Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 August 2020 Tick-borne encephalitis vaccination is advised for people travelling to, or going to reside in endemic areas. Type: Guidance (Add filter)
Add this result to my export selection Immunizations - travel: Scenario: Typhoid fever Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 August 2020 Give a typhoid vaccination to travellers to countries where typhoid is endemic (for detailed information, see the NaTHNaC website), especially if they are:... Type: Guidance (Add filter)
Add this result to my export selection Immunizations - travel: Scenario: Yellow fever Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 August 2020 Yellow fever vaccination is only available from designated centres: For the location of vaccination centres, see the Yellow Fever Vaccination Programme section of... Type: Guidance (Add filter)
Add this result to my export selection Immunizations - travel: Scenario: Hajj and Umrapilgrims Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 August 2020 All pilgrims should ensure that they are up-to-date with routine immunizations, including measles, mumps, and rubella (MMR) and polio. Type: Guidance (Add filter)
Add this result to my export selection Immunizations - travel: Scenario: Rapid vaccination courses and vaccination at short notice Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 August 2020 Consider rapid vaccination courses, and/or vaccination up to the day of departure for people without sufficient time before travel to allow standard vaccination... Type: Guidance (Add filter)
Add this result to my export selection Incontinence - urinary, in women: How should I assess a woman with urinary incontinence? Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2019 Determine what type of urinary incontinence the woman has. Type: Guidance (Add filter)
Add this result to my export selection Incontinence - urinary, in women: Assessing the type of urinary incontinence Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2019 Stress urinary incontinence . Type: Guidance (Add filter)
Add this result to my export selection Incontinence - urinary, in women: Identifying underlying causes and contributing factors Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2019 Consider and look for the presence of any causes or conditions that may exacerbate urinary incontinence or overactive bladder. Type: Guidance (Add filter)
Add this result to my export selection Breast cancer - recognition and referral: Symptoms suggestive of breast cancer Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 August 2020 Symptoms suggestive of breast cancer Table 2. Symptoms suggestive of breast cancer. Symptom Possible cancer Referral recommendation Axillary lump... Type: Guidance (Add filter)
Add this result to my export selection Breast cancer - recognition and referral: Scenario: Referral for breast cancer Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 August 2020 The terms used in the National Institute for Health and Care Excellence (NICE) guideline Suspected cancer: recognition and referral are as follows:Immediate: an... Type: Guidance (Add filter)
Add this result to my export selection Breast pain - cyclical: How should I diagnose cyclical breast pain? Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 August 2016 Consider a diagnosis of cyclical breast pain when a woman describes pain that: Usually starts during the luteal phase of the cycle (within 2 weeks before menses),... Type: Guidance (Add filter)
Add this result to my export selection Breast pain - cyclical: Scenario: Management Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 August 2016 Reassure the woman that there is no serious underlying pathology. Type: Guidance (Add filter)
Add this result to my export selection Breast screening: Scenario: Breast screening Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 December 2017 Give advice on sources of information and support, such as: The Public Health England (PHE) leaflet on NHS breast screening. Type: Guidance (Add filter)
Add this result to my export selection Breastfeeding problems: How should I assess a woman with breastfeeding problems? Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 May 2017 Ask about: Breastfeeding history: Previous breastfeeding experiences, problems, pain. Type: Guidance (Add filter)
Add this result to my export selection Breastfeeding problems: How should I diagnose the cause of breast pain? Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 May 2017 Engorgement Breast pain typically starts in the first few days after birth, is often bilateral and worse before a feed. Type: Guidance (Add filter)
Add this result to my export selection Breastfeeding problems: How should I diagnose the cause of nipple pain? Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 May 2017 Physiological milk let-down pain There is often pain for the first few minutes of breastfeeding, which resolves with continuation of the feed. Type: Guidance (Add filter)
Add this result to my export selection Breastfeeding problems: How should I diagnose the cause of low milk supply? Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 May 2017 Insufficient access to the breast Suggested by short or infrequent feeds, and/or no night feeds. Type: Guidance (Add filter)
Add this result to my export selection Breastfeeding problems: How should I diagnose the cause of milk oversupply? Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 May 2017 Ineffective infant positioning and attachment The infant may not remove milk efficiently so suckles a lot, stimulating the breast to produce excessive milk. Type: Guidance (Add filter)
Add this result to my export selection Breastfeeding problems: Scenario: Breastfeeding problems - management Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 May 2017 For all women with breastfeeding problems: Ensure that a person with appropriate training and expertise (such as a health visitor or breastfeeding specialist) observes... Type: Guidance (Add filter)
Add this result to my export selection Breastfeeding problems: Paracetamol Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 May 2017 For prescribing information on paracetamol, see the CKS topic on Analgesia - mild-to-moderate pain . Type: Guidance (Add filter)
Add this result to my export selection Breastfeeding problems: Flucloxacillin Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 May 2017 Flucloxacillin is found in trace amounts in breast milk, but is appropriate to use in breastfeeding women. Type: Guidance (Add filter)
Add this result to my export selection Breastfeeding problems: Erythromycin and clarithromycin Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 May 2017 Only small amounts of erythromycin are found in breast milk, and it is not known to be harmful when breastfeeding. Type: Guidance (Add filter)
Add this result to my export selection Bacterial vaginosis: How should I assess a woman with suspected bacterial vaginosis? Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2018 Take a history. Type: Guidance (Add filter)
Add this result to my export selection Bacterial vaginosis: If necessary, what examination and investigations are advised in a woman with suspected bacterial vaginosis? Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2018 Palpate the abdomen (if appropriate) to assess for tenderness or a mass (which may indicate malignancy). Type: Guidance (Add filter)
Add this result to my export selection Bacterial vaginosis: What else could it be? Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2018 Differential diagnoses of bacterial vaginosis (BV) include: Other infections, such as: Candidiasis — characterized by a white, odourless, curdy... Type: Guidance (Add filter)
Add this result to my export selection Bacterial vaginosis: Scenario: Bacterial vaginosis in women who are not pregnant Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2018 If the woman is asymptomatic, treatment is not usually required, unless she is undergoing termination of pregnancy. Type: Guidance (Add filter)
Add this result to my export selection Bell's palsy: What else might it be? Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 May 2019 Other causes of facial weakness and paralysis include: Stroke — forehead spared, extremities often affected. Type: Guidance (Add filter)
Add this result to my export selection Bell's palsy: Scenario: Management of Bell's palsy Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 May 2019 Reassure the person that the prognosis is good. Type: Guidance (Add filter)
Add this result to my export selection Bell's palsy: Prescribing corticosteroids Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 May 2019 For more information on prescribing of oral corticosteroids, see the CKS topic on Corticosteroids - oral . Type: Guidance (Add filter)
Add this result to my export selection Benign paroxysmal positional vertigo: How do I know a person has benign paroxysmal positional vertigo? Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2017 Ask about symptoms of vertigo. Type: Guidance (Add filter)
Add this result to my export selection Benign paroxysmal positional vertigo: What else might it be? Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2017 For more information on other conditions causing vertigo symptoms, see the CKS topic on Vertigo . Type: Guidance (Add filter)
Add this result to my export selection Benign paroxysmal positional vertigo: Scenario: Management of benign paroxysmal positional vertigo Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2017 Advise the person: Most people recover over several weeks, even without treatment, but symptoms can last much longer and may recur. Type: Guidance (Add filter)
Add this result to my export selection Benzodiazepine and z-drug withdrawal: Scenario: Benzodiazepine and z-drug withdrawal Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 January 2019 A ssess whether this is a suitable time to stop taking the drugs. Type: Guidance (Add filter)
Add this result to my export selection Palliative care - oral: Scenario: Halitosis, excessive salivation and altered taste Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2018 Encourage:Regular oral hygiene, including tongue cleaning and good care of dentures. Type: Guidance (Add filter)
Add this result to my export selection Palliative care - oral: Scenario: End of life care Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2018 It can often be difficult to be certain that a person is dying, but it is essential to recognize the signs of dying in order to appropriately care for people at... Type: Guidance (Add filter)
Add this result to my export selection Palliative care - oral: Topical artificial saliva and saliva stimulant products Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2018 Any topical artificial saliva and saliva stimulant product available on prescription in the UK can be tried to treat the symptoms of dry mouth.Salinum® ... Type: Guidance (Add filter)
Add this result to my export selection Palliative care - oral: Oral pilocarpine Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2018 Pilocarpine should be avoided in people who:Have asthma. Type: Guidance (Add filter)
Add this result to my export selection Palliative care - oral: Topical antifungals Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2018 Topical nystatin or topical miconazole are recommended for first-line treatment of oral candida infection. Type: Guidance (Add filter)
Add this result to my export selection Palliative care - oral: Oral antifungals Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2018 In immunocompetent people, oral fluconazole is recommended for second-line treatment if candidiasis persists. Type: Guidance (Add filter)
Add this result to my export selection Palliative care - oral: Chlorhexidine Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2018 Chlorhexidine is the most effective antiseptic gel/mouthwash for reducing plaque, gingivitis, and gingival bleeding [Grossman et al, 1989 ; Overholser et al, 1990... Type: Guidance (Add filter)
Add this result to my export selection Palliative care - oral: Corticosteroids Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2018 As corticosteroid use for aphthous ulcers is short-term, potential problems often associated with corticosteroid use (for example osteoporosis) are not relevant. Type: Guidance (Add filter)
Add this result to my export selection Palliative care - oral: Antivirals Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2018 Topical aciclovir and topical penciclovir are recommended in immunocompetent people who are in the early stages of an uncomplicated herpes simplex infection in the... Type: Guidance (Add filter)
Add this result to my export selection Palliative care - oral: Metronidazole Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 October 2018 Common adverse effects include a metallic taste and gastrointestinal irritation (in particular nausea and vomiting). Type: Guidance (Add filter)
Add this result to my export selection Pancreatitis - acute: When should I suspect acute pancreatitis? Source: Clinical Knowledge Summaries - CKS (Remove filter) 01 May 2016 Suspect acute pancreatitis in any person who presents with acute upper or generalized abdominal pain, particularly if they have a history or clinical features... Type: Guidance (Add filter)