NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)
Patient is worried about having a blood or immune disorder (e.g. leukaemia, anaemia) without one being confirmed. GP's role is a focused history, exam and appropriate screening tests, then reassurance; referral is only needed if anxiety is significant or a real abnormality turns up. - Refer, with advice
Children follow the same pathway: recognise and refer. No primary-care medicine is implied.
No dose - referral pathway, no medicine given in primary care
Patient is worried about having a blood or immune disorder (e.g. leukaemia, anaemia) without one being confirmed. GP's role is a focused history, exam and appropriate screening tests, then reassurance; referral is only needed if anxiety is significant or a real abnormality turns up.
- No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.
- RED FLAG - Objective findings on examination or blood tests (pallor, bruising, lymphadenopathy, an abnormal CBC) turn this from worry into a real diagnosis.