General Medicine Pathways

Multifactorial falls assessment and prevention — NICE CG161 compliant

Systematic approach to investigating anaemia by MCV and iron studies

CRB-65 risk stratification and antibiotic decision for LRTI in primary care

NICE-compliant hypertension diagnosis (ABPM), target setting, and step-up therapy

≥5% loss in 6 months — investigate malignancy, infection, GI / endocrine / psychiatric causes; targeted by symptoms.

Persistent fatigue >6 weeks; exclude common medical causes (anaemia, hypothyroid, depression); ME/CFS criteria.

Distinguish localised vs generalised, reactive vs malignant; targeted investigations + biopsy red flag features.

Cardiopulmonary risk stratification (RCRI), anaemia / glycaemic / anticoagulation optimisation, comorbidity management.

Investigate when young-onset, resistant, or features of secondary cause; targeted workup.

Categorise (massive, moderate, mild) — different differentials; targeted bloods + imaging + bone marrow if needed.

Holistic care for patients with multiple long-term conditions — review medications, prioritise, agree treatment goals with patient.

Common cause of T-LOC; recognise classic features; tilt-table test in atypical; lifestyle + counter-pressure manoeuvres.

Acute confusional state; identify cause (TIME-IT mnemonic); non-pharmacological first; pharmacological last resort.