Hydrocele in Adults

Inhaled Salbutamol (MDI) 1-2 puffs as required, up …

Formoterol Delivery Devise Dose per metered inhalation UK licence > 12 years Adult dose regime Atimos MDI 12mcg √ 12mcg BD, increased to max. 24mcg BD

Management of Menopausal Symptoms v3

Hormone Replacement Therapy Options for the Management of Menopausal Symptoms. Indications: Hormone replacement therapy for oestrogen deficiency symptoms in post and peri-menopausal women (unless contra-indicated) & prevention of osteoporosis. Contraindications: Oestrogen-dependent cancer, history of breast cancer, active thrombophlebitis, active or …

  Symptom, Menopausal, Menopausal symptoms

Type 2 Diabetes

diabetes patients. Using QRISK Is 10 year risk > 10%* Yes No Initiate Atorvastatin 20mg daily Reassess in one year • Maintain current statin prescription No • Discuss adherence and timing of statin dose • Optimise diet and lifestyle measures • Consider increasing Atorvastatin if not already on maximal dose *Use clinical judgement if;

  Patients, Diabetes, Statins, Diabetes patients

Asthma Guidelines 2021

Support concordance – use combination inhaler (care not to increase ICS dose). Consider once daily preparation where appropriate . Option 2 Add-on LTRA . Prescribe low dose ICS + LTRA + SABA PRN . Cost effective option but consider patient factors: patient preference, compliance with inhaled ICS and oral therapy, prescription charges.

  Compliance, Concordance

VITAMIN D PRESCRIBING GUIDANCE for children (<18yrs)

2. British Paediatric and Adolescent Bone Group. December 2012. Position statement on vitamin D deficiency. 3. National Osteoporosis Society. December 2018. Vitamin D and bone health: A practical clinical guideline for patient management in children and young people. 4. British National Formulary for Children 2018-2019. 2018. Section 7. Vitamin ...

  Guidelines, Adolescent

Epididymal Cyst

Cystic fibrosis: an inherited illness in which there are cysts in the lungs, pancreas and other areas of the body. Polycystic kidney disease: an inherited condition in which cysts develop in the kidneys and other parts of the body. Von Hippel-Lindau disease: an inherited disease in which tumours develop in the eye, kidneys and nervous system.

  Tumours, Pancreas

MIGRAINE PROPHYLAXIS

Prophylaxis treatment is used to reduce the number of migraine attacks in circumstances when acute therapy, used appropriately, fails to provide adequate symptom control (two or more attacks per month that produce disability lasting for 3 days or more). Always discuss the benefits and risks of prophylactic treatment for migraine with the

  Treatment, Acute, Migraine

INSULIN PEN DEVICES GUIDE - rotherhamccg.nhs.uk

INSULIN used in pen LIFESPAN (to be replaced after) *Rx ISSUED Humapen SAVVIO Eli Lilly 1-60 units Lilly 3ml cartridges from Humalog and Humulin ranges 6 years A Humapen LUXURA HD Eli Lilly 0.5-30 units (half unit increments) (audible clicks) Lilly 3ml cartridges from Humalog and Humulin ranges 3 years A

  Insulin, Insulin pens

PUQE INDEX ASSESSMENT PUQE Index Score <6 (mild)

or Prochlorperazine or Metoclopramaide Dehydration – Refer Secondary Care PUQE Index Score >13 (severe) Refer Secondary Care BUMPS Patient Information Sheet 1. On an average day, how long do you feel nauseated or sick to your stomach? > 6hrs (5 points) 4-6 hrs (4 points) 2-3 hrs (3 points) > 1 hr (2 points) Not at all (1 point) 2.

  Prochlorperazine

Two-level DVT Wells score - rotherhamccg.nhs.uk

12 weeks requiring general or regional anaesthesia 1 Localised tenderness along the distribution of the deep venous system 1 Entire leg swollen 1 Calf swelling at least 3 cm larger than asymptomatic side 1 Pitting oedema confined to the symptomatic leg 1 Collateral superficial veins (non-varicose) 1 Previously documented DVT 1

  Anaesthesia

Varicose Vein Treatments

sclerotherapy with glycerin/glycerol intense pulsed-light source (photothermal sclerosis) treatment of a varicose vein The following varicose vein treatments are each is considered experimental, investigational or unproven (this list may not be all-inclusive): non-compressive sclerotherapy transdermal laser therapy

  Sclerotherapy

Varicose Veins Treatment and Other Vein Embolization ...

Compression Sclerotherapy (CPT codes 36470 and 36471) Medicare does not have a National Coverage Determination (NCD) for compression sclerotherapy. Local Coverage Determinations (LCDs)/Local Coverage Articles (LCAs) exist for all states/territories and compliance with these policies is required where applicable.

  Sclerotherapy

ACG & AASLD Joint Clinical Guideline: Prevention and ...

either with EVL or sclerotherapy (Class I, Level A). 16. TIPS is indicated in patients in whom hemorrhage from esophageal varices cannot be controlled or in whom bleeding recurs despite combined pharmacological and endoscopic therapy (Class I, Level C). 17. Balloon tamponade should be used as a temporizing measure (maximum 24 hours) in patients ...

  Sclerotherapy

Medicare Advantage Prior Authorization Request Form — Fax ...

Sclerotherapy Subfascial Endoscopic Perforator Vein Surgery (SEPS) Transilluminated Powered Phlebectomy (TIPP) Service(s) Requested: (check appropriate request(s) and attach supporting clinical documentation). Cosmetic (Reconstructive and Restorative procedures) MEDICARE ADVANTAGE PRIOR AUTHORIZATION REQUEST FORM (CON'T)

  Sclerotherapy

Pain Management and Rehabilitation

Prolotherapy, Joint Sclerotherapy and Ligamentous Injections with Sclerosing Agents The medical effectiveness of the above therapies has not been verified by scientifically controlled studies. Accordingly, reimbursement for these modalities should be denied on the grounds that they are not reasonable and necessary. Refer to the

  Sclerotherapy