Radiology

Guidelines for specialist referrals:

Head

• Acute / Severe Headache
   
• Recent Onset Headache, worsening in severity or persistence
   
• Chronic Headache
   
• CVA
   
• First Seizure
   
• Recurrent Seizures
   
• Sinus Disease
   
• Metallic Orbital Foreign Body (FB)
   
• Temporo-Mandibular Joint (TMJ) Clicking/Problems
   
• Asymptomatic Carotid Bruit
   
• TIA
   
• Multiple TIAs  

Neck

• Neck Swelling / Goitre / Thyroid Nodule
   
• Stable Multi-Nodular Goitre

Chest

• Chest Problems
   
• Non Specific Ill Health
   
• Uncomplicated Hypertension
   
• Angina
   
• Increasing Shortness of Breath on Exertion
   
• Cardiac Murmur
   
• Heart Failure

Breast

• Breast Lump
   
• Cyclical Mastalgia
   
• Screening Mammography 

Gastrointestinal System

• Dyspepsia and Symptoms of Gastro-oesophageal Reflux
   
• Dysphagia
   
• Lower Bowel Symptoms e.g. change in bowel habit or rectal bleeing
   
• Colorectal Cancer Screening
   
• Acute Abdomen
   
• Persistent Right Upper Quadrant Pain
   
• Jaundice / Hepatitis 
 

Urological / Genito-Urinary

• Persistent Painless Haematuria
   
• Renal Colic WITH Haematuria
   
• Renal Investigations for Hypertension
   
• Renal Failure
   
• Suspected Renal Mass
   
• Prostatism / Bladder Outflow Symptoms
   
• Prostate Malignancy?
   
• Scrotal Mass
   
• Suspected Torsion of Testis
   
• Persistent Female Urinary Symptoms
   
• Adult UTI / Pyelonephritis
   
• Children UTI 

Obstetric  

• Suspected Ectopic
   
• Routine Pregnancy

Gynaecology  

• Dysmenorrhoea
   
• Pelvic Mass?
   
• Lost IUCD
   
• Recurrent Miscarriage
   
• Menorrhagia
   
• Infertility
   
• Amenorrhoea

Muscolo-Skeletal  

• Muscolo-Skeletal - General
   
• Acute Uncomplicated Spinal Pain and others including Adult Torticollis (before manipulation), Sacral Dimple
   
• Local Bony Pain
   
• Local Bony Swelling
   
• Joint Pain e.g. Hip / Knee (excludes children)
   
• Hallux Vagus
   
• Heel Pain
   
• Suspected Rheumatoid Arthritis
   
• Shoulder Impingement or Rotator Cuff Tear?
   
• Soft Tissue Swellings / Pathology

Vascular  

• Carotid Bruit / TIA / Stroke
   
• Abdominal Aortic Aneurysm?
   
• ?DVT
   
• Ischaemic Leg 

Trauma 

• Trauma - General
   
• Head Trauma
   
• Nasal Trauma
   
• Facial / Orbital Trauma
   
• Jaw Trauma
   
• Upper Limb Trauma
   
• Neck / Spine Trauma
   
• Coccyx Trauma
   
• Minor Chest Trauma
   
• Significant Chest Trauma
   
• Pulled Elbow
   
• Knee Injury (fall/blunt trauma)
   
• Ankle Trauma
   
• Foot Injury
   
• Heels
   
• Soft Tissue Foreign Body 

Paediatrics

• Paediatrics - General
   
• Acute Chest Infection
   
• Follow-up of Simple Consolidation on Previous CXR
   
• Chronic Cough / Wheeze
   
• Swallowed Foreign Body
   
• Murmur
   
• PUO
   
• Pulled Elbow
   
• Pain Over The Tibial Tubercle +/- some enlargement / local tenderness (Osgood Schlatter)
   
• Congenital Spinal Deformity
   
• Limb / Specific Joint / Spinal / Bony Pain
   
• Non-specific Abdominal Pain
   
• Constipation
   
• Nocturnal Eneuresis
   
• Daytime Eneuresis
   
• UTI

Screening 

• Osteoporosis
   
• Mammography