General Medicine Pathways

13 pathways

Work through 13 interactive general medicine decision pathways — branching, guideline-grounded workflows that take you from presentation to assessment, risk stratification and management. Each pathway cites its source (NICE, ESC, AHA and specialty guidance), embeds the relevant calculators, and makes escalation and safety-netting explicit. For decision support only — apply clinical judgement and local protocols.

Falls Assessment in Older Adults

Multifactorial falls assessment and prevention — NICE CG161 compliant

NICE CG161 2013
Anaemia Investigation

Systematic approach to investigating anaemia by MCV and iron studies

BSH / NICE
Lower Respiratory Tract Infection (Primary Care)

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

NICE NG138 / NICE antimicrobial guidance
Hypertension Management

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

NICE NG136 2019
Unintentional Weight Loss Workup

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

NICE NG12; BSG
Chronic Fatigue Workup

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

NICE NG206; BMJ Best Practice
Lymphadenopathy Workup

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

NICE NG12; BMJ Best Practice
Pre-op Medical Clearance

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

NICE NG45; ESC 2022
Secondary Hypertension Workup

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

NICE NG136; ESH 2023
Splenomegaly Workup

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

BSH; BMJ Best Practice
Multimorbidity Management

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

NICE NG56
Vasovagal Syncope (General Medicine)

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

NICE CG109; ESC 2018
Delirium Outside ICU

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

NICE CG103