Estimated Reading Time: 3 minutes
Abnormal urinalysisMLAP7
Acute and chronic pain managementMLAP9
Acute change in or loss of visionMLAP10
Acute kidney injuryMLAP12
AnaphylaxisMLAP18
Bites and stingsMLAP26
Bleeding antepartumMLAP28
Bleeding from lower GI tractMLAP29
Bleeding from upper GI tractMLAP30
BreathlessnessMLAP35
BurnsMLAP37
Cardiorespiratory arrestMLAP38
Chest painMLAP41
CyanosisMLAP55
Decreased/loss of consciousnessMLAP58
DehydrationMLAP59
Deteriorating patientMLAP60
Electrolyte abnormalitiesMLAP70
EpistaxisMLAP72
Eye traumaMLAP75
Facial/periorbital swellingMLAP78
Foreign body in eyeMLAP90
Head injuryMLAP96
HeadacheMLAP97
LacerationsMLAP109
Massive haemorrhageMLAP121
MelaenaMLAP122
OverdoseMLAP143
PoisoningMLAP156
Post-surgical care and complicationsMLAP158
Scrotal/testicular pain and/or lump/swellingMLAP170
Self-harmMLAP171
ShockMLAP172
Soft tissue injuryMLAP179
StridorMLAP184
Substance misuseMLAP187
TraumaMLAP193
VomitingMLAP206
WheezeMLAP212
Abdominal distensionMLAP1
Abdominal massMLAP2
AscitesMLAP21
Bone painMLAP32
Breast lumpMLAP33
Change in bowel habitMLAP39
CoughMLAP53
Decreased appetiteMLAP57
FatigueMLAP83
HaematuriaMLAP94
HaemoptysisMLAP95
JaundiceMLAP107
Limb weaknessMLAP112
Lump in groinMLAP119
LymphadenopathyMLAP120
Neck lumpMLAP134
Pain on inspirationMLAP144
Painful swollen legMLAP147
Pelvic massMLAP150
Pleural effusionMLAP155
Swallowing problemsMLAP189
Weight lossMLAP210
Acute abdominal painMLAP8
Blackouts and faintsMLAP27
Cold, painful, pale, pulseless leg/footMLAP47
DizzinessMLAP64
Driving adviceMLAP65
Erectile dysfunctionMLAP73
FeverMLAP84
Heart murmursMLAP99
HypertensionMLAP102
Limb claudicationMLAP111
Low blood pressureMLAP117
PalpitationsMLAP149
Peripheral oedema and ankle swellingMLAP153
Pregnancy risk assessmentMLAP159
Skin ulcersMLAP175
Abnormal development/ developmental delayMLAP4
Abnormal involuntary movementsMLAP6
Acute joint pain/swellingMLAP11
Acute rashMLAP13
AllergiesMLAP15
Behavioural difficulties in childhoodMLAP25
BruisingMLAP36
Child abuseMLAP42
Chronic abdominal painMLAP43
Chronic kidney diseaseMLAP45
Chronic rashMLAP46
Congenital abnormalitiesMLAP50
ConstipationMLAP51
Crying babyMLAP54
DiarrhoeaMLAP61
Difficulty with breast feedingMLAP62
Dysmorphic childMLAP66
Fits/seizuresMLAP86
Food intoleranceMLAP89
Infant feeding problemsMLAP105
Learning disabilityMLAP110
LimpMLAP113
Musculoskeletal deformitiesMLAP130
Neonatal death or cot deathMLAP136
PallorMLAP148
Polydipsia (thirst)MLAP157
PrematurityMLAP160
Pubertal developmentMLAP164
Speech and language problemsMLAP182
SquintMLAP183
Suicidal thoughtsMLAP188
The sick childMLAP190
Urinary incontinenceMLAP199
Urinary symptomsMLAP200
VaccinationMLAP201
OrganomegalyMLAP142
Petechial rashMLAP154
PurpuraMLAP165
Misplaced nasogastric tubeMLAP128
Nail abnormalitiesMLAP131
PruritusMLAP162
ScarringMLAP169
Skin lesionMLAP173
Skin or subcutaneous lumpMLAP174
AnosmiaMLAP19
Ear and nasal dischargeMLAP67
Facial painMLAP76
Hearing lossMLAP98
Hoarseness and voice changeMLAP100
Nasal obstructionMLAP132
Painful earMLAP145
SnoringMLAP178
Sore throatMLAP181
TinnitusMLAP192
VertigoMLAP204
AmenorrhoeaMLAP17
ConfusionMLAP49
Gradual change in or loss of visionMLAP92
GynaecomastiaMLAP93
Menstrual problemsMLAP125
NauseaMLAP133
Nipple dischargeMLAP139
Weight gainMLAP209
Change in stool colourMLAP40
Faecal incontinenceMLAP79
Perianal symptomsMLAP152
Rectal prolapseMLAP166
Abnormal eating or exercising behaviourMLAP5
Anxiety, phobias, OCDMLAP20
Back painMLAP23
Behaviour/personality changeMLAP24
Breast tenderness/painMLAP34
Chronic joint pain/stiffnessMLAP44
Contraception request/adviceMLAP52
Eye pain/discomfortMLAP74
FallsMLAP80
Fit notesMLAP85
FrailtyMLAP91
Loss of libidoMLAP115
Low mood/affective problemsMLAP118
Menopausal problemsMLAP124
Muscle pain/ myalgiaMLAP129
Painful sexual intercourseMLAP146
Pelvic painMLAP151
Sleep problemsMLAP176
Somatisation/ medically unexplained physical symptomsMLAP180
Struggling to cope at homeMLAP185
SubfertilityMLAP186
Travel health adviceMLAP194
Tremor MLAP195
Unwanted pregnancy and terminationMLAP197
Vaginal dischargeMLAP202
Wellbeing checksMLAP211
Neck pain/stiffnessMLAP135
Night sweatsMLAP138
Urethral discharge and genital ulcers/wartsMLAP198
Vulval itching/lesionMLAP207
Vulval/vaginal lumpMLAP208
Auditory hallucinationsMLAP22
Elder abuseMLAP69
ImmobilityMLAP103
Memory lossMLAP123
Mental capacity concernsMLAP126
Visual hallucinationsMLAP205
AddictionMLAP14
Elation/elated moodMLAP68
End of life care/ symptoms of terminal illnessMLAP71
Fixed abnormal beliefsMLAP87
Mental health problems in pregnancy or post partumMLAP127
Pressure of speechMLAP161
Threats to harm othersMLAP191
Red eyeMLAP167
Altered sensation, numbness and tinglingMLAP16
DiplopiaMLAP63
Facial weaknessMLAP77
FasciculationMLAP82
Neuromuscular weaknessMLAP137
PtosisMLAP163
UnsteadinessMLAP196
Abnormal cervical smear resultMLAP3
Bleeding postpartumMLAP31
Complications of labourMLAP48
HyperemesisMLAP101
Intrauterine deathMLAP106
LabourMLAP108
Normal pregnancy and antenatal careMLAP140
Reduced/change in fetal movementsMLAP168
Small for gestational age/ large for gestational ageMLAP177
Vaginal prolapseMLAP203
Flashes and floaters in visual fieldsMLAP88
Loss of red reflexMLAP116

Travel onset

  • Time symptoms started from return
  • Pattern of symptoms         

Room and Board

  • Urban vs rural
  • Local food; unpasteurised dairy; drinking water   
  • Mosquito nets; screens

Activities

  • Freshwater
  • Saltwater
  • Caves
  • Barefoot
  • Animal contacts
  • Bush meat

Vaccination/pre travel preparation

  • Vaccines?
  • Malaria prophylaxis and compliance

Exposure

  • Medical care oversea; infections or transfusions
  • Sick contacts within three months
  • Tattoos

Location

  • Exact itinerary
  • Duration in each
  • Stopovers

BFG EXTRA

Birth

  • Gestation and weight
  • Delivery mode and complications
  • Neonatal problems

Feeding and elimination

  • <12 months: breast/formula (type and amount)
  • 6-12 months: weaning
  • >12 months: solids and cow’s milk
  • Number of wet/dirrty nappies

Growth and Development

Extras

  • Medications
  • Allergies
  • Immunisations

Social history

  • Family Unit
  • Smoking
  • Social Services
  • Safe at home (HITS)
  • Education level
  • Hobbies

Family

  • Congenital problems
  • Neonatal/infant deaths
  • Sudden cardiac death <40 years old
OliguriaMLAP141

Who

  • Who act was with?  One vs many
  • Consensual
  • Known sex worker
  • Where were they from?
  • Any knowledge of PMHx of person
  • Other sexual partners
  • STIs

What

  • Nature of contact: penetrative; vaginal; anal; oral
  • Condom use
  • Drug use (chemsex)

When

  • When did it happen?

Symptoms

  • See gynaecology section

Travel onset

  • Time symptoms started from return
  • Pattern of symptoms         

Room and Board

  • Urban vs rural
  • Local food; unpasteurised dairy; drinking water   
  • Mosquito nets; screens

Activities

  • Freshwater
  • Saltwater
  • Caves
  • Barefoot
  • Animal contacts
  • Bush meat

Vaccination/pre travel preparation

  • Vaccines?
  • Malaria prophylaxis and compliance

Exposure

  • Medical care oversea; infections or transfusions
  • Sick contacts within three months
  • Tattoos

Location

  • Exact itinerary
  • Duration in each
  • Stopovers

BFG EXTRA

Birth

  • Gestation and weight
  • Delivery mode and complications
  • Neonatal problems

Feeding and elimination

  • <12 months: breast/formula (type and amount)
  • 6-12 months: weaning
  • >12 months: solids and cow’s milk
  • Number of wet/dirrty nappies

Growth and Development

Extras

  • Medications
  • Allergies
  • Immunisations

Social history

  • Family Unit
  • Smoking
  • Social Services
  • Safe at home (HITS)
  • Education level
  • Hobbies

Family

  • Congenital problems
  • Neonatal/infant deaths
  • Sudden cardiac death <40 years old