Referral for CXR
- Unexplained or persistent (i.e. >3 weeks):
Fatigue in smoker >50 yrs
- Persistent cervical/supraclavicular lymphadenopathy.
- Features suggesting metastases from lung cancer.
Referral to Chest Physician
- CXR suggestive or suspicious of lung cancer (incl pleural effusion and slow-to-resolve consolidation).
- Persistent haemoptysis in smokers/ex-smokers aged >40 yrs.
- Signs of SVC obstruction.
- Stridor (emergency referral).
- Any of CXR referral list persisting >6 weeks despite normal CXR.
Over 45 with history of asbestos exposure and recent onset of chest pain, dyspnoea or unexplained systemic symptoms.
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