Refer to Medicine Today’s flowcharts, listed under topic areas, to help guide the diagnosis, investigation and management of various conditions. Flowcharts should be read in context of the article in which they are published. Access the full text pdf of these articles by clicking on the flowchart, or the article link in red.
Adolescent medicine
- Recommended management of an adolescent with clinical depression
- An approach to clinical weight management in children and adolescents
- Juvenile idiopathic arthritis: diagnosis and early management
- Juvenile idiopathic arthritis: management
- Basic investigations for adolescents with heavy menses
- A staged approach to the detection of young people at risk of psychosis
- Management of a patient with tic disorder
Cardiovascular medicine
- Diagnosing and managing renal artery stenosis
- Diagnostic algorithm for suspected heart failure
- Pharmacological treatment algorithm for systolic heart failure
- Investigating a patient presenting to the emergency department with chest pain of possible cardiac origin
- A suggested approach to anticoagulation therapy in venous thromboembolic disease
- Managing hypertension in patients who are otherwise normal
- Secondary prevention of TIA or ischaemic stroke
- Managing familial hypercholesterolaemia in adults
- Management of young patients with heart failure
- Investigation of suspected coronary artery disease
- Use of omega-3 fatty acids in treatment and prevention of cardiovascular disease
- Investigating the patient with a leg ulcer
- Diagnostic algorithm for chronic heart failure
- Evaluation of possible stable angina pectoris
- When to initiate antihypertensive drug treatment
Complementary medicine
Dermatology
- Skin examination in a pregnant woman with itch
- An approach to diagnosing hyperhidrosis
- An approach to managing palmar hyperhidrosis
- An approach to managing axillary hyperhidrosis
- An approach to managing plantar hyperhidrosis
- Investigating the patient with suspected allergy
- Investigating the patient with a leg ulcer
Drug and alcohol medicine
Ear, nose and throat medicine
Endocrinology and metabolism
- An approach to clinical weight management in children and adolescents
- An approach to insulin therapy
- Investigation and management of a patient with a thyroid nodule
- An approach to investigating male subfertility
- An approach to investigating a patient with osteoporosis
- An approach to the management of restless legs syndrome (RLS)
- Management options for patients with BMIs of more than 30
- Diagnostic approach for women with PCOS
- Management of PCOS
- Managing familial hypercholesterolaemia in adults
- An approach to managing postmenopausal women with or at risk of a fragility fracture
- A summary of ethanol metabolism
- An approach to titrating insulin
- Management of phosphodiesterase-5 inhibitor nonresponders
- An approach to exercise prescription for middle-aged and older individuals
- Types of dietary fats
- An approach to titrating insulin
- A practical approach to hyperthyroidism
- An approach to clinical weight management in children and adolescents
Gastroenterology
Geriatrics
- Early diagnosis and management of dementia in general practice
- An approach to managing postmenopausal women with or at risk of a fragility fracture
- A diagnostic approach to hallucinations, illusions, delusions affecting older people
- An approach to exercise prescription for middle-aged and older individuals
- Investigating the patient with a leg ulcer
- Managing patients with knee or hip osteoarthritis
Haematology
- A suggested approach to anticoagulation therapy in venous thromboembolic disease
- Investigating the patient with a raised haemoglobin level
- Diagnosing the cause of thrombocytopenia
- Investigating the causes of normocytic normochromic anaemia
- Investigating thrombocytosis
- An approach to the investigation of vitamin B12 deficiency when folate status is normal
- An approach to investigating the causes of macrocytosis
Hepatology
Immunology and allergy
- Laboratory investigations to use in the diagnosis of pertussis
- Managing needlestick injuries from an unknown source
- Managing needlestick injuries from a known source
- Investigating the patient with suspected allergy
- Managing the patient with suspected allergic rhinitis
- An approach to managing allergic rhinitis
Infectious diseases
- Laboratory investigations to use in the diagnosis of pertussis
- Managing needlestick injuries from an unknown source
- Managing needlestick injuries from a known source
- An approach to investigating recurrent pneumonia in children
- Management strategies for chronic hepatitis B based on stage of infection
- Identifying patients in Pneumonia Severity Index (PSI) class 1
Insect and marine animal bites and stings
Men's health
Neurology
- Acute treatment of migraine
- Early diagnosis and management of dementia in general practice
- A possible approach to the management of fibromyalgia
- Secondary prevention of TIA or ischaemic stroke
- A diagnostic approach to hallucinations, illusions, delusions affecting older people
- Management of a patient with tic disorder
- General practice management of blackouts due to syncope or seizure
- Basic investigations to consider in adult patients presenting with muscle weakness
- An approach to managing general deterioration in stroke survivors
Nutrition
- An approach to clinical weight management in children and adolescents
- Managing hypertension in patients who are otherwise normal
- Management options for patients with BMIs of more than 30
- A summary of ethanol metabolism
- Types of dietary fats
- Use of omega-3 fatty acids in treatment and prevention of cardiovascular disease
- Diagnosis and management of patients with functional bowel disorders
Obstetrics and gynaecology
- Basic investigations for adolescents with heavy menses
- Guidelines: rationalising the number of occasions when emergency contraception needs to be considered in women taking combined oral contraceptives
- Management of a women using an IUD with strings not visible
- Diagnostic approach for women with PCOS
- Management of PCOS
- Skin examination in a pregnant woman with itch
- Suggested management of a woman with suspected ectopic pregnancy
- Managing cytological prediction of possible or definite LSIL (low grade squamous intraepithelial lesion)
Occupational health
Oncology
- Bowel cancer screening pathway
- Investigation and management of a patient with a thyroid nodule
- The investigation of a new breast symptom (other than nipple discharge)
- The investigation of a new nipple discharge
- Bladder cancer: summary of management
- Managing cytological prediction of possible or definite LSIL (low grade squamous intraepithelial lesion)
Ophthalmology
Orthopaedics
Paediatrics
- An approach to clinical weight management in children and adolescents
- Juvenile idiopathic arthritis: diagnosis and early management
- Juvenile idiopathic arthritis: management
- An approach to investigating recurrent pneumonia in children
- Management of children with wetting problems
- Assessing an unsettled infant
- Management of a patient with tic disorder
- An approach to managing the child who snores
- A treatment algorithm for JIA
- An approach to clinical weight management in children and adolescents
Pain medicine
- Acute treatment of migraine
- An approach to diagnosing shoulder problems
- Investigating a patient presenting to the emergency department with chest pain of possible cardiac origin
- A possible approach to the management of fibromyalgia
- Recommended therapeutic approach to hip and knee osteoarthritis
- Evaluation of possible stable angina pectoris
Pharmacology and therapeutics
- An approach to insulin therapy
- Guidelines: rationalising the number of occasions when emergency contraception needs to be considered in women taking combined oral contraceptives
- An approach to titrating insulin
- Management of phosphodiesterase-5 inhibitor nonresponders
- An approach to titrating insulin
- Smoking cessation strategies for the treatment-resistant smoker
- Bittoun combination nicotine replacement therapy algorithm
- Use of omega-3 fatty acids in treatment and prevention of cardiovascular disease
Psychiatry and psychology
- Proposed step-care model for a patient with an anxiety disorder
- Recommended management of an adolescent with clinical depression
- Assessing and managing social anxiety disorder
- Early diagnosis and management of dementia in general practice
- A staged approach to the detection of young people at risk of psychosis
- A stepwise exclusion of disorders to find the cause of psychosis
- A diagnostic approach to hallucinations, illusions, delusions affecting older people
- Management of a patient with tic disorder
- An approach to choosing a psychotherapy for depression
- A management guide to insomnia
Public and environmental health
Rehabilitation medicine
Renal medicine
Respiratory medicine
- Laboratory investigations to use in the diagnosis of pertussis
- An approach to investigating recurrent pneumonia in children
- Management of young patients with heart failure
- An approach to managing the child who snores
- Managing the patient with suspected allergic rhinitis
- A management guide to insomnia
- Diagnostic approach for suspected PE: low clinical suspicion
- Diagnostic approach for suspected PE: intermediate clinical suspicion
- Diagnostic approach for suspected PE: high clinical suspicion
- Identifying patients in Pneumonia Severity Index (PSI) class 1
- An approach to managing allergic rhinitis
Rheumatology
- Suggested algorithm for screening patients with scleroderma for PAH and ILD
- An approach to diagnosing shoulder problems
- An approach to investigating a patient with osteoporosis
- Juvenile idiopathic arthritis: diagnosis and early management
- Juvenile idiopathic arthritis: management
- A possible approach to the management of fibromyalgia
- An approach to managing postmenopausal women with or at risk of a fragility fracture
- Recommended therapeutic approach to hip and knee osteoarthritis
- An approach to rheumatoid arthritis in general practice
- An approach to exercise prescription for middle-aged and older individuals
- A treatment algorithm for JIA
- Managing patients with knee or hip osteoarthritis
- An approach to evaluating the patient with a painful joint
Sexual health
Toxicology
Travel medicine
Urology
Women's health
- Basic investigations for adolescents with heavy menses
- Guidelines: rationalising the number of occasions when emergency contraception needs to be considered in women taking combined oral contraceptives
- Management of a women using an IUD with strings not visible
- Diagnostic approach for women with PCOS
- Management of PCOS
- An approach to managing postmenopausal women with or at risk of a fragility fracture
- Skin examination in a pregnant woman with itch
- Suggested management of a woman with suspected ectopic pregnancy
- The investigation of a new breast symptom (other than nipple discharge)
- The investigation of a new nipple discharge
- Managing cytological prediction of possible or definite LSIL (low grade squamous intraepithelial lesion)
