fatigue in adults - NICE urgent cancer referral guidance
Last reviewed 01/2018
Fatigue
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Fatigue (unexplained), 40 and over, ever smoked | Lung or mesothelioma | Offer a chest Xray |
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Fatigue (unexplained), 40 and over, exposed to asbestos | Mesothelioma | Offer a chest Xray |
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Fatigue with cough or shortness of breath or chest pain or weight loss or appetite loss (unexplained), 40 and over | Lung or mesothelioma | Offer a chest Xray |
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Fatigue (persistent) in adults | Leukaemia | Consider a very urgent full blood count (within 48 hours) |
| Symptom and Specific Features | Possible Cancer | Recommendation |
| Fatigue (unexplained) in women | Ovarian |
Carry out tests in primary care measure serum CA125 in primary care |
Reference:
NICE urgent cancer referral guidance (guidelines with respect to presenting symptoms and signs)