Geriatric: Ordering Investigation

 1. General referrals

• U&E
• Full blood count
• Bone
• Liver
• Glucose
• Thyroid
• CRP
• Chest X-ray

 2. Cognitive impairment

All in 1. plus:

• B12
• Folate
• CT head scan

 3. Falls

All in 1, plus:

• B12
• Folate
• CT head scan
• Thoracic/lumbar spine

 4. TIA

All in 1, plus

• Total cholesterol
• CT head scan

Respiratory

 1. COPD

• CXR
• ABG

 2. Interstitial lung disease – UIP or similar picture

• U&E
• Full blood count
• Bone
• Liver
• Glucose
• Thyroid
• Rheumatoid factor
• ANA
• CRP

• Chest X-ray
• CT thorax/liver with contrast
• HRCT lungs

3. Sarcoid

• U&E
• Full blood count
• Bone
• Liver
• Glucose
• Thyroid
• CRP

• SACE
• CT thorax/liver with contrast
• HRCT lungs

 4. Unspecified pneumonitis

As for interstitial lung disease plus –

• ANCA

 5. Bronchiectasis

As for interstitial lung disease plus –

• Immunoglobulins

 6. Lung cancer

• U&E
• Full blood count
• Bone
• Liver
• Glucose
• Coagulation screen

• CT thorax/liver with contrast