Reasoning GP

Management protocols

The "what to do next" for a condition you've already diagnosed. One visual pathway per disease, taking you through everything achievable in primary care — non-drug measures, the stepwise drug ladder, monitoring, follow-up and safety-netting — up to the point of referral. Re-enter the ladder at any follow-up where the patient isn't responding.

240 conditions · all live
No protocol matches that search yet.
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Cardiovascular & Renal

17 live
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Endocrine & Metabolic

18 live
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Respiratory

6 live
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Mental Health

18 live
🤝Learning Disability & AutismAnnual health check 14+ · overshadowing · STOMP · LeDeR→ 🧩Personality DisordersCrisis plan · no drugs for core features · DBT/MBT→ ⚖️Bipolar disorder and lithiumMania → urgent referral · no antidepressant alone · lithium levels 3-monthly then 6-monthly · toxicity · CG185→ 🆘Self-harm and Suicide RiskNo risk scores · same-day routes · safety plan · 48-hour aftercare · NG225→ ⚧Gender DysphoriaRefer via national service · no gatekeeping · bridging · anatomy-based screening→ 🧠DepressionRisk-first · stepped care · SSRI ladder · NG222→ 🧩ADHDTeacher scale before referral · adults get lisdexamfetamine→ 🧠AutismNever wait and see · refer on suspicion · audiology alongside→ 💊Opioid DependenceNaloxone · confirm before prescribing · OST · missed-dose rule→ 🧠Psychosis & SchizophreniaTime-critical EIP · exclude organic · the mortality gap→ 🍽️Eating DisordersSCOFF · MEED physical risk · refeeding · refer without delay→ 🧠Generalised AnxietyStepped care · SSRI ladder · CG113→ 🌙InsomniaCBT-I first · short-term hypnotics→ 💊Benzodiazepines & Z-drugsShort-course only · diazepam-equivalent taper · deprescribing · TA77→ 🧠PTSDTrauma-focused therapy · SSRI · NG116→ 🧠OCDCBT/ERP + higher-dose SSRI · CG31→ 👶Postnatal DisordersSepsis · VTE · PPH · psychosis · EPDS · 6-week check→ 🤱Postnatal DepressionScreen · therapy ± sertraline · psychosis red flag · CG192→
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Neurology

18 live
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Gastroenterology

16 live
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Musculoskeletal & Rheumatology

16 live
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Women's Health

18 live
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Urology & Men's Health

14 live
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Children

14 live
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Allergy & Immunology

4 live
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Infections

11 live
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Dermatology

23 live
🔥Burns and ScaldsCool 20 min · %TBSA · refer ≥2% child / ≥3% adult · NAI→ 🤕Hidradenitis SuppurativaHurley stage · 12-week tetracycline · refer early→ 🔍Skin cancers — melanoma, SCC and BCC7-point checklist ≥3 → suspected cancer pathway · SCC consider · BCC routine · NG12→ ☀️Actinic KeratosisIs it SCC? · field treatment · warn about the reaction→ 👤HirsutismRate of onset · 6-month rule · not hypertrichosis→ 🧴Acne VulgarisTopical → oral → isotretinoin referral · NG198→ 🧴Atopic EczemaEmollients + TCS + infection · CG57→ 🧴PsoriasisTopical ladder by site + PsA/CVD screen · CG153→ 🧴RosaceaFeature-led: triggers · topicals · oral→ 💧HyperhidrosisAntiperspirants · iontophoresis · referral→ 💧Bullous PemphigoidRefer to confirm + steroid shared care · BAD→ 🔬Anogenital WartsHPV 6/11 · GUM + STI screen · topical/cryo · vaccine→ 💈Male Pattern Hair LossReassure · minoxidil / finasteride→ 💇Female Pattern Hair LossScreen · minoxidil · exclude virilisation→ 🥶ChilblainsKeep warm · skin care · nifedipine if severe→ 🕷️ScabiesPermethrin ×2 · treat ALL contacts→ 🧴Seborrhoeic DermatitisAntifungal + anti-inflammatory · maintenance→ ⚡Shingles (Herpes Zoster)Antiviral ≤72h · watch the eye · vaccine→ 🧴ImpetigoLocalised topical · widespread oral · NG153→ 🍄Fungal Skin InfectionTopical · oral for scalp/nail · avoid steroid alone→ 💅Nail DisordersOne pigmented nail is melanoma · confirm fungus before tablets→ 🧴Pityriasis RoseaSelf-limiting · reassure · exclude syphilis→ 🍄Pityriasis VersicolorAntifungal · pigment recovers slowly→
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ENT & Vestibular

6 live
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Ophthalmology

9 live
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Lifestyle & Prevention

6 live
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Sexual Health

7 live
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Haematology

5 live
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Palliative & End of Life Care

14 live
How to use. These pathways assume the diagnosis is already made. They are static visual references — print any one to a clean handout for the consultation room. Educational use only; always verify against current NICE and your local formulary.