• Superficial skin or subcutaneous lumps (lipoma, sebaceous cyst, papilloma) < 5cm, located over the torso and neck only

1. Lump size > 5 cm
2. Facial lumps
3. Axillary lumps
4. Infection, ulceration or abscess of the skin
5. Breast lumps
6. Thyroid lumps
7. Peri-anal lumps
8. Genital lumps
9. Suspicious features
10. Infected lesions
11. Patients on airborne/ droplet transmission precautions that require isolation nursing care

• Superficial skin or subcutaneous lumps (lipoma, sebaceous cyst, papilloma) < 5cm, located over the upper and lower limbs
• Ganglion cysts of the hand < 3cm

1. Lump size > 5 cm
2. Ganglion > 3cm
3. Suspicious features
4. Infected lesions
5. Patients on airborne/ droplet transmission precautions that require isolation nursing care

• Superficial skin lumps over the head and neck (e.g. sebaceous cysts)
• Lip mucoceles
• Tongue pyogenic granulomas which are 1cm or less

1. Lump size > 1 cm​
2. Infected lesions
3. Patients on airborne/ droplet transmission precautions that require isolation nursing care

• Patient is alert and ambulant and assessed to have impacted ear wax as the only complaint

1. No previous history of ear surgery on the same side
2. Does not have any of the following: otorrhoea, otalgia, vertigo
3. Consider referring to ED or ENT Hot Clinic for concurrent infection

List of procedures available:

• Dentofacial trauma
• Surgical excision of fractured/impacted teeth
• Incision & drainage (I&D) of orofacial abscesses
• Excision of lesions with or without biopsy
• Mucoceles / lumps of the oral cavity

1. Require sedation
2. Require sedation
3. ​​On dual antiplatelets and/or anticoagulants with INR > 2.5

CT KUB

• Adults with suspected renal colic.

CT KUB

• Prior CT study performed within 3 months.
• Not a candidate for ionising radiation study (e.g. pregnant patient).

CT Lung Screen

• Adult patients aged 50 to 80 years old and,
• 20 pack-year smoking history and,
• Currently smoking or quitted smoking for less than 15 years.

CT Lung Screen

• Less than 50 years old or above 80 years old.
• Quitted smoking for more than 15 years.
• Not a candidate for curative treatment for lung cancer.
• Not a candidate for ionising radiation study (e.g. pregnant patient)

• Peripheral arterial disease
• Part of diabetic foot screening

• Presence of foot wounds (at ankle and distally)
• Patients with DFU should be referred expediently to WH LEAPP (Lower Extremity Amputation Prevention Programme) clinics

• Unable to stand for >30 minutes​
• Presence of active cellulites
• Presence of ulcers on shin / calf

• Clinical suspicion of symptomatic pulmonary embolism
• Presence of active cellulites

• Recurrent upper abdominal pain/ bloating
• Recurrent reflux / heartburn

Patient characteristics

• Unable to open mouth wider than 3cm between the upper and lower incisors
• Unable to give consent < 21 years old, or > 60 years old
• Pregnant
• Difficult airway (e.g. short chin, OSA, morbid obesity)
  Loose tooth

Medical conditions

• Overt GI bleeding
• Uncontrolled hypertension (BP > 180/100)
• Severe cardiopulmonary disease
• Has cardiac device (e.g. cardiac pacemakers, defibrillators, stents, heart valve replacements)
• Recent AMI / CVA within 6 months

Specific medications

• Diabetic on insulin
• On dual antiplatelet therapy
• On anticoagulation: warfarin and NOAC medications (e.g. dabigatran, rivaroxaban, apixaban, edoxaban) ​

• Rectal bleeding
• ​FIT +ve
• Family history (1st degree relative) of colorectal cancer
• Polyp surveillance (based on previous instructions from scopist)

Patient characteristics

• Unable to give consent < 21 years old, or > 60 years old
• Pregnant
• Difficult airway (e.g. short chin, OSA, morbid obesity)
• Last Colonoscopy done within 2 years

Medical conditions

• Overt GI bleeding
• Abdominal pains
• Ignificant loss of weight Uncontrolled hypertension (BP > 180/100)
• Severe cardiopulmonary Disease
• Severe, unstable ischaemic heart disease
• Has cardiac device, e.g. cardiac pacemakers, defibrillators, stents, heart valve replacements
• Recent AMI / CVA within 6 months
• Moderately severe to severe chronic kidney disease

Specific medications

• Diabetic on insulin
• On anticoagulation: warfarin and NOAC medications (e.g. dabigatran, rivaroxaban, apixaban, edoxaban)