RASCAL FACTS WIN

RASCAL FACTS WIN is a mnemonic for the Murtagh Red Flags.

  1. Representation or failure to improve
  2. Acute onset
  3. Severe pain
  4. Cancer hx
  5. Altered bowel/urine habit, vomiting, dysphagia
  6. Loss of Weight
  7. Fever > 37.8
  8. Age > 50
  9. Cognitive changes and neurological deficits
  10. Travel Hx (overseas)
  11. Syncope on the toilet
  12. White appearance (Pallor)
  13. Immunocompromised, i.e. steroids, biologicals, methotrexate, carbimazole
  14. Narcotics, IVDU, drug or alcohol abuse