BMJ  2006;333:1319 (23 December), doi:10.1136/bmj.39044.714780.68

Filler

A multicolour chart for doctors

Hanna Esser, school student, Gerhard Esser, general practitioner gesser@doctors.org.uk

1 Chestfield Medical Centre, Chestfield CT5 3QU

Hanna Esser: When I was 5 years old I drew these two pictures for my dad, who is a general practitioner. That was six years ago. Ever since then, he's been coming home telling me what he uses them for. When somebody comes with a cough he asks them which colour the phlegm looks like and then he can tell them whether they need an antibiotic. When patients say that they have black poo my Dad asks them if it really is like the black square, and if it isn't, it's okay. When they say that they've got really dark urine he asks them to point to the colour and usually that's ok, too.Go Go


Figure 1
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Figure 2
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Gerhard Esser: For a long time my daughter has nagged me that she would like to present her pictures in the BMJ. I indeed use the chart often in discussions about suspected melaena and symptoms of jaundice. Sometimes I wish that there were more "shades of sputum," but acknowledging some green colour reassures most patients that their message has come across. I would like to suggest a similar chart throughout the NHS. This would help doctors to communicate about colourful conditions not only with patients, but also with professionals on the telephone.


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Rapid Responses:

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The child is a prodigy.
Ian Pennell
bmj.com, 22 Dec 2006 [Full text]
International Color Code
Dorothea I. Diallo
bmj.com, 27 Dec 2006 [Full text]



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