Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Seek urgent or emergency care for severe trouble breathing, a large or increasing amount of coughed-up blood, blue or grey lips, fainting, confusion, or severe chest pain.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Contact a healthcare service promptly if you develop:
A worsening or persistent cough
Fever, night sweats, or unexplained weight loss
New shortness of breath
Blood in your mucus
New skin sores, swollen joints, dark urine, or reduced urination
Fever or rapidly worsening symptoms also need prompt assessment if your immune system is weakened by chemotherapy, an organ transplant, high-dose immune-suppressing treatment, or another medical condition.
3
Does any of this apply?
Book an appointment
Arrange routine medical follow-up if you have been told that a biopsy showed a necrotizing granuloma.
The result needs to be interpreted alongside cultures, scans, exposure history, and other tests.
Every sign above is quoted from the sofidex article on Necrotizing granuloma. If you are not sure, err upward — it is always reasonable to be checked.