{"id":662,"date":"2017-08-07T10:29:31","date_gmt":"2017-08-07T10:29:31","guid":{"rendered":"https:\/\/www.nhslref.scot.nhs.uk\/?p=662"},"modified":"2017-08-07T10:29:31","modified_gmt":"2017-08-07T10:29:31","slug":"gastrointestinal-upper-cancer-surgeon-template","status":"publish","type":"post","link":"https:\/\/www.nhslref.scot.nhs.uk\/?p=662","title":{"rendered":"Gastrointestinal (Upper) Cancer, Surgeon Template"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>This is a dictation template to provide a reminder of the information required to complete the referral. The fields\u00a0in red are mandatory and must be completed on the referral protocol.<\/p>\n<h4>Presenting Complaint<\/h4>\n<p><strong>Main Presenting Complaint:<\/strong> [Text &#8211; <em>98 character maximum<\/em>]<\/p>\n<p><strong>Reason for Referral:<\/strong> [Text]<\/p>\n<p><strong>World Health Organisation Performance Scale<\/strong><br \/>\nUsing the following as a guide, please select the most appropriate answer to describe the patients general health:<\/p>\n<p><em>Options<\/em>:<\/p>\n<ul>\n<li>Asymptomatic<\/li>\n<li>Symptomatic but completely ambulatory<\/li>\n<li>Symptomatic, &lt;50% in bed during the day<\/li>\n<li>Symptomatic, &gt;50% in bed, but not bedbound<\/li>\n<li>Bedbound<\/li>\n<\/ul>\n<p><strong>Priority:\u00a0<\/strong>Urgent Suspicion of Cancer<\/p>\n<p><strong>Date of Onset:<\/strong> [Date]<\/p>\n<p><strong>Will the patient accept any site for treatment:<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<h4>Symptoms and Investigations<\/h4>\n<h4>Symptoms<\/h4>\n<p><strong>Unexplained weight loss:<\/strong><\/p>\n<ul>\n<li>Yes\u00a0(If Yes, please provide brief details)<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Unexplained iron deficiency anemia:<\/strong><\/p>\n<ul>\n<li>Yes\u00a0(If Yes, please provide brief details)<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Family history of oesophago-gastric cancer in more than two first degree relatives:<\/strong><\/p>\n<ul>\n<li>Yes\u00a0(If Yes, please provide brief details)<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Family history of familial adenomatous polyposis in any first degree relative:<\/strong><\/p>\n<ul>\n<li>Yes\u00a0(If Yes, please provide brief details)<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Barrett&#8217;s oesophagus:<\/strong><\/p>\n<ul>\n<li>Yes\u00a0(If Yes, please provide brief details)<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Pernicious anaemia:<\/strong><\/p>\n<ul>\n<li>Yes\u00a0(If Yes, please provide brief details)<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Gastric surgery over 20 years ago:<\/strong><\/p>\n<ul>\n<li>Yes\u00a0(If Yes, please provide brief details)<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Known dysplasia, atrophic gastritis, intestinal metaplasia:<\/strong><\/p>\n<ul>\n<li>Yes\u00a0(If Yes, please provide brief details)<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Upper abdominal epigastric mass:<\/strong><\/p>\n<ul>\n<li>Yes\u00a0(If Yes, please provide brief details)<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Iron deficiency anaemias:<\/strong><\/p>\n<ul>\n<li>Yes\u00a0(If Yes, please provide brief details)<\/li>\n<li>No<\/li>\n<\/ul>\n<h4>Clincal Examination<\/h4>\n<p><strong>Jaundice:<\/strong><\/p>\n<ul>\n<li>Yes\u00a0(If Yes, please provide brief details)<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Upper abdominal mass:<\/strong><\/p>\n<ul>\n<li>Yes\u00a0(If Yes, please provide brief details)<\/li>\n<li>No<\/li>\n<\/ul>\n<h4>Investigations<\/h4>\n<p><strong>FBC and ESR sent:<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>LFT, U&amp;E sent:<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Previous endoscopy done:<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<hr \/>\n<p><a href=\"https:\/\/www.nhslref.scot.nhs.uk\/?page_id=221\">Upper GI cancer surgeon guideline<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; This is a dictation template to provide a reminder of the information required to complete the referral. The fields\u00a0in red are mandatory and must be completed on the referral protocol. Presenting Complaint Main Presenting Complaint: [Text &#8211; 98 character maximum] Reason for Referral: [Text] World Health Organisation Performance Scale Using the following as a [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89,87],"tags":[7,72,40,41,97],"class_list":["post-662","post","type-post","status-publish","format-standard","hentry","category-all-templates","category-cancer-templates","tag-cancer","tag-gastric","tag-gastrointestinal","tag-intestinal","tag-template"],"_links":{"self":[{"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/posts\/662","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=662"}],"version-history":[{"count":1,"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/posts\/662\/revisions"}],"predecessor-version":[{"id":663,"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/posts\/662\/revisions\/663"}],"wp:attachment":[{"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=662"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=662"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=662"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}