{"id":670,"date":"2017-08-07T10:36:04","date_gmt":"2017-08-07T10:36:04","guid":{"rendered":"https:\/\/www.nhslref.scot.nhs.uk\/?p=670"},"modified":"2017-08-07T10:36:04","modified_gmt":"2017-08-07T10:36:04","slug":"gynaecology-suspicion-of-cancer-template","status":"publish","type":"post","link":"https:\/\/www.nhslref.scot.nhs.uk\/?p=670","title":{"rendered":"Gynaecology, Suspicion of Cancer Template"},"content":{"rendered":"<p>This is a dictation template to provide a reminder of the information required to complete the referral. The <span style=\"color: #ff0000;\">fields\u00a0in red<\/span> are mandatory and must be completed on the referral protocol.<\/p>\n<h4>Presenting Complaint<\/h4>\n<p><strong><span style=\"color: #ff0000;\">Main Presenting Complaint:<\/span><\/strong> [Text &#8211; <em>98 character maximum<\/em>]<\/p>\n<p><strong><span style=\"color: #ff0000;\">Reason for Referral:<\/span><\/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>Options:<\/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><span style=\"color: #ff0000;\">Priority:\u00a0<\/span><\/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>Persistant intermenstrual bleeding:<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Persistent postcoital bleeding:<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Postmenopausal bleeding (not on HRT):<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Postmenopausal bleeding on combined continuous HRT or unscheduled bleeding on sequential HRT:<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Persistent abdominal pain:<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Abdominal distension:<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<h4>Clinical Examination<\/h4>\n<p><strong>Abdominal \/ \u00a0Pelvic mass palpable by abdominal examination:<\/strong><\/p>\n<ul>\n<li>Yes\u00a0(If Yes, please provide brief details)<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Ascites<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Cervical or vaginal lesion, suspicion of cancer:<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Vulval lesion suspicion of cancer:<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<h4><span style=\"color: #000000;\"><strong>Investigation<\/strong><\/span><\/h4>\n<p><span style=\"color: #ff0000;\"><strong>Please indicate if any of the following have been checked<\/strong><\/span><\/p>\n<p><strong>FBC and ESR sent:<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>CEA sent (if ovarian cancer suspected):<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>CA125 sent (if ovarian cancer suspected):<\/strong><\/p>\n<ul>\n<li>Yes<\/li>\n<li>No<\/li>\n<\/ul>\n<p><strong>Ultrasound scan arranged:<\/strong><\/p>\n<ul>\n<li>Yes\u00a0(If Yes, please provide brief details)<\/li>\n<li>No<\/li>\n<\/ul>\n<hr \/>\n<p><a href=\"https:\/\/www.nhslref.scot.nhs.uk\/?page_id=180\">Gynaecology, Suspicion of Cancer Guideline<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<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. Presenting Complaint Main Presenting Complaint: [Text &#8211; 98 character maximum] Reason for Referral: [Text] World Health Organisation Performance Scale Using the following as a guide, [&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":[7,15,14,13,97,18,16],"class_list":["post-670","post","type-post","status-publish","format-standard","hentry","category-all-templates","category-cancer-templates","tag-cancer","tag-cervical","tag-gynae","tag-gynaecology","tag-template","tag-vaginal","tag-vulval"],"_links":{"self":[{"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/posts\/670","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=670"}],"version-history":[{"count":1,"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/posts\/670\/revisions"}],"predecessor-version":[{"id":671,"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=\/wp\/v2\/posts\/670\/revisions\/671"}],"wp:attachment":[{"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=670"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=670"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nhslref.scot.nhs.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=670"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}