February 2025
Breast thrush while breastfeeding typically affects both breasts. Mother & baby should be
treated together, even if no visible in baby. See Refhelp for more details.
https://apps.nhslothian.scot/refhelp/guidelines/pregnancy/breast-feedingproblems/breastfeeding-thrush/
The Paediatric MSK Physiotherapy Service at RHCYP offers assessment for children up to 16 from Edinburgh, Midlothian, and East Lothian. Referrals can be made via SCI Gateway. See https://apps.nhslothian.scot/refhelp/guidelines/paediatrics/paediatric-physiotherapy-msk/ for details.
Children with rapidly enlarging, asymmetrical tonsils, new onset of obstructive symptoms & systemic symptoms (< 6 weeks duration) should be referred to ENT & Paediatric/haemato-oncology. Consider urgent discussion with on call team. Red flags listed here:
https://apps.nhslothian.scot/refhelp/guidelines/paediatrics/paediatric-ent/tonsilspaediatrics/tonsillar-asymmetry-paediatric/
Rapid Response Team (RRT) is an Edinburgh wide community mental health crisis team for older adults. Patients must be seen by referrer within 24-48 hours prior to referral, and delirium excluded. Please telephone the service prior to sending in a referral.
https://apps.nhslothian.scot/refhelp/guidelines/mentalhealthadult/older-peoples-mental-health/olderpeoplesmentalhealthedinburgh/rapidresponseteamedinburgh/
NHS Lothian’s psychodynamic service is based at Royal Edinburgh Hospital. The service offers therapeutic consultation for patients, case consultation, and reflective practice for clinicians. Further info on referral criteria & treatment offered here:
https://apps.nhslothian.scot/refhelp/psychodynamic-therapy/
Scottish Infected Blood Psychology Service (SIBPS) offers psychological therapies & emotional support to individuals who received contaminated blood/blood products through NHS procedures in Scotland. Referral guidelines & patient information leaflet here:
https://apps.nhslothian.scot/refhelp/guidelines/mentalhealthadult/mentalhealthpsychologyot
herservices/scottishinfectedbloodpsychologyservice/
New Paediatric RefHelp page on microcytosis and microcytic anaemia outlining diagnosis, referral criteria, investigations, and useful resources. Please see more details here:
https://apps.nhslothian.scot/refhelp/guidelines/haematology-paediatric/microcytosis-andmicrocytic-anaemia-paediatric/
Sacral dimples are usually minor congenital abnormalities. Rarely, dimples can be associated with Occult Spinal Dysraphism (OSD). See:
https://apps.nhslothian.scot/refhelp/guidelines/paediatrics/medical-paediatrics/sacraldimples/ our new page on sacral dimples to identify red flags and which infants to refer.
A new page on Vulvovaginitis in prepubertal girls outlining primary care management and a useful patient information leaflet has been added to the RefHelp website.
https://apps.nhslothian.scot/refhelp/guidelines/paediatrics/medical-paediatrics/vulvovaginitis-in-prepubertal-girls
