{"id":15045,"date":"2023-05-04T15:26:41","date_gmt":"2023-05-04T14:26:41","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=15045"},"modified":"2026-05-07T13:33:30","modified_gmt":"2026-05-07T12:33:30","slug":"reftweets","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/news\/reftweets\/","title":{"rendered":"RefTweets"},"content":{"rendered":"\n

April 2026<\/h2>\n\n\n\n

95% of people with Hodgkin\u2019s Lymphoma present with lymph node involvement. Detailed list of clinical features and investigations to be done is outlined on our new Lymphoma page. Please see here: https:\/\/apps.nhslothian.scot\/refhelp\/lymphoma\/<\/a> \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n

RefHelp’s Cytosponge page renamed to Capsule Sponge. Please see the recently updated page here: https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/gastrointestinal\/capsulesponge\/<\/a> \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n

As per Scottish Cancer Referral Guidance, if weight loss is unintentional & >5% of body weight, then it is acceptable to include a strong clinical suspicion of weight loss in your referral. Detailed referral advice here: https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/medicineoftheelderlygeriatrics\/weightloss\/<\/a><\/p>\n\n\n\n

New page on Breast Cancer added to RefHelp outlining key information for primary care practitioners on diagnosis, referral, contacts, post-surgery complications, post radiotherapy skin changes, bone health, managing menopausal symptoms, and much more: https:\/\/apps.nhslothian.scot\/refhelp\/breast-cancer\/<\/a> \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n

Please see advice on management of post radiotherapy skin reactions in breast cancer patients. Also, included is a useful guide for post-surgery arm exercises: https:\/\/apps.nhslothian.scot\/refhelp\/post-radiotherapy-skin-care-for-breast-cancer-patients\/<\/a><\/p>\n\n\n\n

Please note all lesion referrals to Dermatology should be accompanied by a good quality photograph. Info on attaching photos to referrals here: https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/dermatology\/attaching-photos-to-referrals\/<\/a>\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n

When there are technical barriers to sending a photograph, please use Medical Photography Exceptions Pathway to refer the patient to Lauriston Building for a photo. Once the patient has attended, you will be notified so you can then refer to Dermatology. https:\/\/apps.nhslothian.scot\/refhelp\/photo-exception-pathway\/<\/a> \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n

Malignant Melanoma (MM) is twice as likely to develop as a new lesion than develop in an existing mole. Info on diagnostic tips, assessing risk factors, images to help diagnosis, and referral details included on the new MM page here: https:\/\/apps.nhslothian.scot\/refhelp\/melanoma\/<\/a> \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n

New page on Basal Cell Carcinoma including clinical features, images to help diagnosis, criteria for removal in primary care, and clearly outlined referral guidelines: https:\/\/apps.nhslothian.scot\/refhelp\/basal-cell-carcinoma\/ <\/a>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n

Guidance document on lab sample requesting in the event of electronic order system downtime added to RefHelp: https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/laboratoryservices\/<\/a> \u00a0A contingency arrangement when the ICE\/GP Order comms will be unavailable during the ICE system upgrade scheduled for 22 April 8am -5pm.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n

Around 23% of skin cancers are Squamous Cell Carcinomas and upto 5% metastasise. New page added on SCC covering risk factors, differential diagnosis, referral guidelines, and useful resources & links such as PILs. Please visit the new page here: https:\/\/apps.nhslothian.scot\/refhelp\/squamous-cell-carcinoma\/<\/a> \u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n\n\n\n

New section added to RefHelp Paediatrics on Surgical Emergencies covering Appendicitis, Incarcerated Hernia, Intussusception, Malrotation, & Testicular Torsion. More details about clinical features, differential diagnosis, & referral guidelines here: https:\/\/apps.nhslothian.scot\/refhelp\/surgical-emergencies\/<\/a> \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/p>\n\n\n\n

Some patients may still be suitable for an Urgent Suspicion of Cancer referral despite a normal CXR. For specific referral criteria please see recently updated lung cancer page: https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/respiratory\/lungcancer\/<\/a><\/p>\n\n\n\n

Previous Tweets<\/h3>\n\n\n\n

March 2026<\/h4>\n\n\n\n

February 2026<\/a><\/h4>\n\n\n\n

January 2026<\/a><\/h4>\n","protected":false},"excerpt":{"rendered":"

April 2026 95% of people with Hodgkin’s Lymphoma present with lymph node involvement. Detailed list of clinical features and investigations to be done is outlined on our new Lymphoma page. Please see here: https:\/\/apps.nhslothian.scot\/refhelp\/lymphoma\/                                                    RefHelp’s Cytosponge page renamed to Capsule Sponge. Please see the recently updated page here: https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/gastrointestinal\/capsulesponge\/               As per Scottish<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":3596,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[926],"class_list":["post-15045","page","type-page","status-publish","hentry","category-reftweets"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" RefTweets<\/a>","rttpg_excerpt":"April 2026 95% of people with Hodgkin’s Lymphoma present with lymph node involvement. Detailed list of clinical features and investigations to be done is outlined on our new Lymphoma page. Please see here: https:\/\/apps.nhslothian.scot\/refhelp\/lymphoma\/                                                    RefHelp’s Cytosponge page renamed to Capsule Sponge. Please see the recently updated page here: https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/gastrointestinal\/capsulesponge\/               As per Scottish","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/15045","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=15045"}],"version-history":[{"count":85,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/15045\/revisions"}],"predecessor-version":[{"id":27839,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/15045\/revisions\/27839"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3596"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=15045"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=15045"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}