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Consult Request Guidelines
for Peripheral Neuropathy

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Peripheral Neuropathy
Suggested Pre-Referral Evaluation and Management Guidelines
Consider the following possibilities:
1) Diabetes
2) Consider alcohol, other nutritional, hormonal, toxic and inflammatory causes
Suggested Additional Test/Management Prior to Specialty Visit CBC-PD, comprehensive metabolic panel, TSH, B12, WESR, ANA screen, SPEP with immunofixation, OGTT (Oral Glucose Tolerance Test) if not known to be diabetic, A1c if diabetic. Consider EMG if motor involvement or to establish presence of peripheral neuropathy (if in question) prior to referral. Consider HIV based on risk factors.
Patient Education/Information (includes preps)
1) Counsel about using nightlight at night, careful foot care.
2) Peripheral neuropathy in diabetes mellitus
Appointment Timeframe First available Neuromuscular - mark "Urgent" if rapidly progressive, new motor weakness, and/or severe pain.
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Hand carry non-UM records and MRI films to visit
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-936-9020
Clinic Location Sites Neurology Clinic at Taubman Center
UM Consulting Physician General Neurology Faculty
Revised on: 01/12/2015

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