CONSULT REQUEST GUIDELINES

Department of  
 
ADHD - Children

Abdominal Abscess

Abdominal Aortic Aneurysm

Abdominal Bloating

Abdominal Pain

Abnormal Bleeding

Abnormal Chest X-Ray Interstitial Changes Focal and Diffuse

Abnormal Chest X-Ray Masses and Nodules

Abnormal LFTs

Abnormal LFTs

Abnormal LFTs

Abnormal thyroid function tests in patients greater than age 3 years
(If less than 3 years contact the office)


Acetabular Labral Tears

Achalasia

Achalasia

Achilles Tendon Rupture

Achilles Tendon Rupture

Achilles Tendonitis

Acne

Acne Vulgaris

Acromioclavicular Separation

Acute Fractures

Acute Fractures

Acute Ligamentous Injury

Acute Mastoiditis

Acute Trauma

Acute scrotal pain (For acute scrotal pain only)

Acute sinusitis

Adenotonsillar hypertrophy and obstructive sleep apnea

Adhesive Capsulitis

Adolescent or Pediatric Congenital Anomalies

Adrenal Issues
General: Adrenal Mass, Adrenal Myelolipoma, Adrenal Adenoma, Cushings Syndrome, Conn’s Syndrome, Adrenal Insufficiency
Cancer: Pheochromocytoma, Adrenocortical Cancer, Adrenal Carcinoma, Adrenal Metastasis

Adrenal: Adrenal Mass

Adrenal: Congenital Adrenal Hyperplasia (CAH)

Adrenal: Primary Aldosteronism & Hyperaldosteronism

Adrenal: Primary/Secondary Adrenal Insufficiency (Addison's Disease)

Adult Benign Bone Lesions

Adult Benign Soft Tissue Tumor

Adult Hydrocephalus & NPH

Adult Malignant Bone Tumor

Adult Soft Tissue Sarcoma

Alcohol Management

All Patients

Allergic Rhinitis

Ambiguous Genitalia

Amenorrhea

Ampullary Mass, New Finding

Amputation: Lower Extremity (Congenital)

Amputation: Management of Lower Extremity (Acquired Adult)

Amputation: Management of Upper Extremity (Acquired Adult)

Anal Cancer, including anal canal cancer in situ (Bowen’s disease), squamous cell cancer of anal canal, squamous cancer of perianal skin, verrucous cancer

Anal Cancer, including anal canal cancer in situ, (Bowen's disease), squamous cell cancer of anal canal, squamous cancer of perianal skin, verrucous cancer

Anal Fissure

Anal Fissure

Anal Sphincter Spasm

Anal Warts (HPV)

Anal Warts (HPV)

Anal or Rectal Abscess and/or Fistula

Anemia: Hgb < 11.0 gm/dl and MCV 80-100 fl

Anemia: Hgb < 11.0 gm/dl and MCV <80 fl

Anemia: Hgb < 11.0 gm/dl and MCV > 100 fl

Angina Pectoris

Ankle Fractures

Ankle Sprain

Ankle Sprain/Avulsion Fracture

Antenatal Hydronephrosis

Antenatal Hydronephrosis

Anticoagulation Management Service

Anxiety Disorders (Generalized Anxiety, Social Anxiety, Panic, Phobia, Obsessive-Compulsive Disorder, PTSD)

Aortic Aneurysm

Aortic Valve Disease

Arm Pain

Arm Pain

Arthritis of the Foot and Ankle

Arthritis of the Hip

Arthritis of the Knee

Asthma

Asthma

Asymptomatic Proteinuria

Atopic Dermatitis

Atrial Fibrillation

Attentional Disorders

Atypical Nevi

Autism Spectrum Disorders

Basal Cell Carcinoma of the Head and Neck

Bell's Palsy/Facial Paralysis

Benign Gynecologic Issues

Benign Prostatic Hyperplasia (BPH)

Biceps Tendon Rupture

Biopsy Proven Melanoma

Biopsy Proven, Higher Risk Non-Melanoma Skin Cancer

Bipolar Disorder (Adult)

Bladder Cancer - biopsy proven

Bladder Exstrophy

Bladder Mass

Bladder Mass

Body Contouring

Brachial Plexopathy - Adult

Brachial Plexopathy, Pediatric Onset

Brachial Plexus Injury (Erb's palsy)

Brachial Plexus Lesion

Brain Lesion

Brain Tumor

Breast Cancer Survivorship Program

Breast Care, Benign

Breast Care, Cancer

Breast Imaging

Bunion (Hallux Valgus)

Burn Injury Reconstruction

CSF Leak

CT

Calcium & Bone: Hypercalcemia

Calcium & Bone: Hyperparathyroidism

Calcium & Bone: Osteomalacia or Vitamin D Deficiency

Calcium & Bone: Osteoporosis

Cancer Pain

Cancer Pain

Cardiac Transplant/LVAD

Carotid Artery Occlusive Disease

Carotid Bruit

Carpal Tunnel Syndrome

Carpal Tunnel, Cubital Tunnel, or other Peripheral Nerve Entrapment Syndromes

Cerebral Spinal Fluid Leak/Otorrhea of the ear

Cerumen Impaction

Cervical Radiculopathy

Change in Mental Status/Delirium

Chest Pain

Chest wall tumor

Chiari Malformation

Chiari Malformation

Childhood Anxiety Disorders

Childhood Depressive Disorders

Cholesteatoma

Chronic Back Or Neck Pain

Chronic Cough

Chronic Diarrhea

Chronic Hearing Loss

Chronic Hepatitis C

Chronic Obstructive Pulmonary Disease (COPD)

Chronic Pharyngitis/Sore throat

Chronic Venous Insufficiency

Chronic sinus headaches

Chronic sinusitis

Claudication

Clavicle Fracture

Cleft Lip

Cleft Palate

Cleft Palate

Colon Cancer (non rectal)

Colon Cancer (non-rectal)

Colon Polyps (benign)

Colon or Rectal Stricture

Colon or Rectal Stricture

Colon polyps (benign)

Colonic Inertia

Colonic Inertia

Common Wart

Complex Regional Pain Syndrome

Comprehensive Ophthalmology and Cataract Surgery

Congenital

Congenital Anomalies

Constipation

Constipation/Toileting Delay/Enuresis - Children 3-13 years of age

Contact Lens and Low Vision

Cornea, Cataract, and Refractive Surgery

Coronary Artery Disease

Cosmetic Dermatology and Laser

Cosmetic Surgery of the Face and Neck

Cosmetic and Reconstructive Surgery of the Breast

Cranial Neuralgia (Trigeminal Neuralgia, Hemifacial Spasm, Glossopharyngeal Neuralgia)

Craniofacial Anomaly

Craniosynostosis

Crohn's disease inflammatory bowel disease

Crohn’s Disease/Inflammatory Bowel Disease

Cross Sectional Interventional Radiology

Cutaneous Melanoma of the Head and Neck

Cutaneous, Squamous Cell Carcimoma of the Head and Neck

Cystic Kidney

Cystocele(pelvic organ prolapse)

Daytime Sleepiness

Degenerative Joint Disease of the Shoulder

Delayed puberty

Dementia/Cognitive Concerns

Depressive Disorders (Major Depressive Disorder, Dysthymic Disorder)

Developmental Delay

Deviated nasal septum

Diabetes mellitus (frank hyperglycemia, any type)

Diabetes-Hypoglycemia: Diabetes Insipidus

Diabetes-Hypoglycemia: Diabetes Mellitus

Diabetes-Hypoglycemia: Hypoglycemia

Diabetic Nephropathy

Diagnostic

Difficulty swallowing - dysphagia

Disk Hernation/Radiculopathy

Distal Bile Duct Stricture

Diverticular Disease

Diverticulitis

Dizziness

Dizziness

Dysplasia of the Hip

Dyspnea

EMG Electrodiagnosis

Ear Pain, Chronic

Ear Pain, with bleeding

Early onset of sexual characteristics (breast onset before age 8 years in girls and testes enlargement before 9 years in boys)

Eating Disorders in Children and Adolescents

Eczema

Eczema

Elder Abuse

Elevated Creatinine - Acute

Elevated Creatinine - Chronic

Elevated Creatinine-Acute

Elevated Creatinine-Chronic

Elevated PSA

End Stage Lung Disease (Evaluation for Transplant or Lung Volume Reduction Surgery)

Endometriosis

Enuresis

Enuresis

Epicondylitis

Epilepsy Surgery

Epistaxis

Erectile Dysfunction

Esophageal carcinoma biopsy proven

Esophageal diverticulum

Esophageal leiomyoma

Eustachian Tube Dysfunction

Evaluation Clinic (UMHS Outpatient Consultation Program)

Evaluation of Suspected Spine Metastasis/Cord Compression

Exercise Program

External Hemorrhoids, including thrombosed external hemorrhoids

Extremity Pain, Weakness or Numbness

Eye Plastic, Orbital and Facial Cosmetic Surgery

Facial Paralysis

Failure to Thrive

Failure to Thrive - requires Gastrostomy Tube

Falls/Abnormal Gait

Familial Adenomatous Polyposis (FAP)

Familial adenomatous polyposis syndrome (FAP)

Family History of Sudden Cardiac Death

Fecal Incontinence

Fecal Incontinence

Feeding Problems in Infants and School-Aged Children
(ages birth from 7 to 18 years)


Femoro Acetabular Impingement

Fibroids

Fibromyalgia

Fibromyalgia

Fistula Enteroentero, Enterovaginal, Enterovesical, Enterocutaneous

Fistula in Ano

Food Allergy

Foot Drop

Foot Ulcers

Foot/Heel Pain

Forefoot and Midfoot Fractures

Foreign Body in Ear

Frequency, Urgency, Nocturia, Lower Urinary Tract Symptoms (LUTS), Post Void Dribbling

GI / GU Fluoroscopy

Gait Disorder

Gastroesophageal Reflux

Gastroesophageal Reflux Disease

General Developmental Behavioral Problems - Infants and children (to 13 years)

General Infectious Diseases

General Radiology (x-rays/plain films)

Glaucoma, Cataract, and Anterior Segment Surgery

Glomerulonephritis

Goiter (euthyroid)

Groin pain

Gynecologic Cancer - Biopsy Proven

Gynecologic Pre-Cancer

Gynecological Cancer - Suspected

HIV/AIDS Treatment Program (HATP)

Hallux Rigidus (1st MTP arthritis/pain)

Hammertoe

Hand Pain

Hand or Wrist Fracture

Headache

Headache

Health Education Information

Hearing loss

Heart Failure

Heart Murmur/known Valvular Heart Disease

Heartburn in patients younger than 50 years

Hemangioma

Hematology

Hematuria

Hematuria

Hemophilia & Coagulation Disorders

Hemorrhoids

Hemorrhoids

Hepatitis B

Hereditary Non-polyposis Colorectal Cancer (HNPCC)

Hiatal hernia and/or gastroesophageal reflux

Hiatal hernia and/or gastroesophageal reflux (GERD)

Hidradenitis

Hidradenitis

High Risk of Developing Cancer

Hip Dysplasia

Hip/Knee Pain

Hives

Hoarseness

Hoarseness

Horseshoe Kidney

Horseshoe Kidney

Hospital Follow Up of Acute Renal Failure

Hydrocele

Hydrocele/ Hernia

Hydrocephalus and Macrocephaly

Hydronephrosis

Hyperhidrosis

Hypertension

Hypertension

Hyperthyroidism

Hyperthyroidism

Hypertrophic cardiomyopathy

Hypogonadism/Suspected hypogonadism

Hypospadias

In Vitro Fertilization (IVF)

Infectious Colitis

Infertility

Inguinal Hernia

Insomnia

Interstitial Cystitis

Interventional Spine Treatment

Intracranial Vascular Abnormality

Intracranial Vascular Abnormality

Intractable Epilepsy

Intractable Epilepsy

Keloids/Hypertrophic Scars

Kidney Mass

Kidney Stone

Kidney Stone

Kidney Transplant, Adult

Kidney Transplant, Pediatric

Kidney/Renal Cancer - biopsy proven

Kidney/Renal Mass

Kidney/Renal Mass

Kidney/Ureteral Stone

Knee Dislocation

Laryngeal Papillomas

Leg Pain

Leukocytosis

Leukopenia

Lichen Sclerosus

Liver Transplant, Adult

Liver Transplant, Pediatric

Loose Body in Synovial Joint

Low Back Pain

Low Back Pain

Lower Extremity Wound Reconstruction

Lung Cancer - Undiagnosed

Lung Cancer, Biopsy Proven

Lung Transplant Adult

Lung Transplant, Adult

Lung carcinoma - biopsy proven

Lung mass infiltrates - undiagnosed

Lymphedema

Lymphedema

Lymphedema Patients

Lymphoma

MRI

Male Hypogonadism

Male Infertility

Male Infertility: Spinal Cord Injury

Meatal Stenosis

Mediastinal Lymphadenopathy

Mediastinal tumor or adenopathy

Memory Impairment

Meniscal Tear

Metabolic Fitness Program – Metabolic Syndrome

Metastatic Bone Tumor

Metastatic Pancreatic Cancer

Midline Neck Mass/Suspected

Mitral Valve Disease

Moles

Movement Disorders

Movement Disorders (Parkinson's Disease, Tremor, Dystonia)

Multidisciplinary Developmental Evaluation Clinic - MDEC

Multidisciplinary Liver Clinic

Multiple Sclerosis

Multiple or Recurrent Pulmonary Emboli

Muscle Pain (Generalized )

Musculoskeletal Interventional Radiology

Myasthenia gravis

Myeloma

Nasal or Sinus tumor

Nasal polyp

Nasopharynx, Oral Cavity, Oropharynx/Larynx/Hypopharynx, Sinus, or Salivary Gland Cancer

Neck Mass, Lymphadenopathy

Neck Pain

Neck Pain

Neck/Back Pain

Neck/Back Pain

Neck/Back Pain

Nephrolithiasis

Neuro-Ophthalmology

Neuroendocrine Pancreas Tumor

Neurogenic Bladder

Neurointerventional Radiology

Neurological complications of cancer (Metastases, Radiation Necrosis, And Other)

Neuropsychological Evaluation

Nevi (Moles)

New Arm Or Hand Weakness Without Sensory Loss/Change

No Vertebral or Epidural Tumor

Non-Specific Acute Knee Injury

Non-Specific Elbow Injury

Non-Sustained Ventricular Tachycardia

Non-alcoholic Fatty Liver (NAFLD/NASH)

Non-melanoma Skin Cancer

Non-resolving CXR Infiltrate

Non-specific Colitis

Non-specific Foot and Ankle Pain

Nuclear Medicine / PET Procedures

Obesity/Metabolic: Atypical Diabetes Program

Obesity/Metabolic: Post-Bariatric Surgery Clinic

Obesity/Metabolic: Weight Management Program

Onychomycosis (Fungal Nail Infection)

Orbital and Ocular Oncology

Orthognathic Surgery

Osteoarthritis

Osteoarthritis

Osteoporosis

Otitis Externa

Otitis Media with Effusion

Otitis Media, Chronic

Otolaryngology-Pediatric/Hearing loss

Otorrhea, chronic

Otosclerosis

Painful Metastasis To Spine, But No Spinal Cord Compression

Painful Total Hip Replacement

Painful Total Knee Replacement

Palliative Care

Palpitations

Pancreas Cyst And Psedocyst Tumors

Pancreas Mass, New Findings

Pancreas Transplant, Adult

Pancreatic Cancer Recurrent Disease

Pancreatic Cancer, Biopsy Proven

Paraesophageal hiatal hernia

Paraphimosis

Parotid Mass

Patella Subluxation/Dislocation

Patella Tendon Rupture/Quad Tendon Rupture

Pediatric Asthma

Pediatric Benign Bone Lesions

Pediatric Benign Soft Tissue Tumor

Pediatric Hematology

Pediatric Malignant Bone Tumor

Pediatric Ophthalmology and Adult Strabismus

Pediatric Psychology

Pediatric Sleep Disorders

Pediatric Soft Tissue Sarcoma

Pelvic Masses

Pelvic Organ Prolapse (cystocele, rectocele,enterocele, uterine prolapse)

Pelvic or Ectopic Kidney

Pelvic/Ectopic Kidney

Penile Cancer - biopsy proven

Penile Prosthesis

Perforated eardrum

Pericarditis

Peripheral Arterial Disease

Peripheral Nerve Lesions

Peripheral Neuropathy

Peripheral Neuropathy

Peripheral Neuropathy

Peripheral Vascular Disease

Persistent or Chronic Male Genital Pain

Peyronie’s Disease

Phantom Limb/Stump Pain

Phimosis

Pilonidal Cyst

Pilonidal Cyst

Pituitary Tumor

Pituitary: Hyperprolactinemia

Pituitary: Hypopituitarism

Pituitary: Infiltrative Disease of Pituitary/Hypothalamus

Pituitary: Pituitary Mass

Plantar Fasciitis

Pleural effusion or infection (empyema)

Polyarthritis

Polycystic Kidney Disease

Polycystic Ovary Syndrome (PCOS)

Polypharmacy/Medication Review

Possible Multiple Sclerosis

Post Polio Syndrome

Post Surgical Pain Syndrome

Post Weight Loss Body Contouring

Post herpetic Neuralgia (pain from shingles)

Post nasal drip

Posterior Tibial Tendonitis (Flatfoot)

Pre-Diabetes (i.e. high risk for type 2 diabetes) Clinic and Polycystic Ovary Clinic

Precocious Adrenarche (Early onset of body odor and sexual hair before age 8 years)

Preimplantation Genetic Diagnosis (PGD)

Premature Family History of Coronary Disease

Pressure Ulcers

Priapism

Priapism

Primary Brain Tumors
Include: Glioblastoma, Astrocytoma, Oligodendroglioma, Oligoastrocytoma, Ependymoma, Lymphoma Meningioma, Medulloblastoma

Primary Hyperparathyroidism

Prior Aortic Dissection

Prior ICD or Pacer

Prior PCI or CABG

Prior Valve Surgery

Prior myocardial infarction

Prostate Cancer - biopsy proven

Prostatitis

Prosthesis for Upper or Lower Limb Loss

Proteinuria

Proteinuria

Prune Belly Syndrome

Pruritis Ani

Psychosocial Aspects of Medical Conditions Affecting Endocrine Function Variations in Physical Growth and Development

Psychosocial Care

Pulmonary Hypertension

Radiation Oncology

Rectal Abscess and/or Fistula

Rectal Bleeding

Rectal Cancer, Rectosigmoid Cancer (less than 15 cm from anal verge)

Rectal Cancer, rectosigmoid cancer (less than 15 cm from anal verge)

Rectal Prolapse

Recurrent Malignancy

Recurrent Pregnancy Loss

Referral to Geriatric Psychiatry Clinic

Refractory Angina

Renal Complication of Extra Renal Organ Transplant

Renal Transplant Evaluation

Renal Transplant Follow Up (new to UMHS)

Renal Vascular Hypertension

Reproduction: Low Testosterone

Retina and Uveitis

Rheumatoid Arthritis

Rheumatology Injection Clinic

Rhinitis

Rib or sternal fracture

Rickets

Rosacea

Rosacea

Rotator Cuff Tear

Sarcoma Surgical Oncology

Scoliosis

Scoliosis/Kyhposis/Spinal Deformity

Scrotal Mass

Seborrheic Dermatitis

Seborrheic Dermatitis

Second Opinion for Hysterectomy for Benign Conditions

Second Opinion for Minimally Invasive Laparoscopy/Hysteroscopy

Seizures/Epilepsy - New onset/worsening

Severe Hyperlipidemia

Severe Hypertension

Sex Reassignment Surgery

Short Stature

Shoulder Dislocation/Subluxation

Shoulder Impingement/Tendonitis/Bursitis

Sinus mucocele

Sinusitis

Skin Tags

Skin Tags

Skull Lesion

Sleep Disorders
(Insomnia/Circadian Rhythm Disorders)


Small Bowel Stricture or Stenosis

Spasmodic Dysphonia

Spastic Gait Disorder - Adult; Acquired

Spasticity

Speech, Language, and Resonance Problems

Spina Bifida/Myelomeningocele

Spinal Cord Compression

Spinal Cord Compression/Myelopathy

Spinal Deformity (Scoliosis/Kyphosis/Spondy)

Spinal Lesions

Spinal Stenosis/Neurogenic Claudication

Spinal Syrinx

Spinal Tumors and Other Abnormalities

Spinal Tumors/Metastasis

Spine Fractures

Spondylolisthesis

Sports Hernia

Sports Injuries

Sports Related Foot/Ankle Pain

Stridor

Stroke

Stroke

Strong Family History of Breast and Ovarian Cancer/BRCA Gene Mutation Carriers

Subglottic Stenosis/Tracheal Stenosis

Sudden hearing loss

Supraventricular Tachycardia (SVT)

Suspicious Lesion for Initial Biopsy

Syncope

Systemic Lupus (known or suspected)

Talus and Calcaneus Fracture

Testicular Mass/Cancer

Testicular Pain

Thoracic Interventional Radiology

Thrombocytopenia

Thyroid Cancer

Thyroid Cancer (biopsy proven)

Thyroid Issues
General: Thyroid nodules, Hyperthyroidism
Cancer: Papillary Thyroid Cancer, Hurthle Cell Cancer, Medullary Thyroid Cancer, Anaplastic Thyroid Cancer, Follicular Thyroid Cancer

Thyroid Nodule

Thyroid Nodule or Hyperthyroidism

Thyroid: Abnormal Thyroid Function

Thyroid: Goiter

Thyroid: Hyperthyroidism

Thyroid: Hypothyroidism

Thyroid: Thyroid Cancer

Thyroid: Thyroid Nodule

Thyroid: Thyroiditis

Tinea Versicolor

Tinnitus

Tobacco Treatment

Transitional Care

Traumatic Brain Injury

Travel Clinic

Tremor

Tricuspid Valve Disease

Trigeminal Neuralgia

Trochanteric Bursitis

Tumors e.g. Acoustic Neuroma

UMHS Preoperative Consult Clinic

Ulcerative Colitis/Inflammatory Bowel Disease

Ulcerative colitis inflammatory bowel disease

Ultrasound

Umbilical Hernia

Undescended Testicle

University of Michigan Addiction Treatment Services (UMATS)

Ureter/Ureteral Cancer - biopsy proven

Ureteral Duplication

Ureteral Duplication

Ureteropelvic Junction /Kidney Obstruction

Urethral Cancer - biopsy proven

Urethral Diverticulum

Urethral Strictures

Urinary Incontinence

Urinary Incontinence

Urinary Incontinence

Urinary Retention

Urinary Retention

Urinary Tract Cancer Metastatic - biopsy proven

Urinary Tract Infection

Urinary Tract Infection

Urinary Tract Infection

Urothelial Cancer - biopsy proven

Vaginitis

Varicocele

Varicocele

Varicose Veins

Ventral Hernia

Vertebral Body Compression Fractures (Acute and Chronic)

Vertigo and Dizziness

Vesicoureteral Reflux

Vesicoureteral Reflux

Vesicovaginal Fistula

Vocal Fold (Cord) Nodules/Polyps

Vocal Fold (Cord) Paralysis/Paresis

Vulvar Intraepithelial Neoplasia

Vulvar Pruritus

Vulvodynia

Warts

Weakness

Weight Loss/ Management

Women's Perinatal Mood/Anxiety Disorders Team & Parent Infant Program
(Major Depression, Generalized Anxiety, OCD, PTSD, Psychosis, Bipolar)


Wrist Disorders

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