| CONSULT REQUEST GUIDELINES
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Brachial Plexus Lesion
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| Suggested Pre-Referral Evaluation and Management Guidelines |
Document onset, severity and location of pain or weakness, radicular distribution if present, history of birth trauma/dystocia and previous treatments.
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| Suggested Additional Test/Management Prior to Specialty Visit |
MRI of Cervical Spine
EMG/Nerve conduction study
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| Patient Education/Information (includes preps) |
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| Appointment Timeframe |
Patients are typically seen at the next available clinic appointment.
Please complete Consult Request form and fax to 734-936-9294.
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| How to Get Results to Consultant |
UMHS Patients: See MiChart
External Patients: Should hand carry non-UMHS films or CD's to appointment. |
| Clinic Contact Information |
Physicians: 800-962-3555
Patients: (734)936-5017 |
| Clinic Location Sites |
Ann Arbor - Burlington Office Center |
| UM Consulting Physician |
Brachial Plexus Program Faculty
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| Revised on: |
09/05/2012 |
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