CONSULT REQUEST GUIDELINES                                                                         Print

Evaluation of Suspected Spine Metastasis/Cord Compression
Suggested Pre-Referral Evaluation and Management Guidelines Patients with history of cancer at any time (consider cancer in differential diagnosis of new onset back pain or neuro symptoms.

New back pain and/or neurologic symptoms (myelopathy or radiculopathy)
Suggested Additional Test/Management Prior to Specialty Visit Neuro Exam (including limb examination of strength, sensation, reflexes, rectal tone (as indicated), and urinary function as indicated. If no neuro deficits, schedule urgent Spine MRI (<=24 hours)

*High Dose Steroids: Decadron 96 mg IV x 1, then 24 mg IV q6hrs until treatment (surgery or RT begun). Moderate Dose Steroids: Decadron 10-20mg IVx1 then 6mg PO/IV q6hrs. Weaned as appropriate after treatment begun. Adjustments should be made as necessary taking into account overall medical history and current condition (i.e., diabetes, ulcers, etc.).
Patient Education/Information (includes preps)  
Appointment Timeframe Neurosurgery Consultations: ER or inpatient pager 31777. Clinic consultations, please contact Paul Park, M.D. or Frank La Marca, M.D. directly by e-mail or page.
Radiation Oncology Consultations: ER or inpatients, refer to on-call paging system. For clinic consultations, route through Radiation Oncology scheduling office at (734) 936-4300.
Please complete Consult Request form and fax to 734-647-9233.
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Hand carry non-UM records to visit
Clinic Contact Information Physicians: 800-962-3555
For Patients:
    734-936-7010 Neurosurgery
    734-936-4300 Radiation Oncology
Clinic Location Sites Neurosurgery
Radiation Oncology
UM Consulting Physician Spine Neurosurgery Program Faculty
Radiation Oncology Faculty
Revised on: 09/05/2012
 
 

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