| CONSULT REQUEST GUIDELINES
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Femoro Acetabular Impingement
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| Suggested Pre-Referral Evaluation and Management Guidelines |
Activity Modification for 6 months
No Physical Therapy
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| Suggested Additional Test/Management Prior to Specialty Visit |
MRA of affected hip with 5cc of lidocaine added to gadolinium
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| Patient Education/Information (includes preps) |
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| Appointment Timeframe |
First Available
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| How to Get Results to Consultant |
UMHS Patients: See Careweb
External Patients: Patients must obtain and hand carry hardcopy or CD of radiographic studies (MRI/CT/X-rays) |
| Clinic Contact Information |
Physician: 800-962-3555 Patient: 734-936-6636 |
| Clinic Location Sites |
Brighton Health Care Center
South Main - Ann Arbor |
| UM Consulting Physician |
Brian R. Hallstrom, M.D.
Karl F. Schultz, M.D.
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| Revised on: |
11/04/2009 |
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