U-M Medical School
U-M School of Nursing
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CONSULT REQUEST GUIDELINES
Suggested Pre-Referral Evaluation and Management Guidelines
Evaluate for evidence of reflux or vocal overuse/abuse.
Referral for progressive hoarseness greater than 2-4 weeks to rule out recurrent respiratory papillomatosis.
Prompt referral for hoarseness accompanied by stridor (see guideline).
Suggested Additional Test/Management Prior to Specialty Visit
Consider speech therapy evaluation for patients whose hoarseness is causing problems with others understanding the child¿s speech.
Consider H-2 blocker or PPI for one month if reflux is suspected.
Patient Education/Information (includes preps)
Next available clinic appointment. For urgent airway problems, please see Stridor Consult request guidelines.
How to Get Results to Consultant
UMHS Patients: See Careweb.
External Patients: Hand carry results including hard copies or diskette of any imaging studies to visit.
Clinic Contact Information
Clinic Location Sites
Taubman Health Care Center
Livonia Center for Specialty Care
UM Consulting Physician
General Otolaryngology Faculty - Pediatric
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