| CONSULT REQUEST GUIDELINES
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Pediatric Asthma
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| Suggested Pre-Referral Evaluation and Management Guidelines |
| 1) | NHLBI Guidelines |
| 2) | Key Clinical Activities for Quality Asthma Care |
| 3) | When calling for appointment, ask specifically for the Pediatric Asthma Disease Management Clinic if patient has the following history:
- Age 3 years and older
- Multiple ED visits to the University of Michigan C.S Mott Children's Hospital (>2 per year)
- Second hospitalization for asthma at the University of Michigan C.S. Mott Children's Hospital
- Difficult to manage patients
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| Suggested Additional Test/Management Prior to Specialty Visit |
- Peak flow readings should be brought if available, as well as prior results to spirometry, if performed previously
- All chest X-rays
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| Patient Education/Information (includes preps) |
1) Asthma Initiative of Michigan
2) Asthma
- Asthma Triggers - Asthma in Children
- diagnosis and treatment
- environmental control |
| Appointment Timeframe |
2-4 weeks Asthma DM Clinic
3-6 weeks General Pulmonary
Please complete Outpatient Consult Request Form
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| How to Get Results to Consultant |
UMHS Patients: See CareWeb
External Patients: Hand carry pertinent non-UM records and pulmonary function tests to visit |
| Clinic Contact Information |
Physician: 800-962-3555
Patient: (734) 764-4123 |
| Clinic Location Sites |
Taubman Healthcare Center |
| UM Consulting Physician |
Pediatric Pulmonology Faculty
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| Revised on: |
01/28/2011 |
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