U-M Medical School
U-M School of Nursing
Departments & Programs
CONSULT REQUEST GUIDELINES
Brachial Plexopathy - Adult
Suggested Pre-Referral Evaluation and Management Guidelines
Consider history of trauma, smoking, breast cancer or other thoracic carcinoma
If neurogenic pain not responsive to NSAIDs, acetaminophen, consider initiating treatment with gabapentin starting at 100 mg po TID and titrate
Consider low dose tricyclic antidepressants (TCAs) if no cardiac history; if previous unsuccessful consider pregabalin
Suggested Additional Test/Management Prior to Specialty Visit
X-ray of involved limb if previously not performed
Patient Education/Information (includes preps)
How to Get Results to Consultant
UMHS Patients: Please have patient hand carry if not on MiChart
External Patients: Hand carry medical records including obstetric records, previous EMGs, x-rays and surgical evaluations
Clinic Contact Information
Clinic Location Sites
Eisenhower Park West
UM Consulting Physician
Brian M. Kelly, D.O.
James A Leonard Jr., M.D.
M. Catherine Spires, M.D.
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