U-M Medical School
U-M School of Nursing
Departments & Programs
For Health Providers
CONSULT REQUEST GUIDELINES
Suggested Pre-Referral Evaluation and Management Guidelines
Daily wound care
Topical antibiotic if chronic
Consider: peripheral neuropathy (diabetic, alcohol, toxic, etc), peripheral vascular disease, osteomyelitis
Suggested Additional Test/Management Prior to Specialty Visit
Peripheral neuropathy workup: consider fasting glucose, Hgb A1C, TSH, T 4, WESR, CBC/WBC, LFTs, B12, SPEP, UPEP, UFix
Foot x-rays to rule out osteomyelitis, Charcot changes
Arterial doppler studies--ABIs, TBIs
If bone is visible or palpable on examination, osteomyelitis likely, begin antibiotics
Cellulitis, begin antibiotics or consider admit
Patient Education/Information (includes preps)
Education regarding foot care, shoe wear
How to Get Results to Consultant
UMHS Patients: See CareWeb
External Patients: hand carry medical records and clinic notes to visit
Clinic Contact Information
Clinic Location Sites
Eisenhower Park West
UM Consulting Physician
Miles O. Colwell, M.D.
Brian M. Kelly, D.O.
James A Leonard Jr., M.D.
Sonya R. Miller, M.D.
M. Catherine Spires, M.D.
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