CONSULT REQUEST GUIDELINES                                                                         Print

Abdominal Aortic Aneurysm
Suggested Pre-Referral Evaluation and Management Guidelines
If Abdominal Aortic Aneurysm is suspected, consider a referral for an aneurysm that has one or more of these characteristics:
  		• Measures more than 4.0 cm.
  		• Is more than twice the size of a patient's normal aorta
  		• Growth over a short period of time is significant (>0.5 cm/6 mos)
  		• Symptoms are evident (back or abdominal pain)
  		• Risk Factor Modification:
    - Statin Therapy
    - Smoking Cessation
    - Aspirin
    - Beta Blocker
    - Lower Blood Pressure
    If none of the above characteristics are evident, consider a repeat US in 6 months to monitor patient, or a referral to Vascular Surgery.
    Suggested Additional Test/Management Prior to Specialty Visit
    1)Abdominal ultrasound scan
    2)CT (Aortic Protocol)
    3)FPAS & Lower extremity scan may be indicated
    4)If > 5.0cm - Consider chemical stress test for pre-operative evaluation
    5)An evaluation by a referring physician is required prior to scheduling visit
    Patient Education/Information (includes preps) Abdominal Aortic Disease
    Aortic Aneurysm
    http://www.vascularweb.org
    http://surgery.med.umich.edu/vascular/
    Appointment Timeframe Next available appointment, particularly if significant disease is present.
    Please complete Outpatient Consult Request Form and fax to 734-936-0133
    How to Get Results to Consultant UMHS Patients: See CareWeb
    External Patients: Fax medical records to 734-232-4480 or send to CVC Clinic Medical Records 3rd Floor
    Clinic Contact Information Physician: 800-962-3555
    Patient: 888-287-1082
    Aortic Program: 877-89-AORTA (877-892-6782)
    Clinic Location Sites Multidisciplinary Aortic Program
    Vascular Surgery Clinic
    UM Consulting Physician Ramon Berguer, M.D., Ph.D.
    Enrique Criado , M.D.
    James C. Stanley, M.D.
    John E. Rectenwald, M.D.
    Jonathan L. Eliason, M.D.
    Department Web Site
    Revised on: 01/28/2011
     
     

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