U-M Medical School
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CONSULT REQUEST GUIDELINES
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
- 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
Abdominal ultrasound scan
CT (Aortic Protocol)
FPAS & Lower extremity scan may be indicated
If > 5.0cm - Consider chemical stress test for pre-operative evaluation
An evaluation by a referring physician is required prior to scheduling visit
Patient Education/Information (includes preps)
Abdominal Aortic Disease
Next available appointment, particularly if significant disease is present.
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
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
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