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CONSULT REQUEST GUIDELINES
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Urinary Retention
Suggested Pre-Referral Evaluation and Management Guidelines
1)
Teach Clean Intermittent Catheterization (CIC) every 4-6 hours to keep bladder volumes less than 400 cc
2)
If patient/ caregiver unable to perform CIC: place Foley catheter to relieve retention
Suggested Additional Test/Management Prior to Specialty Visit
1)
Urinalysis and urine culture with sensitivities to confirm absence of infection
2)
Renal ultrasound
3)
Serum BUN and creatinine
Patient Education/Information (includes preps)
Preps:
Frequency Volume Chart
Incontinence Protection Pad Weight Test
Appointment Timeframe
Within 1-2 weeks
How to Get Results to Consultant
UMHS Patients: See MiChart
External Patients: Fax relevant clinic notes, laboratory results, diagnostic test results, operative notes to 734-936-9127
Clinic Contact Information
Physicians: 800-962-3555
Patients: 734-936-7030
Clinic Location Sites
Briarwood Center for Reproductive Medicine
Livonia Center for Specialty Care
Taubman Healthcare Center
UM Consulting Physician
Christopher Loren Allam, DO
Diane Marie Collin, PA
Allen McNeil Haraway, MD
John Malcolm Hollingsworth, MD
John Thomas Stoffel, MD
James Quentin Clemens, MD
Gary J. Faerber, M.D.
Ann L Oldendorf, MD
Anne Kathleen Pelletier Cameron, MD
Stanley Gitau Mukundi, PA
Referring Physician Bulletin Board
Revised on:
09/05/2012
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