| CONSULT REQUEST GUIDELINES
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Vesicoureteral Reflux
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| Suggested Pre-Referral Evaluation and Management Guidelines |
Obtain available records
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| Suggested Additional Test/Management Prior to Specialty Visit |
Obtain imaging if none had been done within past year: Renal and bladder USN
VCUG; UA and culture
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| Patient Education/Information (includes preps) |
Vesicoureteral Reflux |
| Appointment Timeframe |
Within 4 weeks
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| How to Get Results to Consultant |
UMHS Patients: See MiChart
External Patients: Fax relevant clinic notes, laboratory results, diagnostic test results, operative notes to 734-615-3520 |
| Clinic Contact Information |
Physicians: 800-962-3555 Patients: 734-936-7030 |
| Clinic Location Sites |
CS Mott Children’s Hospital
Livonia Healthcare Center |
| UM Consulting Physician |
Pediatric Urology Faculty
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| Revised on: |
09/06/2012 |
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