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UMHS Home/Logo Consult Request Guidelines

for Severe Hypertension

   
Severe Hypertension
Suggested Pre-Referral Evaluation and Management Guidelines
1)  Exam - Arm & leg BP
2)  Laboratory exams: Serum creatinine and electrolytes (preferably as comprehensive profile), plasma renin activity, serum aldosterone, plasma metanephrines, complete lipid profile, TSH, urinalysis, urinary microalbumin/creatinine ratio
Suggested Additional Test/Management Prior to Specialty Visit Surface echocardiogram, ECG, ambulatory BP, renal MRA or CTA, renal US
Patient Education/Information (includes preps) Hypertension
Home BP monitoring
DASH diet
Low sodium diet
Appointment Timeframe 2 weeks - 1 month
1 week if BP>180/110
Same day with approval of consultant
How to Get Results to Consultant UMHS Patients: See CareWeb
External Patients: When the appointment is made, you will be directed where to send or fax medical records
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-647-7321 or 888-287-1082
Clinic Location Sites Cardiovascular Center
Domino Farms
UM Consulting Physician Robert D. Brook, M.D.
Kenneth A. Jamerson, M.D.
Ralph Howard Stern, M.D., Ph.D.
Revised on: 06/20/2011