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UMHS Home/Logo Consult Request Guidelines

for Failure to Thrive

   
Failure to Thrive
Suggested Pre-Referral Evaluation and Management Guidelines Documentation of weight loss
Evaluation for focal symptoms
Dietary history
MMSE
Screen for depression
Activity level/functional status
Review medications
Suggested Additional Test/Management Prior to Specialty Visit TSH, Comp, CBC, UA, AM cortisols
Nutritional indices
CXR if indicated
EKG
Head imaging with new focal neuro signs
Patient Education/Information (includes preps) Nutritional support
Structured living environment
Appointment Timeframe 2 weeks
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Patients hand carry outside records to visit
Clinic Contact Information Physician: 800-962-3555
Patient: 734-764-6831
Clinic Location Sites East Ann Arbor Health and Geriatrics Center
UM Consulting Physician Geriatrics Faculty
Revised on: 09/06/2012