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UMHS Home/Logo Consult Request Guidelines

for Epistaxis

Suggested Pre-Referral Evaluation and Management Guidelines 1) Afrin
2) Discontinue NSAIDs, vitamin E and ASA after consulting with patient’s primary care physician
3) Treat hypertension
Suggested Additional Test/Management Prior to Specialty Visit  
Patient Education/Information (includes preps) Nosebleeds
Appointment Timeframe 2 weeks sooner if patient is anticoagulated
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: hand carry reports/records/films to visit
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-936-8051
Clinic Location Sites Michigan Sinus Center at Livonia Center for Specialty Care
Endoscopic Sinus Surgery at Taubman Health Care Center
UM Consulting Physician Melissa Pynnonen, M.D.
Jeffrey Terrell, M.D.
Mark A Zacharek, M.D.

Otolaryngology Faculty
Revised on: 01/26/2015