Suggested Pre-Referral Evaluation and Management Guidelines
Referral is indicated if:
Patient has elevated serum calcium and PTH levels, or inappropriate elevation of PTH with high normal calcium.
Suggested Additional Test/Management Prior to Specialty Visit
Simultaneous PTH and Calcium determination if not already done.
Sestamibi (parathyroid) scan
Vitamin D levels
24 hour urine calcium
DEXA Bone Density Scan (optional)
Parathyroid ultrasound will be done by Endocrine Surgery at time of clinic visit
Patient Education/Information (includes preps)
OK to continue moderate calcium intake (e.g., 1250 mg of Calcium carbonate with or without Vitamin D).
Appointment Timeframe
6 weeks
How to Get Results to Consultant
UMHS Patients: See CareWeb
External Patients: Fax to 734-936-6927
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