普通外科

普通外科 Referral Guidelines for MAP Handbook

范围

• Seeing referrals from MAP outpatient clinics
• Follow-up of surgical and trauma patients
• For specific questions please email
  • kellison@ascension.org (Seton Surgical Group APN)
  • juecker@ascension.org (Attending Surgeon)
  • dfielder@ascension.org (Attending Surgeon)

Brief summary of appropriate ER referrals:

• 阑尾炎
• 肠阻塞

Summary of appropriate ROUTINE referrals:

• • 腹部肿块
  • 肛裂/脓肿
  • 结肠肿瘤质量/
  • Recurrent/refractory diverticulitis (post-acute, for elective surgical planning)
  • Gallstones/gallbladder / cholecystitis / biliary colic (please have abdominal ultrasound and LFTs)
  • GERD that is not-responsive to medical management (Dr. Uecker, gerd) 512 - 324
  • Hiatal/paraesophageal hernias (with imaging/EGD diagnosis)/achalasia (Dr. Uecker, gerd) 512 - 324
  • 腹股沟疝/质量
  • Guaiac/hemoccult positive/blood in stool (may consider referral to GI clinic)
  • 痔疮 (must have failed medical management)
  • 汗腺炎
  • 腹股沟疝/质量
  • Liver/hepatic mass/tumor (may consider referral to GI clinic)
  • Lymph node biopsy/lymphadenopathy (please order ultrasound imaging prior to referral)
  • Pancreatic cyst/pseudocyst/mass/tumor/nodule
  • Parathyroid hyperplasia/adenoma
  • 藏毛囊肿或脓肿
  • Port-a-cath placement/removal/chemotherapy access
  • 质量/直肠肿瘤
  • Splenomegaly (please order imaging and labs prior to referral)
  • Stomach mass/tumor/ulcer (还/成像)
  • Thyroid cancer with tissue diagnosis/symptomatic goiters (if pt does not meet these criteria please send to endocrinology)
  • 脐疝/质量
  • Ventral hernia/Incisional hernia
  • Any hospital follow-up from general / trauma surgical service

 

 

 Please do NOT refer the following patients:

• Breast Masses/Breast Disease (Refer to Cancer Care Collaborative)
• Cancer (Refer to Seton Infusion Center)
• Patient requesting cosmetic surgery evaluation
• Cystocele/Rectocele/Pelvic Prolapse (refer to Urogynecology)
• Hydrocele (refer to Urology)
• Hyperhydrosis
• Melanoma (refer to 肿瘤外科 at Seton Infusion Center)
• Pediatric patients (refer to Specially for Children)
• 筛查
• Small lipomas, cysts, or skin lesions less than 4 cm (refer to Dermatology)
• Testicular Masses (refer to Urology)
• 模糊腹痛
• 静脉曲张

Documentation required for scheduling an appointment:

• Past Medical History (PMH)
• Current medication list
• Most recent progress note describing condition for which patient is being referred.
• 包括H&H and stool Guaiac if referring for GI bleeding
• Recent pertinent scans or imaging reports

Have questions or comments about the specialty referral guidelines? 提交到这里.