Digestive Care & Endoscopy

• Acute GI bleed – hemodynamically unstable
• Hepatology – Encephalopathy

Process
1) PHONE 902-473-2220 "Gastroenterologist on call for Halifax Infirmary Site"

• UGI Bleed, dysphagia
• Dyspepsia with alarm symptoms
• Acute jaundice, pancreatitis
• Rectal bleeding with alarm symptoms
• Bloody diarrhea, flare in IBD
• Weight loss
• Acute hepatitis
• Possible carcinoma on x-ray

Process
1) FAX referral to 902-473-4406

• IBD with chronic problems
• Recurrent abdominal pain
• Dyspepsia
• GERD
• Chronic elevation of liver tests

Process
1) FAX or MAIL referral

• Chronic abdominal pain
• Chronic diarrhea / constipation
• IBS
• Colon cancer screening
• Barrett’s screening
• Second opinions

Process
1) FAX or MAIL referral

• Acute liver injury with increased INR and billirubin decompensation associated with encephalopathy
• Bacterial peritonitis
• Variceal bleeding

Process
1) Direct the patient to the nearest emergency room.
2) Contact local gastroenterologist or internist as patient will usually need admission.
3) PHONE 902-473-2220 “Gastroenterologist on call for Halifax Infirmary site"

• Other signs of decompensation including recent onset of ascites, mild encephalopathy or jaundice

Process
1) Written requests only; FAX info to 902-473-4406

• Liver mass, second opinion from other specialist

Process
1) FAX or MAIL referral

• Chronic liver diseases (e.g. viral hepatitis, autoimmune disease, cholestatic and metabolic liver disease, fatty liver)

Process
1) FAX or MAIL referral