| Endocrinology |
|---|
| Emergent |
Criteria (not all inclusive)
- Diabetic ketoacidosis
- Hyperosmolar hyperglycemic state
- Adrenal crisis or new adrenal insufficiency
- Severe hypercalcemia (>3.50 mmol/L or symptoms)
Process
1) PHONE 902-473-2220 "Endocrinologist on call"
|
|---|
| Urgent |
Criteria (not all inclusive)
- Newly diagnosed Type 1 diabetes
- Hypercalcemia >3 mmol/L
- Hypocalcemia < 2 mmol/L albumin-corrected calcium
- Hypertriglyceridemia > 20 mmol/L
- Decompensated diabetes insipidus
- Severe hyperthyroidism
- Pituitary tumor with visual impairment
Process
1) FAX referral marked URGENT
2) OR PHONE 902-473-2220 "Endocrinologist on call"
|
|---|
| Semi-Urgent |
Criteria (not all inclusive)
- Hyperthyroidism
- Severe hypothyroidism
- Pituitary tumour
- Diabetes A1C>12
- Suspected osteoporosis with new hip or vertebral fracture
- Suspected pheochromocytoma
- Suspected Cushing’s syndrome
- Enlarging thyroid nodule/abnormal result on thyroid biopsy
Process
1) FAX referral
|
|---|
| Non-Urgent |
Criteria (not all inclusive)
- Any diabetes not at target or with management difficulties (e.g. hypoglycemia)
- Type 1 diabetes
- Diabetes on insulin pump
- Transgender
- Hypercalcemia < 3 mmol/L or hypocalcemia
- Osteoporosis
- Other non-osteoporosis bone disorders (e.g. Paget’s disease, rickets, osteogenesis imperfecta)
- PCOS/Hirsutism
- Thyroid lump
- Endocrine hypertension
- Hyperlipidemia
- Adrenal adenoma
- Stable hypoadrenalism
- Male hypogonadism
- Morbid obesity
Process
1) FAX referral
|
|---|
