Endocrinology & Metabolism

Triage criteria and referral process for physicians

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

 

Contact information

Fax 902-473-5912
Endocrinologists View list of physicians

 

Division of Endocrinology & Metabolism expands referral criteria

It is estimated that 50% of diabetes patients are not at A1C targets. The division has expanded its referral criteria for diabetes patients and is welcoming new referrals. The list of appropriate referrals includes but is not limited to patients with one of the following: difficulty achieving glycemic targets, diabetes complications, type 1 diabetes, insulin pump, frequent or severe hypoglycemia, cardiovascular comorbidities, steroid-induced hyperglycemia, or high glycemic variability. Please fax referrals to 902-473-5912.

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