Sarcoidosis
Diagnosis |
Sarcoidosis
|
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Department |
Cardiology; Pulmonary Medicine; Rheumatology
|
1. Start the referral process:
Use your own referral form or notes* or download our form:
2. Gather records:
For Cardiology:
- Please place a referral to PULMONARY and specify "Refer to Collaborative Sarcoid Program"
- Specify which organs are affected by sarcoid (lung, heart, liver, nervous system, etc) so we can arrange all necessary specialist appointments for as few clinic visits as possible.
- Include if patient has a pacemaker or implantable cardioverter-defibrillator.
- Please send all following records, if available:
- Chest CT
- Pulmonary function tests
- FDG-PET scans
- Echocardiograms
- Cardiac MRI
- ECGs
- Any tissue diagnosis/pathology supporting sarcoidosis diagnosis (skin, lymph node, liver, etc.)
For Rheumatology:
- Recent chart notes supporting diagnosis
- Chart notes from referring provider from past 2 years
- Labs supporting the diagnosis
- Imaging supporting the diagnosis
- Notes from rheumatologist if seen
- Any tissue diagnosis/pathology supporting sarcoidosis diagnosis (skin, lymph node, liver, etc.)
For Pulmonary Medicine:
- Recent chart notes supporting the diagnosis; ACE level (if available)
- Bronchoscopy study (if available)
- Chest imaging - Chest X-ray (CXR) & Chest CT (if available)
- Echocardiogram (if available)
- Labs supporting the diagnosis
- Arterial blood gas (ABG) (last year) (if available)
- Lung biopsy report (if available)
- All pulmonary function test reports (if available)
- Pulmonary rehab reports (if available)
- Sleep study, sleep clinic notes, nocturnal oximetry (if available)
- Sputum study (sputum and bronchoalveolar lavage results including respiratory cultures and serologies) - lab studies (if available)
- Thoracic surgery report (if available)
- Allergist records & testing as noted above if the patient saw one for asthma or other pulmonary diseases.
- Lung ventilation and perfusion scan (V/Q scan) - radiologic study (if available)
- Right heart catheterization procedure report (if available)
- Lung pathology reports (if available)
- Any tissue diagnosis/pathology supporting sarcoidosis diagnosis (skin, lymph node, liver, etc.)
3. Fax the referral and all records to 503-346-6854.
* Referral notes or forms should include:
- Patient name, date of birth, sex, address and phone number
- Referring provider’s name, address and phone number
- Diagnosis or reason for referral
- Department patient is being referred to
- Most recent chart notes supporting the diagnosis or reason for referral
For help or to arrange provider-to-provider advice, call 503-494-4567.
Date Revised | May 01, 2024 |
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