Referrals to specialist outpatient services within Princess Alexandra Hospital must be in writing, and as a minimum contain the following:Patient demographics including Medicare number and Interpreter requirements. Patient's mobile phone contact number and an alternate postal or contact address (if not the same as usual residence). Reason for referral (including the problem to be assessed, degree of loss of function, pain experienced). Results of relevant investigations (pathology, radiology, histology). Current medications and doses, prescribed and over the counter (note any recent changes in drug therapy). Allergies (drug/topical preparation). Relevant information about the patient's condition such as previous medical/surgical treatment (include systemic and topical medications prescribed for the condition) and details of any associated medical conditions which may affect the condition or its treatment (e.g., diabetes), Relevant psychological and social issues impacted by condition. Smoking and alcohol history. Co-morbidities (current and past). IDU, alcohol use, T2DM, BMI. Mental health issues. Vaccination status - to ascertain requirement for HAV, HBV, ADT, etc
For all patients: Abdominal ultrasound, ELFT-serial LFT's if available, FBC, PT.
For hepatitis C:HCV antibody, HCV RNA results, HCV genotype
For hepatitis B:
HBsAg, aHBs, aHBc, HbeAg, aHBe
HBV DNA
For suspected haemochromatosis: iron studies: HFE gene studies
For elevated LFT's:
HCV and HBV antibody
For suspected liver lesion:
abdominal imaging (preferably ultrasound)
Note: Please include social circumstances which may influence
Patient outcomes, e.g. unstable housing, unemployment or inability to work, management of ADL's, social support.