Referrals to specialist outpatient services within Redland Hospital and Wynnum Health Service 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.
For macroscopic haematuria:
•MSU for MCS, cytology x 3
•ELFT's, FBC, ESR
•CT: non-CON, CON, delayed excretory
For microscopic haematuria:
•< 50 non-smokers: MSU for MCS, cytology x 3,renal USS + KUB
all others: MSU for MCS, cytology x3, ELFT's, CT:non-CON, CON, delayed excretory
for renal / staghorn / ureteric calculi:
•MSU for MCS
•ELFT's, FBC, ESR
•KUB + non-contrast CT
for ureteric stones - please repeat CT + KUB 2/52 after first presentation or 1/52 prior to appointment to confirm stone is still present
•For elevated PSA / prostate disease:
•MSU for MCS
•previous PSA results
•ELFT's
•FBC
•ESR
•medical / surgical history
•family history
•For bladder outlet obstruction / LUTS:
•MSU for MCS
•PSA, ELFT's, FBC, ESR
•IPSS
•renal USS with residual
•pharmacological history
•For urethral stricture:
•MSU for MCS
•renal USS with residual
•pharmacological history
•surgical / medical history
•ascending and descending urethrogram
For incontinence:
•MSU for MCS
•ELFT's
•time and volume chart
•residual volumes (USS)
•medical / surgical / social history
•For renal lesions / cysts:
•MSU for MCS
•FBS
•ELFT's
•ESR
•renal USS
•cytology x 3
•triple phase CT (if solid lesion or suggested by USS) for urinary tract infection:
•MSU for MCS
•previous MSU results
•renal tract USS with post void residual
•pharmacological history
•For testicular tumour / mass:
•MSU for MCS
•ELFT's
•FBS
•ESR
•a-fetoprotein (aFP)
•-hCG, LDH
•USS testes, CXR
•medical / family history
•For penile Ca+ / penile discharge / erectile dysfunction:
•MSU for MCS, cytology x 3
•urethral swab
•sexual health history
•medical / surgical history