Dr Teresa Nano - Breast and Endocrine Surgeon

Stoneham Chambers

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.
•	Type of diabetes and duration of disease
•	previous therapies that have been used to treat the disease
•	presence of any complications and details when screening last performed
•	previous allied health reviews of risk factors, weight/BMI
•	blood pressure
•	history of smoking
•	whether patient has a GPMP/TCA in place
•	HBA1c, FBE, ELFTs, TFT, TSH
•	Fasting Lipids - Chol, LDL, HDL, Tg
•	Urinary protein / microalbumin
•	If Type 1 diabetes: anti-transglutaminase antibodies, IgA for celiac dx
•	If peripheral neuropathy: B12, folate, serum EPP

Note:
Newly diagnosed Type 2 diabetes, without significant hyperglycaemia should be able to be managed by the GP and not require specialist referral
PAH referrals:
•	A complex diabetes services is also available at the UQ Healthcare GP super clinic, Annerley. To refer directly phone (07) 3346 1140

Princess Alexandra Hospital - Diabetes Clinic

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.
•	hormone levels
•	relevant investigations - any relevant imaging studies
•	hormone levels relevant investigations - any relevant imaging studies

For a pituitary problem:

•	morning prolactin, LH, FSH, oestradiol  (testosterone if male), TSH, T4, cortisol, ACTH, growth hormone, IGF1,  ELFT, FBE

For thyrotoxicosis:

•	TSH, T4, T3, ESR, TSH receptor antibodies, (Primary hypothyroidism should be able to be managed by the GP and  not require specialist referral).


For calcium disorder:

•	ELFT, ionised calcium, PTH, Vitamin D  and 1,25(OH)2 Vitamin D, 24 hour urine calcium. If primary 
hyperparathyroidism include bone mineral density and US kidneys or AXR  KUB

For osteoporosis:

•	FBE, ELFT, ESR, Vitamin D, PTH, ionised calcium, TSH,  serum EPP, anti-transglutaminase antibodies, bone mineral density and  vertebral x-rays or x-rays of fractures if relevant

For adrenal insufficiency:

•	short synacthen test, morning cortisol and  ACTH, renin and aldosterone

For Cushing's syndrome:

•	24 hour urine free cortisol, 1mg dexamethasone  suppression test, morning cortisol, ACTH

For hypogonadism:

•	morning LH, FSH, oestradiol and progesterone (testosterone if male), prolactin

Princess Alexandra Hospital - Endocrinology Clinic

The Diabetes and Endocrinology Department is located on Level 1 at Burke Street. The Outpatient Department provides services to patients with diabetes and endocrinology diseases. Patient care focuses on an integrated multidisciplinary approach encompassing the service of Endocrinologist, Nurse Practitioner, Diabetes Educators, Dietitian, Psychologist and Podiatrist.

A consultation service to all Units within the Princess Alexandra Hospital is provided in relation to diabetic care and complex endocrine disorders. 
 
The Outpatient department currently offers the following clinics weekly:
3 Diabetic clinics
2 General Endocrine clinics
1 Bone and Menopause clinic
1 Weight loss clinic 
1 Diabetic foot clinic

Diabetes And Endocrinology - Burke Street Centre

Mater Adult Hospital - Endocrinology Services

Queensland Children's Hospital (Lady Cilento Children's Hospital)

Queensland Children's Hospital

Brisbane Diabetes Endocrinology

Referrals to specialist outpatient services within Queen Elizabeth II Jubilee 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.
•	hormone levels
•	relevant investigations - any relevant imaging studies
•	For a pituitary problem: morning prolactin, LH, FSH, oestradiol (testosterone if male), TSH, T4, cortisol, ACTH, growth hormone, IGF1, ELFT, FBE
•	For thyrotoxicosis: TSH, T4, T3, ESR, TSH receptor antibodies (Primary hypothyroidism should be able to be managed by the GP and not require specialist referral).
•	For calcium disorder: ELFT, ionised calcium, PTH, Vitamin D and 1,25(OH)2 Vitamin D, 24 hour urine calcium. If primary hyperparathyroidism include bone mineral density and US kidneys or AXR KUB
•	For osteoporosis: FBE, ELFT, ESR, Vitamin D, PTH, ionised calcium, TSH, serum EPP, antitransglutaminase antibodies, bone mineral density and vertebral x-rays or x-rays of fractures if relevant
•	For adrenal insufficiency: short synacthen test, morning cortisol and ACTH, renin and aldosterone
•	For Cushing's syndrome: 24 hour urine free cortisol, 1mg dexamethasone suppression test, morning cortisol, ACTH
•	For hypogonadism: morning LH, FSH, oestradiol and progesterone (testosterone if male), prolactin

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Endocrinology service in Greenslopes

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Endocrinology service in Greenslopes

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Free Australian health advice you can count on.

Dr Teresa Nano - Breast and Endocrine Surgeon