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Endocrinology - public patients

Purpose

This page contains information for general practitioners on how to refer patients aged 16 years and over to Endocrine services at Mater Hospital Brisbane.

Scope of Service

Due to high demand, in general we do not accept referrals for the following conditions, which are considered to be appropriate for GP care alone:

  • Primary hypothyroidism, including subclinical hypothyroidism – Note: in women of child bearing age who are pregnant or wishing to become pregnant or not using contraception, thyroxine should be commenced and titrated, aiming for a TSH less than 2.5.
  • Positive thyroid antibodies with normal thyroid function
  • Osteopaenia
  • Routine uncomplicated osteoporosis

Please note: All women who are currently pregnant should be referred to the Obstetric Medicine Clinic and not to our department.

Patients with nodular thyroid disease but normal thyroid function are best referred directly to the Breast and Endocrine Surgical OPD. Consider a fine needle aspiration biopsy where appropriate prior to referral to the surgeons.

Referral Criteria

Please include all of the minimum referral requirements and:

  • relevant hormone levels
  • relevant investigations - any relevant imaging studies
  • For a pituitary problem: (early morning (0700-0900 hours) sample) prolactin, LH, FSH, oestradiol or testosterone TSH, Free T4, cortisol, ACTH, growth hormone, IGF1, ELFT, FBE
  • For thyrotoxicosis: TSH, Free T4, Free T3, ESR, TSH receptor antibodies
  • For calcium disorder: ELFT, ionised calcium, PTH, Vitamin D, TFT, 24 hour urine calcium. 
  • For osteoporosis: FBE, ELFT, ESR, Vitamin D, PTH, ionised calcium, TSH, serum EPP, anti-tissue transglutaminase antibodies, bone mineral density and vertebral x-rays or x-rays of fractures if relevant. For men please include tests for hypogonadism as per instructions below
  • For cortisol insufficiency: short Synacthen test, morning cortisol and ACTH, renin and aldosterone
  • For Cushing's syndrome: 24 hour urine free cortisol, early morning (0700-0900 hours) cortisol and ACTH, 1mg overnight dexamethasone suppression test,
  • For suspected phaeochromocytoma: plasma metanephrines x 2
  • For hypogonadism: Men require an early morning (0700-0900 hours) sample for LH, FSH, testosterone and prolactin. Women require a sample for LH, FSH, prolactin, oestradiol and progesterone and the stage of the menstrual cycle (if known) should be recorded on the request form.

Please include the triage assessment form with your referral form or referral letter. 

Mater Adult Referral Form

Referrals can be faxed to 07 3163 1543.

Referral Categorisation

Available appointments are provided to our patients based on clinical priority

Examples only (not a complete list of referrals accepted). 

This should be used as a general guideline only – categorisation will be based on the individual referral.

PRIORITY SEMI-URGENT ROUTINE

- Severe thyrotoxicosis

- Cortisol deficiency – primary (adrenal) or secondary (pituitary)

- Severe hypercalcaemia (Serum calcium >3.0 mmol/L)

- Large pituitary tumour with or without visual compromise

- Functional pituitary tumours (e.g. Cushing’s disease, acromegaly or prolactinoma)

- Suspected phaeochromocytoma or other functional adrenal mass

- Adrenal mass >4cm – functional or non-functional

- Neuroendocrine tumour e.g. insulinoma

- Mild-moderate thyrotoxicosis

- Pituitary microadenomas

- Adrenal masses <4cm

- Mild-moderate hypercalcaemia e.g. <3 mmol/L

- Patient with known multiple endocrine neoplasia syndrome for follow-up

- Antenatal counseling with underlying endocrine disorder

- Polycystic ovarian syndrome

- Osteoporosis

- Subclinical thyrotoxicosis

Mater endeavours to see all priority patients within 30 days from GP referral

Mater endeavours to see all semi urgent patients within 3 months from GP referral

Mater endeavours to see all routine referrals within 12 months from GP referral

 

Our Specialists

Dr Adam Morton Endocrinologist
Dr Neisha D’Silva Endocrinologist
Dr Trisha O’Moore-Sullivan Director of Endocrinology, Endocrinologist

 

Bulk Billed Clinics

Mater Health Services offers patients the opportunity to attend bulk billed clinics.  To provide your patient with the opportunity to attend a bulk billed specialist clinic, please provide a named referral to one of our specialists listed above.

Contact Us

If you wish to discuss a referral with a medical or nursing officer from this specialty, please contact the Queensland Diabetes Centre on 07 3163 2500.  Alternatively, contact the Clinical Nurse – Business Referral Centre on 07 3163 6866.

Content reviewed 23/12/15

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