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E-consult specialist relay
PCP-to-specialist async referrals with structured Q&A and billing codes.
Authored byMasked Mantis — Developer 5126@masked-mantis-5126
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PCP-initiated e-consult · ECON-44128
Patient: Roman Castellanos · 63M
From Dr. Adeyemi (PCP) → Nephrology e-consult panel
What is your specific clinical question?
63yo M with new microscopic hematuria on routine UA. eGFR 71. No HTN, no proteinuria. When to refer to nephrology vs urology, and what additional workup before referral?
Pertinent history & meds
T2DM x8y on metformin. No NSAID use. No anticoagulation. No flank pain, no dysuria. Family hx: brother with bladder cancer at 58.
Recent labs / imaging
UA: 10-15 RBC/hpf, no casts, no proteinuria. Repeat 2w later: 8-12 RBC/hpf. CMP normal. Renal US not yet done.
Specialist reply
AwaitingSend the consult to see specialist response.