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Sample eConsults

*These sample eConsults have been de-identified to protect patient and provider privacy. All the PHI information in these cases has been removed.

Nephrology – CKD w/CHF

Nephrology – CKD w/CHF

76 y/o female with CKD, Heart failure seen due to increased weight 10 lbs in 3 months, 6 lbs in 2 months, and 4 lbs in 1 month, and BLE edema. She denies SOB, CP, and no orthopnea; Torsemide increased to 40mg 5 days a week from 20mg 4 days a week. Her kidney function is currently: Crt 2.73, BUn 64, and GFR 16. CL 113. No complaints. Continue to monitor. She remains DNR DNI DNH. The goal is comfort.

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Nephrology

Nephrology

This female with active medical conditions: DM2, HTN, CKD4, dementia, GERD and OSA, is a 76 y/o AA s/p 12-day hospitalization from 5/28 through 6/9 for toxic encephalopathy and tremors. Work-ups while hospitalized included UA, CT head, VBG, TSH, ammonia, and B12, all of which were unremarkable. Her Zyprexa and Tramadol were discontinued, and weaning of Baclofen began with noted improvement.

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Dermatology

Dermatology

eConsults provide quality patient care without a specialty referral. In this sample case, see advice about Dermatology.

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Cardiology

Cardiology

Primary care providers can access specialists with a sub-specialty in geriatric specialty care. These physicians are board-certified and located in the United States. In most cases, these doctors are board-certified in internal medicine and receive additional education, training, or a fellowship to learn how to care for the unique needs of the elderly. Geriatricians focus on conditions that occur more frequently among those over 65.

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Cardiology

Cardiology

Primary care providers can access specialists with a sub-specialty in geriatric specialty care. These physicians are board-certified and located in the United States. In most cases, these doctors are board-certified in internal medicine and receive additional education, training, or a fellowship to learn how to care for the unique needs of the elderly. Geriatricians focus on conditions that occur more frequently among those over 65.

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Gastroenterology

Gastroenterology

Gastroenterology Electronic Consultation – Example PCP to Doctor Consultation for Thrombocytopenia with treatment recommendations

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Sample eConsults: Requests & Responses

See our sample eConsults  based on an actual response from a specialist. All patient, provider, and specialist details have been removed to de-identify these eConsults. These booklets includes specialty care responses for cardiology, certified diabetic education, endocrinology, gastroenterology, geriatric medicine, hematology, neurology, pediatric specialties, psychiatry & addiction medicine, pulmonology and rheumatology. See all of our available specialty & sub-specialty areas available for eConsults.

Sample eConsults for rheumatology

How eConsults Support Comprehensive Rheumatology Care for Arthritis

With long specialist wait times, providers across the country are turning to eConsults to offer comprehensive rheumatology care. They often help patients manage chronic conditions like rheumatoid arthritis while dealing with the realities of limited access to specialists. Specialist shortages, limited access, and long wait times for specialty care can negatively impact patient outcomes.

Electronic physician-to-specialist consultations, or eConsults can help mitigate the challenge of specialist shortages and other delays in treatment by offering comprehensive rheumatology care. An eConsult is an asynchronous physician-to-physician communication about a patient, conducted over a secure digital platform, that enables PCPs to leverage the expertise of physician specialists like rheumatologists. eConsults gives patients immediate access to specialists from within a primary care setting.

Below, we use rheumatoid arthritis, a disease that affects about 1.5 million US adults, as an example of how eConsults can help PCPs work with specialty physicians to manage a chronic, complex disease.