CHOC Docs
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Referral Guidelines
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Consult and Referral Guidelines are available to assist referring physicians in the evaluation and management of pediatric patients.
Developed by CHOC Children's Specialists, in partnership with community physicians, these guidelines provide you with useful information in working up your patients, and contribute to making the appointment itself most meaningful by having the right clinical information available.
Listed below are the specialties that currently have guidelines. Updates, as well as additional specialties and diagnoses, are added regularly.
CHOC Children's Specialists Referral Guidelines
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Pediatric Allergy & Immunology Referral Guidelines
Allergic Rhinitis, Anaphylaxis
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Pediatric Cardiology Referral Guidelines
Heart Murmur, Chest Pain, Syncope, Palpitations, Arrhythmia, Abnormal ECG, Hyperlipidermia, Genetic Disorders, Hypertension, Attention Deficit Disorder
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Developmental & Behavioral Pediatrics Referral Guidelines
Attention Deficit Disorder, Hyperactivity, Inattentiveness, Developmental Delay, Autism, Asperger, Pervasive Developmental Disorder, Tic Disorders, Tourette's, Selective Mutism, Anxiety Problem, Oppositional Defiant Disorder, Learning Disorder
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Endocrinology Referral Guidelines
Growth Disorders, Thyroid Disorders and Pubertal Disorders including, Congenital Hypothyroidism (Neonate), Congenital Hypotheyroidism (Child), Acquired Hypothyroidism, Autoimmune Thyroiditis/Hypothyroidism, Central Hypothyrodism, Acquired Hyperthyroidism, Auntoimmune Hyperthyroidism (Grave’s Disease), Neonatal Hyperthyroidism, Goiter, Thyroid Nodule, Diabetes Mellitus Type 1 & Type 2, Hyperglycemia, Impaired Glucose Tolerance, Impaired Fasting Glucose, Morbid Obesity, Acanthosis Nigricans, Short Stature, Failure to Thrive, Precocious Puberty/Premature Thelarche (Girls), Precocious Puberty (Boys), Premature Adrenarch (Girls), Premature Adrenarch (Boys), and Delayed Puberty.
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Gastroenterology Referral Guidelines
Chronic Abominal Pain, Celiac Disease, Crohn’s Disease, Diarrhea, Hematochezia, Food Allergy, Peptic Ulcer Disease, Gastro Esophageal Reflux (GER), Vomiting, Constipation, Failure to Thrive.
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Gastroenterology Consultation Request Form
Abdominal Pain, Diarrhea, Weight Loss, GI Bleed, GERD, Jaundice, Constipation, Growth Failure, Vomiting
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Hematology Referral Guidelines
Anemia, Thrombocytopenia, Neutropenia, Coagulation Defect, Recurrent Infections
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Infectious Disease Referral Guidelines
Recurring Fevers, Recurrent Staphylococcal Infections, Latent Tuberculosis Infection
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Nephrology Referral Guidelines
Microhematuria, Gross Hematuria, Proteinuria, Acidosis, Cystic Kidneys, Hypertension
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Neurology Consultation Request Form
Non-Febrile Seizures, Intractable Epilepsy, Neuromuscular Disorders, Headaches with Neurological Findings
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Neurology Referral Guidelines
Recurrent Unprovoked Seizures (Epilepsy), Febrile Seizures, First Unprovoked Seizure, Developmental Delay, Tics, Tourette’s, Autism, Pervasive Developmental Disorder, Concussion, Headaches
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Ophthalmology Referral Guidelines
Visual Behavior / Acuity, Eyelids, Nasolacrimal System, Anterior Segment, Ocular Media Opacities, Sensorimotor System (pupils and eye movements), Prematurity, Systemic Disorders, Congenital Syndromes, and Non-Accidental Injury
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Pulmonology Referral Guidelines
Infant Apnea, Child Apnea, Asthma, Brochopulmonary Dysplasia (BPD), Chronic Cough, Cystic Fibrosis, Recurrent Pheumonia, Respiratory Syncytial Virus (RSV)
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Rheumatology Referral Guidelines
Arthralgias, Joint Swelling, Joint Contracture, Limp Joint, Weakness, Back Pain, Malar Rash, Proteinuria, Hematuria, Unexplained Fevers, Weight Loss, Skin Tightening, Extremity Color Changes, Iritis, Chronic Pain, Positive (+) ANA
Children's Hospital of Orange County | 
University of California, IrvineChildren's Hospital of Orange County is affiliated with UC Irvine Healthcare and UC Irvine School of Medicine
