Angioedema Referral Access Criteria
Angioedema Referral Access Criteria
Referrers should use this page when referring patients to public adult immunology outpatient services for angioedema.
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Emergency referral |
If any of the following are present or suspected, refer the patient to the emergency department or seek emergency medical advice if in a remote region. |
- Current symptoms of anaphylaxis
- Airway compromising angioedema
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Immediate referral |
Immediately contact on-call registrar or service to arrange immediate immunology assessment (seen within 7 days):
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To contact the relevant service, please see Clinician Assist WA: Immunology assessment (external site).
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Clinical indications for outpatient referral |
If any of these issues are present, refer to outpatient services through the Central Referral Service (CRS).
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Severe and/or recurrent angioedema
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Mandatory information |
Referrals missing 'mandatory information' with no explanation provided may not be accepted by site. If 'mandatory information' is not included, the explanation must be provided in the body of the referral (e.g. patient unable to access test in regional or remote areas or due to financial reason).
This information is required to inform accurate and timely triage. If unable to attach reports, please include relevant information/findings in the body of the referral and advise where (provider) investigation/imaging was completed.
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History |
- Relevant history, onset, duration, severity, and possible triggers of symptoms
- Site of swelling
- Familial history
- Current medication (i.e., current and/or previous ACE-inhibitor usage)
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Examination |
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Investigations |
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Highly desirable |
History |
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Examination |
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Investigations |
- FBC
- U&Es
- LFTs
- CRP
- ESR
- C3, C4
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Indicative clinical urgency category |
Category 1
Appointment within 30 days
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- Recently resolved severe angioedema (e.g. recent admission to hospital)
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Category 2
Appointment within 90 days
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- Recurrent angioedema (i.e. mild/moderate - responding and/or not responding to treatment)
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Category 3
Appointment within 365 days
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- No defined category 3 criteria
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Exclusions |
- Angioedema with recurrent abdominal pain
- Eosinophilic oesophagitis
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Feedback
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