PLEASE SEND THIS CASE FOR DISCUSSION TO If you need to discuss a case prior to the Project ECHO FAX: 03 5823 3299 Attn: Tim Griffiths OR meeting call Amanda Norman on 03 9231 3467 or EMAIL: Addiction Medicine Registrar on 03 9231 2211 Please note that ECHO sessions are not secondary consultations and do not replace referral to an Addiction Medicine specialist. Area: Western PHN Hume area PHN Grampians, Loddon, Mallee (All patient information will be de-identified for Project ECHO) Opioid History: Examination: Abnormal signs: IVDU signs: BMI: Opioid substitution therapy (OST) naїve: Yes No Investigations: (attach results) If on OST: Daily pick up Takeaways LFT / EUC / FBE / AFP HBsAg / surface antibody (sAb) / cAb HIV Ab Alcohol use: HCV ab genotype Viral Load Tobacco use: Medications: Cannabis use: Other drug use: IVDU Yes No Other medical history: Any other comments/information: Social / psych history: What is your question about this case?
PLEASE SEND THIS CASE FOR DISCUSSION TO FAX: 03 5823 3299 Attn: Tim Griffiths OR EMAIL: (All patient information will be de-identified for Project ECHO) Opioid History: Opioid substitution therapy (OST) naїve: Yes No If on OST: Daily pick up Takeaways Alcohol use: Tobacco use: Cannabis use: Other drug use: IVDU Yes No Other medical history: Social / psych history: If you need to discuss a case prior to the Project ECHO meeting call Amanda Norman on 03 9231 3467 or Addiction Medicine Registrar on 03 9231 2211 Please note that ECHO sessions are not secondary consultations and do not replace referral to an Addiction Medicine specialist. Area: Western PHN Hume area PHN Grampians, Loddon, Mallee Examination: Abnormal signs: IVDU signs: BMI: Investigations: (attach results) LFT / EUC / FBE / AFP HBsAg / surface antibody (sAb) / cAb HIV Ab HCV ab genotype Viral Load Medications: Any other comments/information: What is your question about this case?