| 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. |
-
Severe dyspnoea with inability to cope at home
|
| Clinical indications for outpatient referral |
If any of these issues are present, refer to outpatient services through the Central Referral Service (CRS).
|
- Symptoms as below in the context of a CT suggestive of sarcoidosis:
- Dyspnoea that limits ADLs
- Dry cough
- Vague chest discomfort
- Wheezing
|
| 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.
|
| History |
- Relevant history, onset, duration and severity of symptoms
- Current medication list
- Any known allergies
|
| Examination |
|
| Investigations |
- High Resolution CT scan
- Biopsy report (if previously performed)
- Spirometry, with inclusion of flow volume loop (where possible)
|
| Highly desirable |
| History |
|
| Examination |
|
| Investigations |
- Sputum culture (including TB culture)
- FBC
- U&Es
- LFTs
- ESR
- Angiotensin-converting enzyme (ACE) level
- Calcium level results
- Comprehensive lung function test
|
| Indicative clinical urgency category |
|
Category 1
Appointment within 30 days
|
- Known or suspected sarcoidosis with any of the following concerning features:
|
|
Category 2
Appointment within 90 days
|
- Known sarcoidosis with progressive pulmonary symptoms
- Suspected sarcoidosis
- Known sarcoidosis requiring specialist review
|
|
Category 3
Appointment within 365 days
|
-
No defined category 3 criteria
|
| Exclusions |
-
Sarcoidosis with no pulmonary symptoms/involvement - Please consider referral to relevant medical speciality based on which organ system is involved
|
| Useful information |
|
- Due to systemic nature of Sarcoidosis please refer patient to most relevant clinical speciality related to presenting symptoms and organ involvement
Spirometry: Bulk-billed spirometry can be obtained via Asthma WA. A list of other providers undertaking lung function testing is provided on Clinician Assist WA: Respiratory Function Testing.
See MBS: Item 11505 and MBS: Item 11506 for information on completing spirometry.
Clinician resources
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