Diagnostic assessment
Unexplained symptoms and abnormal results that need a broad medical assessment.
- Fatigue, weight loss, or fever without a clear cause
- Abnormal blood work or imaging findings
- Symptoms involving more than one organ system
Services
Internal medicine consultation
Outpatient consultation in general internal medicine for adults. A referral is required.
Our approach
One clinical question, assessed in full.
Internal medicine takes a whole-patient view. Each consultation addresses the question in the referral, considers the patient's other conditions and medications, and ends with a clear report to the referring provider.
Scope Medical is a consulting clinic. Ongoing care remains with the family physician or nurse practitioner.
A consultation includes
- Review of the referral and medical history
- Focused examination
- Investigations where needed
- Management recommendations
- Consultation report to the referring provider
Areas of care
General internal medicine.
Consultations are accepted across general internal medicine, including the following.
Anemia
Evaluation of low blood counts.
- Iron, B12, and folate deficiency
- Anemia of chronic disease
- Unexplained or persistent anemia
Hypertension
Blood pressure that remains difficult to control.
- Hypertension on three or more medications
- Assessment for secondary causes
- Medication adjustment and monitoring plan
Diabetes
Diabetes management in general internal medicine.
- Type 2 diabetes above target
- Review of glucose-lowering therapy
- Cardiovascular and kidney risk review
Medication review
Review of complex regimens.
- Multiple medications with interactions or side effects
- Simplifying regimens where appropriate
- Review in older adults
Preoperative assessment
Medical assessment before planned surgery.
- Risk assessment for elective surgery
- Optimising medical conditions before the procedure
- Medication guidance around surgery
For patients
Ask your family physician or nurse practitioner to send a referral. The clinic contacts you with the appointment.
Not provided here
- Emergency or urgent same-day care
- Care requiring hospital admission
- Subspecialty-only referrals (cardiology, gastroenterology, nephrology, endocrinology, rheumatology)
How to be seen
A family physician or nurse practitioner sends the referral. Requirements are on the referral page.