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Other rheumatology conditions

(where specialist rheumatology input is sometimes sought)

Fatigue

It is usually appropriate to diagnose and manage cases of tiredness in primary care without involving a specialist. A suggested approach to this is outlined in AFP Jul 2014 – Fatigue – A Rational Approach to Investigation.

Where this is not possible, and in the absence of specialty-specific clinical indicators, referrals would usually be best directed to a General Medical clinic. Please refer to the referral guidelines for these clinics.

Osteoporosis

It is usually appropriate to diagnose and manage cases of osteoporosis in primary care without involving a specialist.

Where this is not possible, referrals would usually be best directed to the Bone Clinic, a subspecialty of the Endocrinology service at RBWH. Please refer to the referral guidelines for these clinics.

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