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Givosiran (Givlaari) Provider Order Form rev. 01/02/2024PATIENT INFORMATIONReferral Status:Patient Name: Patient Address: Allergies: Sex: M / FDate of Last Infusion: New Referral Updated Order Order
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How to fill out acute hepatic porphyria
How to fill out acute hepatic porphyria
01
Acquire a detailed medical history from the patient.
02
Perform a complete physical examination including liver function tests.
03
Conduct urine and stool tests for porphyrin levels.
04
Order genetic testing for confirmatory diagnosis.
05
Consult a specialist for further evaluation and management.
Who needs acute hepatic porphyria?
01
Individuals with a family history of acute hepatic porphyria.
02
Patients presenting with symptoms such as abdominal pain, psychiatric disturbances, and neurological symptoms.
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What is acute hepatic porphyria?
Acute hepatic porphyria is a group of disorders characterized by deficiencies of certain enzymes, leading to the buildup of porphyrins in the liver.
Who is required to file acute hepatic porphyria?
Healthcare providers and laboratories are required to report cases of acute hepatic porphyria to public health authorities.
How to fill out acute hepatic porphyria?
Acute hepatic porphyria can be filled out using specific reporting forms provided by public health agencies or electronically through designated platforms.
What is the purpose of acute hepatic porphyria?
The purpose of reporting acute hepatic porphyria is to track and monitor cases for public health surveillance and intervention.
What information must be reported on acute hepatic porphyria?
Information such as patient demographics, clinical presentation, laboratory test results, and treatment details must be reported on acute hepatic porphyria.
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