CONSULT REQUEST GUIDELINES                                                                         Print

Proteinuria

Suggested Pre-Referral Evaluation and Management Guidelines
1) Renal Ultrasound
2) Quantify proteinuria with spot protein: creatinine ratio or 24 hr urine for protein, creatinine, and urea nitrogen. Check Renal Panel (Glu, UN, Creat, Sod, Pot, Cl, CO2 , Cal, Phos, and Alb) at same time.
3) If heavy proteinuria (>3gm/d) consider GN workup (C3, C4, HIV, SPEP, Bence Jones screen-urine, Hepatitis B and C).
4) If significant edema, consider evaluation for other causes: echocardiogram, liver function tests.
Suggested Additional Test/Management Prior to Specialty Visit
1) Renal Ultrasound
2) Quantify proteinuria with spot protein: creatinine ratio or 24 urine for protein, creatinine, and urea nitrogen. Check Renal Panel (Glu, UN, Creat, Sod, Pot, Cl, CO 2 , Cal, Phos, and Alb) @ same time.
3) If heavy proteinuria (>3gm/d) consider GN workup (C3, C4, ANCA).
4) If significant edema, consider evaluation for other causes: echocardiogram, liver function tests.
Patient Education/Information (includes preps) Kidney Diseases
Appointment Timeframe Change Appointment Timeframe to:
New presentation of nephrotic syndrome (>3gm/d) - 2 weeks
Proteinuria < 1 gm - 30 days
Nephrotic syndrome with increasing creatinine- consider admission and urgent renal consult
How to Get Results to Consultant UMHS Patients: See Careweb
External Patients: Hand carry results including ultrasound report
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-647-9160
Or 888-287-1084 (toll free)
Clinic Location Sites Taubman Health Care Center 
UM Consulting Physician General Nephrology
Revised on: 03/21/2011
 
 

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